notes Flashcards
tx
periapical abscess
- RCT
- drainage (if possible)
- antibiotics if severe infection/systemic/swelling spread
periodontal abscess Tx
- drainage
- debridement
- saline mouthwash
lost crown/bridge
Tx
should have used a putty index to make the crown, therefore use this again to make a temporary
6 points of Possel’s envelope
- centric relation contact/ RCP
- maximum intercuspaction ICP
- edge to edge
- max protrusion
- terminal hinge axis
- maximum opening
chewing arch
posselts envelope is view from
sagittal
mandibular frontal plane movements
- max intercuspation
- max opening
- max lateral (s)
shield shaped
CD4+ helper cells
Th1
CD8+ killer/macrophage
secretes cytokines usually associated with inflammation, such as interferon-gamma and TNF and induces cell-mediated immune responses
CD4+ Helper cells
Th2
produces cytokines such as IL-4 and IL-5 (interleukins)
that help B cells to proliferate and differentiate and is associated with humoral-type immune responses.
class III malocclusion
treatment options dependent on if
non-growing
or
growing
non-growing Class III malocclusion tx options (3)
acceptance
orthodontic camoflage (procline U, retrocline L)
surgery
growing class III malocclusion tx options (3)
- acceptance
- orthodontic camouflage
- growth modification (reverse pull headgrear, maxilla forward /down, mandible backward/down, forehead/chin anchorage)
pemphigrus vulgaris
blisters to orofacial/genital region
autoimmune
corticosteroids
OAC
passage of fluids and food
leakage of air
some symptomatic
quatiflex MDM
inhalation sedatin
5% Nitrous oxide increase every 3-5mins
10-20% used
3-5min 100% oxygen recovery time
swollen lips 5 causes
trauma
allergy
bug bite
eczema
orofacial granulomatosis
stroke impact
impaired cognitive reasoning
arms/legs may be affected
drooping but not paralysed facial muslces (move eyebrows - forehead spared)
may not be able to understand them
non stroke nerve damage to face (e.g. bell’s palsy)
unilateral paralysation of one side of face
only facial muscles
cannot close eye or wrinkle brow
FAST for stroke
- face - can they smile/drooping mouth?
- arm - can they lift both arms?
- speech - can you understand what they are saying?
- Time to call 999
neurological site of damage for stroke
CNS
contralateral side
non-stroke (bell’s palsy) site of neurological damage
peripheral
same side (ipsilateral)
checks for ortho appliance delivery
- right pt for appliance
- matches prescription
- integrity of wire work
- sharp areas
- blanching when placed in
- posterior retention (arrowheads, flyovers)
- anterior retention
- activate
- tell-show-do
- review 4-6 weeks
advice for pt after delivery URA
- practice speaking - read a book aloud
- increased salivation for 24hours
- discomfort - normal means working
- wear 24/7
- clean after every meal with soft toothbrush
- remove when playing contact sports or high apiration activities
- avoid hot or sticky foods - scald
- non compliance increases time for tx
- emergency contact number
neurological action of stroke
- interuption of the supranuclear fibres from the motor areas in the cerebral cortex (before they reach the facial nucleus)
- upper facial muscles receive crossed and uncrossed fibres
- frontalis/orbicularis oculi spared
SIMD
scottish index of multiple deprivation
- area based (postcode) index of deprivation
based on 7 indicators
- education
- crime
- access
- housing
- income
- employment
- health
