oral disease Flashcards
teething myth/ misconception
cause fever, cold, ear infection (serious symptoms)
gum irritation, drooling, fever, diarrhoea, sleep disorder/restlessness
teething truth
pain
mild increase temp
irritability
increase drooling
loss appetite
restlessness
teething important facts
start 6-8 months
developmental change also change sleep pattern separation anxiety, irritability, change eating habit
teething science
teething release inflammatory cytokines (pain, slight temp up) - rectal temp most accurate
diarrhoea - put everything in mouth, changing eating patterns
teething treatment
chilled teething ring/fruit veg
sugar free teething rusk
massage gum cold spoon (parent already try)
NO NECKLACE/BEADS
protect skin - drool rash (bibs & creams) butt cream
brush teeth no toothpaste - dog brush
teething - drugs
no teething gels or oral analgesic
no aspirin
teething gel bad
contain choline salicylate or sodium salicylate or lignocaine/lidocaine
impractical - contact time, swallowed, dosing
risk outweigh benefit
salicylate intoxication
VERY CLEAR DOSAGE
careful homeopathic - no study, deadly nightshade
oral analgesic - paracetamol
calculate weight in pharmacy
**15mg x kg, 4-6hrs pro nata
**60mg x kg - daily
<1000mg max dose
create chart
oral analgesic - ibuprofen
10mg x kg tid - max 400mg
max 30mgxkg - max 2.4g
careful contraindication - diarrhoea/ dehydration
lots fluid intake
dont cycle both
no aspirin
teething red flags
general mouth pain
severe inflammation/ bleeding
sign infections - pus
high fever
behavioural change
excessive symptoms
dental plaque
sticky bacterial biofilm,
–> tartar 3-4 days
bacteria generate acid demineralise tooth enamel
–> gingivitis - gum inflammation
fluoride
reduce demineralisation
promote remineralisation
inhibit bacterial acid production
fluoride free products
high conc fluoride toothpaste S3
CONFIRM PRESCRIPTION
pea sized amount
spit out no rinse
avoid drink 30 min eat drink
limited duration
effect - fluorosis
check <13, pregnant
should be part prevention plan
mouthwash use & council
occasional - not replace brush
short periods only
diff mouthwash diff purpose
share safety warnings
mouthwash adverse effect
stain teeth & tissue
taste change
CHX build up
worse dry mouth
change oral microbiome
mouth cancer
appropriate use mouthwash
pre/ post surgical prep
treat infection
reduce inflammation
orthodontic care - braces
high caries risk
limited manual dexterity
chemotherapy - alcohol free
mouthwash directions
after brush/ floss
swish 30-60second
15-20mL
dont eat/drink 30 min after
chlorhexidine - 2 weeks
0.5-2hhrs after brush
gingivitis
inflammation
excess plaque tartar buildup
bacteria release enzymes
erode bone holding tooth - create pocket
- mild/painless
- redness/ bleeding
- receding gum
med induced gingivitis
gum overgrowth?
- phenytoin, nifedipine, cyclosporin
worse condition
- oil contraceptive, antidepressant, antihistamine, beta blocker, chemo
medicine induced
- blood thinners
gingivitis red flag
spontaneous bleeding
fatigue, weakness
timing med induced
loose/ lost teeth
gingivitis treatment
topical analgesic
- nyal toothache drop (phenol!)
- oral-eze toothache med
(1-2drop cotton pellet, hold 1 min)
paracetamol, ibuprofen, diclofenac - if no other drug
dentures care
brush daily - remove food plaque
soak overnight
adhesive & comfort product - ill fitting dentures CAREFUL
xerostomia pathology
reduce saliva flow/ chronic dry mouth
increase risk mouth problem - gingivitis, oral thrush
cause - old age, radiotherapy, certain meds
symptom - sore throat, burning mouth, problem speaking & swallowing, hoarse, dry nose & lips
xerostomia treat
regular dental cleaning, fluoride varnish
management treatment
- review meds
fluoride toothpaste sugar free gum/lozenge
OTC - saliva substitute, saliva stimulant (some function saliva glands)