SC- medical conditions Flashcards
1
Q
Discuss the oral impacts of asthma?
A
- Corticosteroid inhaler - more likely to get candida infections.
- Dry mouth (More likely to breathe through their mouth)
- Palatal erosion (the chronic cough at night can cuase reflux of gastric acid)
2
Q
How do you manage a dental patient with asthma?
A
- Avoid aspirin or other NSAIDs for pain relief
- IS not IV in case of respiratory failure
- Their asthma affects their GA type
- Mild asthma patients can have outpatient GA.
- Moderate and severe asthma patients have inpatient GA.
- They are more likely to have other allergies.
3
Q
Discuss the oral manifestations of cystic fibrosis?
A
- Thickened salvia
- Higher calculus level
- Lower plaque and gingival disease.
- Enamel defects
- Delayed eruption.
4
Q
How do you manage a patient with cystic fibrosis.
A
OH is crucial- CF patients have a high sugar intake as they require 20-50% more energy)
If diabetic or have liver disease- these should also be dealt with.
Sedation is contra-indicated (due to risk of respiratory failure)
5
Q
What are the dental considerations for chronic renal failure?
A
- Bleeding tendancies and defective haemostasis
- Treat the day after dialysis treatment.
- Signs of inflammation can be masked.
- Increased risk of blood borne viral infections
- Be careful with drugs and doses that are dependent on renal function.
- Consult the renal physician.
6
Q
Discuss the oral manifestations of diabetes?
A
- Reduced salivary flow causing Xerostomia.
- Burning mouth/ tongue
- Altered taste
- Candida infections
- Dental caries
- Progressive periodontitis.
- Parotid gland swelling
- Sialosis
- Delayed wound healing.
7
Q
Discuss the oral considerations of a patient being immunocompromised?
A
If patient is on steroids-
- Candida infection risk.
- Will also be prescribed bisphopshonates (MRONJ risk)
Immunocompromisation increases your risk of oral cancer.
Will also need to be dentally fit before they recieve the immunosuppressive treatment.
