Oral health

Question 1

Dry mouth

Answer 1

Bicarbonate + water mouthwash

• 1/2 tsp bicarb powder + glass warm water
• q2h

Artificial salivas

• biotene, oralube
• hourly (post eating)

vaseline/paw paw for lips

room humidifier

Avoid acidic drinks, caffiene, cigarettes, etoh, sugar

reg dental exams

Question 2

Mouth ulcers

Answer 2

SM33

• lignocaine + salicylic acid
• q3h

Kenalog in Orabase

• triamcinalone + carmellose paste
• DAB small amount
• use at NIGHT + 2-3x daily if req

Bonjela

• choline salicylate
• q3-4h

Pregs: bonjela and SM33

Warfarin: Kenalog in orabase (intx with salicylates)

Allergy to salicylates: kenalog in orabase

Question 3

Cold sore

Answer 3

Aciclovir cream 5%

• Zovirax
• q4h while awake for 5 days
• as soon as symptoms dev

Famciclovir oral

• 1500mg stat
• at first sign of symptoms

Idoxuridine with lignocaine

• virasolve
• hourly on day 1, then q4h until lesion clears
• good for MILD attacks

Pregs: Aciclovir top should be okay

Question 4

Oral thrush

Answer 4

Miconazole 2%

• Daktarin Oral Gel
• 1/2 tsp qid until 48 hours after symp clear
  1/4tsp for <1yo
• Total tx 7-14 days

Nystatin

• Nilstat drops
• 1ml qid
• held in mouth as long as poss, swallow
• until 48 hrs after symp clear

Preg: micon and nystat

Question 5

Tooth ache

Answer 5

Oral analgesics

• para or ibu
• Note: ibu inc bleeding risk if dental proc required

Nyal toothach drops

• ethanol, phenol, benzocaine
• 1-2 drops on cotton bud, apply to cavity of aching tooth for about 1 min
• max qid