Oral Health Flashcards

1
Q

dental plaque & caries: etiology

A

Streptococcus mutans and many others

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2
Q

periapical abcess: tx

A

Emergency tx:

  • pain mgmt via local nerve block
  • abx: PCN/clindamycin
  • I+D

Definitive mgmt:

  • root canal
  • tooth extraction
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3
Q

enamel hypoplasia: causes

A
  • hereditary syndromes
  • Celiac disease
  • prenatal issues
  • infx
  • hypocalcemia
  • Vitamin A, C, or D deficiencies
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4
Q

periodontal disease (periodontitis): risk factors

A
  • poor oral hygiene/lack of access to dental care
  • xerostomia
  • diabetics
  • tobacco/EtOH use
  • Down syndrome
  • gingival hyperplasia
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5
Q

Vincent’s infection
(Acute Necrotizing Ulcerative Gingivitis)
“Trench Mouth”
tx

A
  • Debridement of dead tissue

- abx: metronidazole

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6
Q

Vincent’s infection
(Acute Necrotizing Ulcerative Gingivitis)
“Trench Mouth”
risk factors

A
  • physiologic/psych stress
  • new bacteria on oral flora
  • poor oral hygiene
  • tobacco/EtOH use
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7
Q

gingival hyperplasia: offending meds

A
  • phenytoin
  • Ca channel blockers
  • cyclosporine
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8
Q

aphthous ulcers/stomatitis - “Canker sores”

tx

A
  • Supportive
  • Topical anesthetics
  • Topical steroids (in orabase)
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9
Q

Herpes Simplex Virus (HSV-1/HSV-2): tx

A
  • Supportive (tx pain/fluids)

- Antivirals (Acyclovir, Valacyclovir) → within first 72 hours of onset

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10
Q

Syphilis: etiology

A

Treponema pallidum

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11
Q

Syphilis: tx

A

Oral abx: Pencillin G

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12
Q

glossitis: causes

A
  • anemia
  • Vitamin B12 deficiencies
  • infections
  • others
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13
Q

hairy tongue: causes

A
  • meds (olanzapine) -some abx (erythromycin)
  • poor hygiene
  • head/neck radiation
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14
Q

macroglossia: causes

A
  • down syndrome
  • meds (ACE inhibitors)
  • hypothyroidism (late stage)
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15
Q

strawberry tongue: causes

A
  • Scarlett fever
  • Kawasaki disease
  • Toxic shock syndrome
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16
Q

angular cheilitis: causes

A
  • eldery
  • nutritional deficiencies (B12, riboflavin, iron)
  • lip-licking
  • drooling
  • immunosuppression
17
Q

angular cheilitis: tx

A
  • tx underlying cause
  • topical antifungals, antibacterials
  • corticosteroids - pulsed low potency (dependent on cause)
18
Q

xerostomia: causes

A
  • idiopathic
  • meds (SSRIs)
  • Sjogren’s syndrome
19
Q

sialolithiasis: tx

A
  • sialogogues
  • intraoral extraction,
  • sialendoscopy +/- gland excision
20
Q

Acute Suppurative Sialadenitis: tx

A

IV abx then transition to oral abx:

1st: Nafcillin
2nd: Vancomycin (MRSA)

21
Q

Parotitis (mumps): causes

A
  • parainfluenza virus

- paramyxovirus

22
Q

SBE (subacute bacterial endocarditis) prophylaxis

A

pre-procedure abx (Amoxicillin) to reduce risk