Special Care - Neurological Impairment Flashcards

1
Q

What microorganisms are present in denture stomatitis?

A

C.albicans

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2
Q

What microorganisms are present in angular chelitis?

A

C.albicans, staph aureus, streptococci

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3
Q

How do we treat angular chelitis?

A

Find the reservoir of infection i.e. denture

Provide OHI and denture hygiene

Prescribe miconazole

If the infection is persistent and topical antifungals won’t work then use fluconazole

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4
Q

What are the interactions of antifungals?

A

Furosemide
Warfarin - both topical and systemic
Statins

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5
Q

When would we remove a retained root?

A

Caries present
Abscess and sinus
Radical GA approach

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6
Q

What are the issues with GA and dementia?

A

Can significantly worsen the dementia - only used as a last resort

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7
Q

What group of medications does alandronic acid belong to?

A

Bisphosphonates - low potency so low risk for MRONJ

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8
Q

What should we record when a patient has an ulcer?

A

Size, location, features of cause i.e. sharp tooth, what you’ve done to alleviate the ulcer, review 3 weeks later.

Upon review;
if healed - record in notes
if not healed - refer

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9
Q

When are salivary stimulants not licenced for use?

A

In patients with medication related dry mouth

only used after cancer treatment

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10
Q

Why are salivary stimulants not used frequently?

A

have intolerable side effects such as increased sweating, gut motility.

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11
Q

Why is the salivary stimulant glandosene never used even in edentulous patients?

A

Acidic = caries

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12
Q

What are barriers to carers carrying out oral hygiene? (4)

A

Aggression towards them - patient compliance

lack of staffing

lack of time

attitudes - how they perceive the importance of OH

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13
Q

What is dental neglect?

A

if you assess the patient, identify problems, implement a care plan and the problems are ongoing regardless of intervention = neglect

also look for other indicators i.e. bruises, lack of cleanliness

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14
Q

What are Bisphosphonates used to treat? (5)

A
osteoporosis
Padgets disease 
CF
primary hyperparathyroidism 
malignancies - multiple myeloma, breast and prostate
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15
Q

When are patients on Bisphosphonates deemed high risk?

A

When they’ve been used for > 5 years to treat osteoporosis (oral or IV)

If being used to treat malignancy

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