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Dental Hygiene III > Mod 10 Test 2 > Flashcards

Mod 10 Test 2 Flashcards

1
Q

what is the effect of grills on oral tissues

A 
decalcification
recession
malodor
caries
abrasion
allergic reactions
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2
Q

what are the treatment and recommendation for grills

A 
remove frequently
thourough dental assessments
regular dental visits
suggest removable over fixed
clean daily
stress good brushing and flossing
fluoride paste or gels
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3
Q

what are the most common oral piercings

A

first tongue and then lip

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4
Q

why do people get oral piercings

A

individualism, peer pressure, enhanced body image, spritual reasons

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5
Q

in western culture what is the most prevalent age for oral piercings

A

between 18 to 30

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6
Q

what should patients use instead of a metal ball

A

acrylic ball

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7
Q

what are the inital dental impacts of oral piercings

A 
intial inflammation
hemorrhage
asphyxiation of jewelry
nerve damage
communicable disease concerns
trauma
infections
altered speech
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8
Q

what are the long term dental concerns

A

infections, trauma, lingual nerve damage, swallowed or aspirated jewelry, speech and swallowing problems, sensitivity to metal

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9
Q

what kind of trauma can happen with oral piercings

A

boneloss, recession, broken teeth

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10
Q

what is best when there is an infection from a tongue stud

A

a sea salt rinse (no iodine) 4-5 times a day, removal of the jewelry, surgical removal of the jewelry

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11
Q

why are listerine and CHX not recommended for infection

A

because of the alcohol, can be used for daily oral care

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12
Q

what are methamphetamines

A

a CNS stimulant which acts on the brain, causes an increased release of neurotransmitters and at the same time block their up take (makes you need more)*

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13
Q

methamphetamines are a legal prescription to treat waht

A

ADHD and narcolepsy

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14
Q

what schedule is meth

A

schedule II

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15
Q

what is meth easily synthesized from

A

pseudoephedrine and ephedrine

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16
Q

how does meth work compared to cocaine

A
  • induces high faster than cocaine
  • lasts longer than cocaine
  • high is more inense
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17
Q

what are the immediate effects of meth

A

euphoria up to 12 hrs, rapid heart rate, dilated pupils

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18
Q

what are the short term effects of meth

A

decreased appetite, xerostomia, craving for sweet, insomnia, anxiety, tremors, hyperactivity

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19
Q

what are the indicators of meth use

A 
lack of personal hygiene
loss of weight
agitiation
skin leisions
fixation on one thing
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20
Q

what is the most common visual effect of long term meth use

A

fromication

21
Q

what is formication

A

sensation of insects crawling on the skin, appears as scabs, leisons of face hands arms and legs

22
Q

can you use epi on a meth addict

A

no because of the already increased heart rate

23
Q

when can you not give any anesthetic to a meth addict

A

if they have used within the last 24 to 48 hrs

24
Q

what are the long term effects of meth

A

psychosis, stroke, violence, anxiety, confusion, paranoia, auditory hallucinations, mood disturbances, delusions

25
what are teh dental effects of meth
``` rampant caries gingivits/perio xerostomia bruxing TMJ symptoms attrition tooth fractures ```
26
What are the reasons for rampant caries
lack of OH xerostomia craving for sweets frequent carb intake (mtn dew is drink of choice)
27
what can the clinician look for in meth
rapid, unaccountable progression of caries, pattern of decay and skin leisons, avoid vasoconstriciton, caution with nitrous and prescriptions
28
what are other commonly abused drugs
marijuana, heroin, spice, alcohol, rx drugs
29
what is osteonecrosis
necrosis of the bone due to an obstruction of the blood supply
30
why can osteonecrosis of the jaw occur
``` radiation of head and neck chronic corticosteroids herpes zoster in immunocompromised uncontrolled infections major trauma ```
31
what is bisphosphonate associated osteonectrosis associate with
both oral and IV bisphosphonates
32
what is an oral bisphosphonate
fosamax
33
who do we see who have IV bisphosphonates
people who have had bone cancer
34
what are the most common problem causing bisphosphonatess
nitrogen containing
35
what are bisphosphonates
a class of drug used in tx of bone diseases
36
what do bisphosphonates effect
bone metabolism
37
how do bisphosphonates work
once in the blood stream the bind to the bone surface and are ingested by osteoclasts, osteoclastic function is slowed and new bone formation can take place faster than resorbtion
38
what is the most common disease associated with bisphosphonate use
osteoporosis (decreased bone mineral density)
39
What is osteoporosis most commonly caused by
low estrogen levels, occurs primarily on menopausal women
40
what other disease are associated with bisphosphonate use
metastatic bone disease pagets disease hypercalcemia breast and prostate cancer
41
what is the risk for developing ONJ
it is unknown
42
there is a minimal chance of developing ONJ in the ______
first 3 years of use
43
the greather the lenth of time using oral or IV bisphosphonates the greater the risk of
developing ONJ
44
when does ONJ occur most frequently
after invasive dental procedures such as extractions, perio therapy, removal of exostosis, chronic trauma from poor fitting dentrues
45
what are symptoms of ONJ
- non healing ext site - exposed jaw bone - large areas of radiolucency - pain in jaw - mobility of teeth
46
what are oral nitrogen containing bisphosphonates
fosamax boniva actonel
47
what are IV nitrogen containing bisphosphonates
reclast, aredia, zometa
48
what are the implications for dental patients who need agressive perio tx
they may need perio surgery, implants, extractions, aggressive root deb. after physician consult
49
what are the implications for dental patiens who have conservative tx
they may need restorative tx, perio maint, or recall... not as big of concern

Dental Hygiene III (11 decks)

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