SCD - middle aged people Flashcards
What does the SEAMLESS approach for special care through the ages include?
S = Seamless
E = Education and training
A = Access
M = Multidisciplinary working
L = Liaison and linkwork
E = Empowerment
S = Special care dentistry
S = Service provision and development
What is Rheumatoid arthritis?
Which areas of the body are affected first?
A chronic, progressive, multi-system auto-immune disorder
Hands, feet and wrists
List 3 physical changes in Rheumatoid arthritis patients:
- Weight loss
- Joint damages
- Fatigue
How is Rheumatoid arthritis treated?
Is there a cure?
First line treatment = aspirin, NSAIDs and corticosteroids
Second line treatment = Methotrexate and infliximab
There is currently no cure
List 4 oral manifestations of Rheumatoid arthritis:
- TMJ dysfunction
- Secondary Sjogren’s syndrome
- Anaemia
- Methotrexate oral ulceration
What is Huntington’s Disease?
An inherited, progressive, degenerative neurological disorder - faulty gene in Huntington protein
List 3 physical presentations of Huntington’s disease:
- Uncontrollable muscular movements
- Impaired speech
- Loss of concentration and short-term memory
List 3 symptoms of Multiple Sclerosis (MS):
- Tremor
- Impaired speech
- Spasms
What is the most common type of cerebral palsy?
Spastic - tense, contracted muscles
List 4 oral features of patients with Cerebral Palsy:
- Developmental abnormalities
- Drooling
- Bruxism and tooth wear
- Uncontrolled movements
With high anxiety and patients with uncontrolled movements, what 2 options may be best for the patient?
Inhalation sedation and General anaesthetic
What causes Downs syndrome?
Extra copy of chromosome 21 is derived from the mother
List 4 physical features of a patient with Downs syndrome:
- Learning disability
- Flattened head
- Short stature
- Pelvic dysplasia
List 5 oral manifestations in Downs syndrome patients:
- Open mouth posture with large, protrusive tongue
- Class III malocclusion common
- High palate with horizontal palate shelves
- Missing teeth are common and disordered tooth eruption
- Severe early onset of periodontal disease and low caries
Why do patients with Downs syndrome have increase risk of periodontal disease yet decrease risk of caries?
Periodontal Disease = due to an impaired cell mediated & humoral immunity and a deficient phagocyte system
Caries = high salivary bicarbonate and pH - immune protection from elevated salivary streptococcus mutons IgA concentrations
Why should GA be avoided as much as possible for Downs Syndrome patients?
Because problems with intubation and respiratory issues are common
How long after a MI should patients not receive dental treatment?
6 months
What disease is increased in patients with COPD?
What should be avoided in patients with COPD where possible?
Periodontal disease
General Anaesthetic
What is NOT a recommended analgesic for patients with asthma?
Aspirin
