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
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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
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3
Q

What is Schizoprenia?

A
  • Psychiatric diagnosis
  • Experience both disorder of perception like hallucinations and thought like delusions
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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
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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
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6
Q

What is Clozapine?

A
  • a-typical antipsychotic
  • Not first line of management for schizoprenia
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7
Q

What are some risks of Clozapine?

A
  • Neutropenia and potentially fatal agranulocytosis
  • Myocarditis and cardiomyopathy
  • Hypersalivation
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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
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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
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10
Q

How can you describe soft tissue lesions?

A
  • Location
  • If crosses midline
  • Diameter
  • Thickness
  • Appearance with margin note
  • traumatic or non traumatic
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11
Q

What can cause gastric secretions?

A
  • GORD
  • Sickness as side effect of disease process of medications
  • Bulimia nervosa
  • Anorexia nervosa
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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
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13
Q

How might anorexia / bulimia nervosa present extra orally?

A
  • Sialadenosis
  • Damage to nails or increased keratosis of fingers if used to purge
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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
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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
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