periodontology and bleeding

Question 1

in reference to bleeding why is it so important for the patient history

Answer 1

1. Give insight to patients bleeding
2. Insight to other medical issues
3. Search for other clues – anticoagulated or immunocompromised
4. Smoking, alcohol and diet

Question 2

Haematological disorders we may come across

what is anaemia

Answer 2

a condition in which there is a deficiency of red blood cells or of haemoglobin in the blood

Question 3

Haematological disorders we may come across

what is microcytic

Answer 3

low iron usually

Question 4

Haematological disorders we may come across

what is macrocytic

Answer 4

b12

folate

pregnancy

drug related

Question 5

Haematological disorders we may come across

normocytic

Answer 5

leukaemia

renal failure

inection

malignancy

Question 6

what are anaemia dental findings

Answer 6

angular chelitis

candidiasis

glossitis

oral ulceration

mucosal pallor

Question 7

what is this condition

Answer 7

angular cheilitis

Question 8

what is this condition

Answer 8

candidiasis

Question 9

what is this condition

Answer 9

Glossitis

Question 10

what is this condition

Answer 10

Oral ulceration

Question 11

what is this condition

Answer 11

mucosal pallor

Question 12

what is neutropenia

Answer 12

the presence of abnormally few neutrophils in the blood, leading to increased susceptibility to infection

Question 13

what are the dental findings of neutropenia

Answer 13

candidiasis

oral ulceration

herpes simplex virus

neutropenic ulceration

Question 14

what is this condition

Answer 14

herpes simplex virus

Question 15

what is this condition

Answer 15

neutropenic ulceration

Question 16

what are the dental findings for leukaemia

Answer 16

1. Bleeding
2. Infection
3. Ulcers
4. Gingival swelling
5. Anaemia
6. Lymphadenopathy – swelling of the lymph nodes

Question 17

what is lymphoma

Answer 17

– occurs when lymphocytes become out of control, they divide in abnormal way or do not die when they should. (B or T lymphocytes)

Question 18

what are the dental findings of lymphoma

Answer 18

1. Often begin in neck
2. Non hodgkins: painless enlarged cervical nodes, infections, ulcerations
3. 50% cases present with painless neck node

Question 19

disorders of the platelets are either acquired or inherited

what are the aquired disorders

Answer 19

• Liver disease
• Renal disease
• Thrombocytopenia – low platelet count
• Medication

Question 20

disorders of the platelets are either acquired or inherited

what are the inherited disorders

Answer 20

• Platelet function
• Von willebrands (most common)
• Haemophilia

Question 21

what are the oral signs of bleeding disorders when

Answer 21

brushing

eating

spontaneous

Question 22

what category does warfarin fall in to

oral anticoagulants

oral antiplatelet drugs

NOAC,s

Injectible anticoagulant

Answer 22

oral anticoagulant

Question 23

what category does asparin fall in to

oral anticoagulants

oral antiplatelet drugs

NOAC,s

Injectible anticoagulant

Answer 23

oral antiplatelet drugs

Question 24

what category does dalteparin, enoxaparin, tinzaparin fall in to

oral anticoagulants

oral antiplatelet drugs

NOAC,s

Injectible anticoagulant

Answer 24

injectible anticoagulant