Special care Flashcards
1
Q
Substance Abuse-
1. What 3 head, neck and oral features can occur with cocaine use?
A
- Gingival lesions- ulceration (particularly in the anterior area of the mouth)
- Palatal perforation
- Nasal septum perforation
- NCTSL- erosion and attrition
- Bruxism- and possible associated TMJD
- Unusual orofacial pain
2
Q
- What are 4 side effects of opioid use?
A
- Addiction
- Blurred vision, tinnitus and dry mouth
- Paranoia, hallucinations and disorientation
- Dizziness, vomiting and constipation
- Tremors, hypertension and tachycardia
- Respiratory depression
3
Q
- What group does methadone belong to?
A
- Opiods (class A drugs)
4
Q
- What is a complication of methadone containing sugar?
A
- High caries and peridootnal risk/rate
5
Q
- What is the risk of sugar free preparation of methadone?
A
- Can be injected (as doesn’t contain chloroform)
6
Q
A patient will Alzheimer’s attends your clinic.
1. What are the signs and symptoms of Alzheimer’s?
A
- Short term memory loss
- Aphasia (inability to comprehend and formulate language)
- Muddled over everyday activities (confusion)
- Communication difficulties
- Mood swings (emotional instability)
- Withdrawn
- Loss of confidence
7
Q
- What are the sings and symptoms of Parkinson’s?
A
- Resting tremor
- Mask-like face
- Rigidity
- Slow movement/bradykinesia
- Postural instability and loss fo balance
- Impaired dexterity
- Shuffling gait
- Memory problems
- Loss of protective reflexes
8
Q
- What complications are there for the dental treatment and these conditions?
Alzheimer’s and Parkinson’s
A
- Assessing capacity to consent
- Poor OH and denture care- poor motor function and ability for self-care
- Pain unrecognised
- Tremor can make treatment difficult
- Reduced communication
- Dry mouth often as a side effect of anti-cholinergic drugs
- Access to surgery may be difficult
- Memory effects may mean more likely to loose denture
