Special Care: Young people

Question 1

What are common hidden disabilities amongst young adults?

Answer 1

Anorexia
Bulimia
Binge eating disorder.
Schizophrenia.
OCD
Bipolar disorder

Question 2

What are the oro-dental effects of eating disorders?

Answer 2

Erosion
Self induced vomiting
Parotid gland hypertrophy

Question 3

How would you manage a person with an eating disorder?

Answer 3

Take a history including NCTSL.
Maintain confidentiality.
Patient communication when making a treatment plan.
Dental anxiety management

Question 4

What are the symptoms of schizophrenia?

Answer 4

Hallucinations
Delusions
Disorganised thinking
Agitation
Lack of initiative
Social withdrawal
Apathy
Emotional unresponsiveness

Question 5

What are the side effects of antipsychotic medicines?

Answer 5

Xerostomia
Hypersalivation
Agranulocytosis
Tardive dyskinesia

Question 6

How would you manage a patient with schizophrenia?

Answer 6

Diet advice
OHI
Education on link with oral cavity.
Fluoride
Smoking cessation
Effects of medication
Xerostomia
Importance of regular attendance.

Question 7

What are the signs and symptoms of a manic episode?

Answer 7

Increased level of energy
Euphoric mood.
Extreme irritability
Racing thoughts
Difficulties in concentrating
Reduced need for sleep
Unrealistic beliefs
Poor judgement
Periods of spending large amounts of money.
Increased sexual drive.
Abuse of drugs
Aggressive behaviour
Denial

Question 8

What are the signs and symptoms of a depressive episode?

Answer 8

Lasting sad mood.
Feeling hopeless.
Feelings of guilt
Loss of interest
decreased energy
Difficulties in concentrating
Restlessness or irritability
Sleeping too much
Changes in appetite
Chronic pain
Thought of suicide.

Question 9

What are the dental implications of depression?

Answer 9

Poor OH
Increased caries
Xerostomia