Oral Care Flashcards
Amosan
sodium perborate - a bleach type mouth rinse for canker sores
Amosan should be avoided because
contains boron which is toxic
Zilactin
hydroxycellulose - protectant that coats and soothes ulcers
Which form of canker sore has high recurrence?
Major form
What are some distinguishing features of chancre sore?
they’re red and painless; usually resolve on its own in 2 months; highly infectious
How long does it take to see a response with vitamin B therapy for canker sores?
after 4 months
Cold sores are caused by _______ virus which resides in latent state in the ________ for lifetime.
HSV-1; trigeminal ganglion
How long does it take for a healthy person to heal from cold sore?
2 weeks
What are the prodromal signs of a cold sore?
tingling and burning up to 48 hours before recurrent outbreak
What is considered excessive recurrence and should be referred?
more than 6 times per year
First time oral lesions do not need referral. T or F
False
What are some risk factors for cold sores?
Sun exposure, physical trauma in oral cavity, stress, illness, malnutrition, fatigue, menstruation, immunosuppression
Topical barrier products such as petroleum jelly, _____, ______ have been shown to reduce pain from cold sores in peer reviewed RCTs. T or F
Zilactin, Lipactin
False
What are the 3 topical anesthetics that have been studied for cold sores?
Tetracaine 1.8%; Lidocaine 2.5%; Prilocaine 2.5%
Topical barrier products such as petroleum jelly, _____, ______ have been shown to reduce pain in peer reviewed RCTs. T or F
Zilactin, Lipactin
False
How would you counsel a patient on the use of zinc for recurrent cold sores?
Apply within 1 hour of first symptom then q2h until crust forms or 5 days if using zinc sulfate
What benefits can a patient with cold sore expect from topical antivirals such as acyclovir 5% cream?
decrease in pain duration or severity but it does not prevent lesions forming
Bee propolis 3% ointment has been studied and it may reduce duration of cold sores. T or F
True
What is the medicinal name of Abbreva?
Docosanol
How do you counsel a patient on docosanol use?
Treatment must begin before lesion formation - within 12 hours of prodrome signs onset
If you apply docosanol early enough you can prevent lesions formation. T or F
False, lesions can still occur but may reduce severity of symptoms
What is the dosing of valacyclovir for cold sore?
1500mg single dose or 2g BID x 1 day or 750mg BID x 1 day
What preventative treatment may cause nitrogen build up in liver/kidney failure?
Lysine
Lysine also causes an electrolyte disturbance which is…
hypercalcemia
