Oral Disorders and Pain Flashcards
What is the FDA recommendation of Fluoride in bottled water?
No more than 0.7mg/L
Xerostomia is also known as…
dry mouth
Another term for dry mouth is…
Xerostomia
What is gingivitis?
Inflammation of gingiva w/o migration of epithelail attachment to tooth (bleeding, swollen gum)
What are the most effective chemical prevention option for halitosis?
Zinc salts + chlorine dioxide (smart mouth + CloSys)
Should peeps sleep with dentures?
No
For hypersensitivity, _______ reduces excitability of intradental nerve
potassium nitrate (Sensodyne)
What age group is excluded from using Sensodyne (potassium nitrate)
<12 yrs old
Hypersensitivity not resolved in _____ should be excluded
4 wks
When does teething occur?
6 months old
How long does teething take?
About 8 days
Can you use APAP for teething?
Yes, look at pediatric dosing chart
Can yo use Topical benzocaine/lidocaine for teething?
No, must be at least 2 yrs old
When should an infant have their first dental visit?
Within 6 months of first tooth and not more than the child’s first birthday
What kind of foods/drinks should infants that are teething avoid?
Sugary stuff
What kind of foods should you avoid if you have canker sores?
Spicy + sharp foods (chips)
How many times should you apply ice if you have canker sores?
10 minutes hourly
What can you take as a supplement for canker sores?
Folate (Vit. B12)
What are the main treatments for canker sores?
Glyoxide or peroxyl QID after meals
What is the drawback from using glyoxide / peroxyl too much?
Causes black hairy tongues
What can you apply to soothe irritation of canker sores?
Baking soda paste
If the canker sores last >___ days, it is a referral
14
Hypersensitivity
Use standard toothpaste, follow up in ___ days
7
Hypersensitivity
Use desensitization toothpaste, follow up in ____ days
14
If there is mucosal injury, what kind of rinse should you use?
Baking soda, glyoxide, or peroxyl
What are cold sores caused by?
HSL + HSV-1
(T/F) Cold sores means they are infected for life, can be reactivated by triggers
True
What is the FDA approved RX to treat cold sores?
Abreva (docosanol 10%); use 5 times a day for up to 10 days
What is contraindicated when treating cold sores?
Hydrocortisone cream or ointment
What are some alternative treatments for cold sores
Tea tree oil, L-Lysine, or lemon balm
You should refer pt to PCP if a cold sore last >___ days
14
What are some other exclusions for cold sores?
No previous diagnosis of cold sores
What drugs can cause dry mouth?
Anti-cholinergic (antihistamines, decongestants, anti-hypertensives, etc)
What are some disease states that cause dry mouth?
Sjogren syndrome, crohn’s, depression, radiation treatment
What are some random options to treat dry mouth?
- Take rx that causes dry mouth 1 hr before meals
- Dont suck on hard candy w/ sugar
- Use xylitol sweetened chewing gum
Is artificial saliva a cure for dry mouth?
No
When should you use artificial saliva for dry mouth?
After meals and before bedtime
