Oral Disorders and Pain

Question 1

What is the FDA recommendation of Fluoride in bottled water?

Answer 1

No more than 0.7mg/L

Question 2

Xerostomia is also known as…

Answer 2

dry mouth

Question 3

Another term for dry mouth is…

Answer 3

Xerostomia

Question 4

What is gingivitis?

Answer 4

Inflammation of gingiva w/o migration of epithelail attachment to tooth (bleeding, swollen gum)

Question 5

What are the most effective chemical prevention option for halitosis?

Answer 5

Zinc salts + chlorine dioxide (smart mouth + CloSys)

Question 6

Should peeps sleep with dentures?

Answer 6

No

Question 7

For hypersensitivity, _______ reduces excitability of intradental nerve

Answer 7

potassium nitrate (Sensodyne)

Question 8

What age group is excluded from using Sensodyne (potassium nitrate)

Answer 8

<12 yrs old

Question 9

Hypersensitivity not resolved in _____ should be excluded

Answer 9

4 wks

Question 10

When does teething occur?

Answer 10

6 months old

Question 11

How long does teething take?

Answer 11

About 8 days

Question 12

Can you use APAP for teething?

Answer 12

Yes, look at pediatric dosing chart

Question 13

Can yo use Topical benzocaine/lidocaine for teething?

Answer 13

No, must be at least 2 yrs old

Question 14

When should an infant have their first dental visit?

Answer 14

Within 6 months of first tooth and not more than the child’s first birthday

Question 15

What kind of foods/drinks should infants that are teething avoid?

Answer 15

Sugary stuff

Question 16

What kind of foods should you avoid if you have canker sores?

Answer 16

Spicy + sharp foods (chips)

Question 17

How many times should you apply ice if you have canker sores?

Answer 17

10 minutes hourly

Question 18

What can you take as a supplement for canker sores?

Answer 18

Folate (Vit. B12)

Question 19

What are the main treatments for canker sores?

Answer 19

Glyoxide or peroxyl QID after meals

Question 20

What is the drawback from using glyoxide / peroxyl too much?

Answer 20

Causes black hairy tongues

Question 21

What can you apply to soothe irritation of canker sores?

Answer 21

Baking soda paste

Question 22

If the canker sores last >___ days, it is a referral

Answer 22

14

Question 23

Hypersensitivity

Use standard toothpaste, follow up in ___ days

Answer 23

7

Question 24

Hypersensitivity

Use desensitization toothpaste, follow up in ____ days

Answer 24

14

Question 25

If there is mucosal injury, what kind of rinse should you use?

Answer 25

Baking soda, glyoxide, or peroxyl

Question 26

What are cold sores caused by?

Answer 26

HSL + HSV-1

Question 27

(T/F) Cold sores means they are infected for life, can be reactivated by triggers

Answer 27

True

Question 28

What is the FDA approved RX to treat cold sores?

Answer 28

Abreva (docosanol 10%); use 5 times a day for up to 10 days

Question 29

What is contraindicated when treating cold sores?

Answer 29

Hydrocortisone cream or ointment

Question 30

What are some alternative treatments for cold sores

Answer 30

Tea tree oil, L-Lysine, or lemon balm

Question 31

You should refer pt to PCP if a cold sore last >___ days

Answer 31

14

Question 32

What are some other exclusions for cold sores?

Answer 32

No previous diagnosis of cold sores

Question 33

What drugs can cause dry mouth?

Answer 33

Anti-cholinergic (antihistamines, decongestants, anti-hypertensives, etc)

Question 34

What are some disease states that cause dry mouth?

Answer 34

Sjogren syndrome, crohn’s, depression, radiation treatment

Question 35

What are some random options to treat dry mouth?

Answer 35

1. Take rx that causes dry mouth 1 hr before meals
2. Dont suck on hard candy w/ sugar
3. Use xylitol sweetened chewing gum

Question 36

Is artificial saliva a cure for dry mouth?

Answer 36

No

Question 37

When should you use artificial saliva for dry mouth?

Answer 37

After meals and before bedtime