Module 9 Exam 2 (part 2) Flashcards

1
Q

what are the major endocrine glands

A

pineal, hypothalmus, pituitary, thyroid, parathyroids, thymus, pancreas, adrenals, and gonads

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2
Q

What is the master gland and why is it called that

A

anterior pituitary, regulates output of hormones by other glands

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3
Q

What are the 3 stages of adolescence

A

early ages 10-13
middle ages 14-17
late ages 18-21

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4
Q

What age group has the highest incidence of caries than any other age group

A

adolescence

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5
Q

what is the high caries rate in adolesence related to?

A

eating habits, frequency, demands of rapid growth, emotional issues, peer pressures, cariogenic foods selected

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6
Q

what should we know about biofilm induced gingivitis during puberty

A
  • incidence and severity may increase

- exaggerated response to biofilm

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7
Q

what are risk factors for periodontitis is adolescents

A
  • supra and sub calc
  • untreated caries
  • ortho appliances
  • OH
  • infrequent/inadequeate DH care
  • use of tobacco
  • systemic diseases
  • geneitc factors
  • host immune factors
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8
Q

periodontal diseases in adolescents may be classified as

A

chronic or agressive

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9
Q

Loss of perio attachment and supporting bone is evident in how many adolesents in the world

A

5 to 47%

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10
Q

What are LAP and GAP caused by

A

both have a familial tendency and may have neutrophil dysfunction with a compromised immune response

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11
Q

What is Localized Aggressive Periodontitis

A

severe bone loss involving the first permanent molars and incisors, with proximal surface attachment loss on at least 2 permanent teeth

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12
Q

when is LAP first diagnosed

A

in the circupubertal years

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13
Q

What is the pathogenic microorganism of etiologic importance in LAP

A

actinobacillus actinomycetemcomitans (AA)

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14
Q

What is Generalized Aggressive Periodontitis

A

generalized proximal surface attachment loss affecting at least 3 permanent teeth other than the first molars and incisors

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15
Q

who does GAP occur in

A

persons under 30 years of age

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16
Q

What should an adolescent patient be educated on with dental biofilm control

A
  • causes and prevention of dental caries
  • effects of biofilm accumulation
  • purposes of professional calc removal
  • daily self care and its relation to oral tissue health
17
Q

what should be included in a total caries control program in dental biofilm control

A

-educated about fluoride and need to restrict cariogenic foods

18
Q

Is a fluoride tx program recommended for adolescents

A

yes, especially if they have not had the benefit of a fluoride water supply

19
Q

How can a dietary assessment help adolescents?

A

it can provide an important learning experience, put responsibility on adolescent

20
Q

What kinds of dietary suggestion can be given to adolescents?

A
  • advise foods from the MyPlate
  • emphasize a nutritious breakfast
  • snack selection (nutritious foods, with recognition of cariogenic foods)
  • suggest reading labels (become aware of serving size and nutrition
21
Q

what are the contraindications for contraceptives

A
  • circulatory problems
  • liver disease
  • cancer of breast
  • severe migraine headaches
  • pregnancy or lactation
22
Q

what are the side effects of contraception related to

A

incorrect use of the drug rather than hormonal effects

23
Q

What are some side effects that occur in some women o contraceptives

A

visual problems, mental depression, rashes, bleeding irregularity

24
Q

What are the most significant side effects of contraceptives?

A
  • cardiovascular
  • weight gain
  • decreased effectiveness when certain drugs are used including antibiotics, anticonvulsants, and rifampin
25
Q

What is the effect on the gingiva of oral contraceptives

A

-exaggerated response to dental biofilm and other local irritants

26
Q

What are some appointment considerations with a patient on contraceptives

A
  • potential oral side effects of conraceptives

- need for exceptional personal care and regular maintenance appts to prevent complications

27
Q

What are gingival concerns in a patient with menopause

A
  • exaggerated response to biofilm
  • hormonal changes influence oral tissue response
  • menopausal gingivostomatitis may develop
28
Q

how may the gingival tissues appear in someone with menopause

A

-shiny and may vary in color from paleness to redness, dryness with burning may be present, burning mouth syndrome

29
Q

what may cause altered salivary composition in patients with menopause

A

psychological stress

30
Q

What may happen to the epithelium in a patient experiencing menopause

A

may become thin, and atrophic with decreased keratinization

31
Q

A patient with menopause will not have an alteration in taste perception

A

False, it is possible

32
Q

what can contribute to adverse changes of mucosal tissues in a person with menopause

A

inadequate diet and eating habits

33
Q

what can happen as a result of systemic osteoporosis in a patient with menopause

A

alveolar bone loss, ridge resorbtion and loss of teeth can occur

34
Q

Should you emphasize to the patient the specific relationship between menopause and oral health

A

no, just emphasize oral care measures

35
Q

What should be kept in mind when planning the appointments for a menopausal patient

A
  • the symptoms of physical and emotional changes

- may need to adjust the temperature of the room

36
Q

When instructing a patient who is in the menopause stage of their life what should you counsel them on

A
  • saliva substitute may be needed
  • measures for prevention of perio infections explained
  • emphasize reasons for freq calc removal
  • explain relationship between general and oral health
37
Q

what dietary recommendations are suggested for a menopausal patient

A

-whole grains, veggies, fruits,foods low in fat and cholesterol, Calcium to keep bones strong

38
Q

Is fluoride recommended for menopausal patients

A

it is based on the assessment of patients caries risk status