Oral disorders (exam 3)

Question 1

aphthous stomatitis

Answer 1

unknown cause
canker sores

Question 2

aphthous stomatitis presentation

Answer 2

painful lesions on tongue, floor of mouth, soft palate, lips and cheeks
discomfort with eating and drinking
fever secondary to infection
heals after 5-14 days

Question 3

nonpharmacologic treatment for aphthous stomatitis

Answer 3

resolve nutrient deficiency
diet changes
reduce stress
apply ice directly to lesions in 10 minute increments

Question 4

pharmacological treatments for aphthous stomatitis

Answer 4

oral deriding and wound cleansing agents
topical oral anesthetic
topical oral protectant
oral rinses
systemic analgesics

Question 5

oral debriding and wound cleansing agents

how old do patients have to be to use this?

Answer 5

carbamide peroxide 10%
hydrogen peroxide 1.5%

over 2 years

Question 6

oral deriding and wound cleansing agents are not recommended to use over _____________ due to

Answer 6

7 days

soft tissue irritation, decalcification of enamel, overgrowth of organisms, cellular changes

Question 7

topical oral anesthetic

how old do patients have to be to use this?

Answer 7

benzocaine

over 2 years

Question 8

topical oral protectants can be used in patients over

Answer 8

5 years old

Question 9

oral rinses can be used in patients over

Answer 9

12 years old

Question 10

exclusions for treatment of aphthous stomatitis

Answer 10

lesions with underlying pathology
lesions over 14 days
frequently recurring lesions
systemic illness
failure of prior OTC treatment

Question 11

for aphthous stomatitis, follow up in _________ and if no improvement, MD referral

Answer 11

7 days

Question 12

herpes simplex labialis (cold sores) prodrome

Answer 12

tingling, itching, burning, numbness

Question 13

herpes simplex labialis (cold sores) first lesion

Answer 13

small, red papules or fluid containing vesicles

Question 14

herpes simplex labialis (cold sores) mature lesion

Answer 14

crust over the top of many burst vesicles (14 days)

Question 15

nonpharmacologic treatment for herpes simplex labialis

Answer 15

clean lesions with mild soap
maintain lesions moist
avoid triggers to inhibit delay healing

Question 16

pharmacological treatment recommendations for herpes simplex labialis

Answer 16

docosanol 10%
herpecin L

Question 17

docosanol 10% is used in patients

Answer 17

over 12 years

Question 18

docosanol 10% should be used during the ____________ for a maximum of _____________

Answer 18

prodromal stage

10 days

Question 19

topical skin protectants for herpes simplex labialis

Answer 19

12 years and older
helps lesions from infection and relieves dryness
apply after meals

Question 20

herpecin L

Answer 20

relieves discomfort
does not reduce duration of symptoms

Question 21

exclusions of self treatment for herpes simplex labialis

Answer 21

lesions present over 14 days
increased frequency of outbreaks
compromised immunity
symptoms of infection
no previous diagnosis of cold sores

Question 22

follow up in ___________ after self treatment of herpes simplex labialis

Answer 22

14 days

Question 23

counseling points for self treating herpes simplex labialis

Answer 23

do not use heat

Question 24

Xerostoma

Answer 24

dry mouth
salivary flow is limited
can be from Sjogren syndrome, radiation, drugs, etc.

Question 25

clinical presentation of xerostoma

Answer 25

difficulty talking, swallowing, stomatitis, halitosis and burning tooth hypersensitivity loss of appetite

Question 26

xerostoma can lead to an increased incidence of

Answer 26

cavities, gingivitis, or more severe periodontal disease

Question 27

xerostoma predisposes a person to

Answer 27

candidiasis

Question 28

non pharmacological treatment for xerostomia

Answer 28

limit intake of sugary, starchy and acidic food avoid tobacco, alcohol avoid anticholinergic medications drink water soft toothbrushes

Question 29

________________ can be given to promote saliva in xerostomia

Answer 29

xylitol chewing gum or sugar free candy

Question 30

pharmacological recommendations for xerostomia

Answer 30

biotene

Question 31

biotene

Answer 31

carboxymethylcellulose, glycerin replaces natural saliva chemically and physically no protective components

Question 32

exclusions for self treatment of xerostomia

Answer 32

tooth erosion, decay candidiasis, gingivitis, periodontitis reduced denture wearing time mouth soreness with poor fitting dentures fever/swelling loose teeth bleeding gums in absence of trauma broken/knocked out teeth severe tooth pain triggered by hot, cold, chewing trauma to mouth with bleeding, swelling, soreness sjogren syndrome salivary gland stones

Question 33

for self treatment of xerostomia, follow up in

Answer 33

5-7 days