Mental health Flashcards
1
Q
People who use cannabis have the tendency to what in regard to dentist?
A
- Attend dentist less reg
- Increased caries rate because of xerostomia
- Increase hunger following cannabis action on hormone leptin
- Increased levels of periodontal disease
- Increase gingival enlargement
- Oral leukoplakias
- Oral cancer
2
Q
How can cannabis use lead to acute medical issue?
A
- Cannabis acts on cardiovascular system to induce tachycardia with widespread vasodilation
- If pt given adrenaline containing local anaesthetic during tachycardia period can lead to acute medical issue
3
Q
What is Schizoprenia?
A
- Psychiatric diagnosis
- Experience both disorder of perception like hallucinations and thought like delusions
4
Q
What are the potential causes of Schizoprenia?
A
- Imbalance of neurotransmitters in brain such as dopamine, serotonin and glutamate
- Genetic predisposition
- Drug misuse like LSD and cocaine
- Stress or bereavement
5
Q
What is the management of Schozprenia?
A
- Drug therapy
- Talking therapies
- Leaning life skills and coping mechanisms such as cooking, art or music
- Exercise
6
Q
What is Clozapine?
A
- a-typical antipsychotic
- Not first line of management for schizoprenia
7
Q
What are some risks of Clozapine?
A
- Neutropenia and potentially fatal agranulocytosis
- Myocarditis and cardiomyopathy
- Hypersalivation
8
Q
How does smoking cessation and Clozapine use relate?
A
- Recent studies shown levels of clozapine in plasma can change significantly upon withdrawal of tobacco smoke
- Can be dangerous and lead to toxicity in pt in withdrawal
- Need to liase with consultant psychiatrist if wanting to quit smoking
9
Q
Why are implants not justified in cases?
A
- Poor oral hygiene
- Smoking increases risk of failure of implants
- Implant is long process and can’t tolerate one tooth removed then not tolerate surgical procedure
- If quality of bone is not good
10
Q
How can you describe soft tissue lesions?
A
- Location
- If crosses midline
- Diameter
- Thickness
- Appearance with margin note
- traumatic or non traumatic
11
Q
What can cause gastric secretions?
A
- GORD
- Sickness as side effect of disease process of medications
- Bulimia nervosa
- Anorexia nervosa
12
Q
Intra-orally how might anorexia nervosa or bulimia nervosa present?
A
- Exposed dentine resulting in hypersensitivity
- Dry mouth
- NCTSL esp on palatal/lingual aspect of anteriors
- Ulceration and infections due to nutritional deficiency related
- Increased levels of keratin present in oral soft tissues in response to trauma from purging or from acidic nature of vomit
13
Q
How might anorexia / bulimia nervosa present extra orally?
A
- Sialadenosis
- Damage to nails or increased keratosis of fingers if used to purge
14
Q
What advise can you give pt if suspected anorexia nervosa?
A
- Reduce intake of acidic drinks
- Have acidic drinks with meal if going to
- Use straw
- Avoid swirling acidic drink inside mouth
- Reduce fresh druit or citrus containing foods
- Alcoholic drinks like White wine or cider have erosive potential
15
Q
What advise can you give post-vomiting?
A
- After self induced vomiting chew gum, rinse mouth with water or milk
- Rinse with antacid preparation
- Avoid abrasive toothpastes
- Gentle tooth brushing with desensitising toothpaste and soft brush