PMHP

Question 1

What is the 3As

Answer 1

model used for dentists to deliver smoking cessation advice
3As gives very brief advice , takes around 1min
1 - ask - establish and record smoking status
2 - advise - on personal benefits of quitting with regards to what has been found in mouth
3 - act - offer help and signpost/refer to cessation services

Question 2

What is the 5As

Answer 2

model used by dentists to deliver smoking cessation advice
5As gives brief advice and takes 3-5 mins
1 - ask
2 - advise
3 - assess
4 - assist
5 - arrange

Question 3

what is scotlands national smoking cessation programme called

Answer 3

quit your way

Question 4

tobacco and leukoplakia

Answer 4

tobacco use increases risk of developing leukoplakia
leukoplakia = white patches in mouth that cant be rubbed off
can transform into malignancies

Question 5

tobacco and erythoplakia

Answer 5

tobacco increases the risk of developing erythoplakia
erythoplakia = red lesions on soft tissues
malignancy risk
may also have white patches

Question 6

name some forms of nictotine replacement therapy

Answer 6

patches, lozenges, chewing gym , nasal sprays , inhalers

Question 7

what effect does smoking have on periodontitis

Answer 7

smoking alters microflora in mouth resulting in an altered immune response that often favours perio disease
gingival symptoms are masked - decreased bleeding , increased bone loss , increased attachment loss , increased pocket formation. May go unnoticed

Question 8

what 6 things must consent be

Answer 8

valid
legal
with capacity
not manipulated
not coerced
voluntary

Question 9

lichen planus

Answer 9

white lacy thread like lesions/ patches on mucosa and/or tongue.
cause discomfort/ pain when eating and brushing
require regular check ups and medicines
may turn malignant
toothpastes containing SLS should be avoided as may irritate lesions

Question 10

purpose of sodium lauryl sulfate in toothpastes

Answer 10

creates foam

Question 11

potential dental implications of radiotherapy affecting the mouth region

Answer 11

xerostomia
loss of skin elasticity therefore difficult mouth opening

Question 12

what is aspiration pneumonia and what group of patients are at biggest risk

Answer 12

aspiration pneumonia is caused by the inhalation of saliva/ oral bacteria/ liquid into to the lungs leading to infection
patients with dysphagia assosciated with a neurological condition are most at risk
plaque and bacteria can still build up even if not eating/drinking orally

Question 13

what is the ART technique (restoration)

Answer 13

atraumatic restorative technique
leaves thin layer of caries over pulp and cavity restored with GI
can be done with an excavator

Question 14

what is the Caring for Smiles programme

Answer 14

national programme promoting good oral health care in care homes