Module 7 adult oral care Flashcards
risk factors for caries
high bacterial counts family hx eating sugar-containing foods inadequate fluoride low socioeconomic status physical disability: limit hygiene activity existing restoration or appliances: trap food Dec. salivary flow: meds or disease Medication
root caries etiology
roots more susceptible to caries than crowns of teeth
gingival recession -> roots exposed
bacteria and high sugar diet -> rapid progression
root caries tx
lesions can be prevents or arrested with fluoride
advanced lesions require restoration or extraction
gingivitis s/s
tenderness
erythema
bleeding gums
gingivitis etiology
plaque buildup
changes in hormone level
oral foreign bodies
gum inflammation
gingivitis tx
good home hygiene
regular dentist visit
periodontitis etiology
chronic plaque exposure -> inflammation ->
- destruction of periodontal ligament
- loss of supporting bone
- tooth loosening and loss
periodontitis tx
good oral hygiene and reg. dental visits
avoid: tobacco and other irritants
deep root scaling
oral antibiotics and solutions: chlorhexadine
tooth loss
Prevalence: - >65 average 18 teeth remaining Negative impacts - difficulty eating - inadequate intake - dissatisfaction with facial appearance
gingival hyperplasia s/s
unsightly gum enlargement
teeth become hard to clean
inc. risk for periodontitis
gingival hyperplasia etiology
poor hygiene
drug induced
underlying systemic disease
gingival hyperplasia tx
meticulous hygiene
regular cleanings
may require gum resection surgery
dental erosions s/s
teeth become smooth and glassy
pulp exposure causes hot and cold sensitivity
dental erosions etiology
bulimia
GERD
methamphetamine use
acidic drinks
dental erosions tx
rinse with water after reflux or vomiting
xerostomia s/s
dry mouth burning sensation changes in taste difficulty swallowing and speaking increased caries
Xerostomia etiology
meds
systemic disease and treatment consequences
- Sjogrens, Radiation therapy
Xerostomia tx
eliminate medications that dec. salivary flow
encourage water intake
avoid caffeine and sugary drinks
recommend use of high concentration topical fluoride
ensure regular dental care
over the counter salivary substitutes
effects of tobacco
tooth stains altered taste and smell periodontitis xerostomia caries cancers congenital anomalies in offspring such as cleft lip and palate
effects of alcohol
periodontitis xerostomia caries cancers fetal alcohol syndrome congenital anomalies in offspring such as cleft lip and palate
meth mouth s/s
rampant caries
gingival recession
dental erosion in young patients
meth mouth etiology
drug-induced xerostomia
inc. carbohydrate and sugary beverage consumption
poor hygiene and teeth grinding
direct acid effect of the drug
meth mouth tx
dental/oral surgery
referral
behavioral health intervention
