Use of medicines in clinical dentistry

Question 1

What 2 drugs do many drugs interfere with?

Answer 1

warfarin and statin

Question 2

What do systemic antifungals cause problems with?

Answer 2

statins

Question 3

What drugs interfere with warfarin?

Answer 3

all drugs possible

Question 4

What are 5 categories which dentists will prescribe?

Answer 4

antibiotics
antifungals
antivirals
analgesics
hypnotics

Question 5

What are examples of topical antifungals?

Answer 5

nystatin
miconazole

Question 6

What are examples of systemic antifungals?

Answer 6

fluconazole
itraconazole

Question 7

What can miconazole be combined with to give increased anti-inflammatory action?

Answer 7

hydrocortisone

Question 8

What are examples of antivirals?

Answer 8

aciclovir
penciclovir

Question 9

How would you apply aciclovir?

Answer 9

topical cream or systemic

Question 10

How would you apply penciclovir?

Answer 10

cream

Question 11

What is a compound form of paracetamol?

Answer 11

co-codamol

paracetamol and codiene

Question 12

What is an analgesic drug?

Answer 12

painkiller

Question 13

What is the anti-inflammatory effect of paracetamol?

Answer 13

little, more of a pain killer

Question 14

What are NSAIDs?

Answer 14

non-steroidal anti-inflammatory drugs

Question 15

What is the role of NSAIDs?

Answer 15

relieve pain, reduce inflammation and bring down high temp

Question 16

What are examples of NSAIDs?

Answer 16

ibuprofen
naproxen
aspirin

Question 17

What is teh action of NSAIDs?

Answer 17

inhibit prostaglandin synthesis

Question 18

Can NSAIDs be taken before a procedure?

Answer 18

yes, e.g. tooth removal before will reduce pain after

Question 19

When should NSAIDs never be used?

Answer 19

patients with renal disease

Question 20

What do the analgesics act upon?

Answer 20

COX-1 / COX-2

Question 21

What drugs inhibit inflammatory effects of COX-1?

Answer 21

aspirin

ibuprofen

diclofenac

Question 22

What is less problematic, aspirin or ibuprofen?

Answer 22

ibuprofen

Question 23

What is the dose of ibuprofen daily?

Answer 23

200-600mg three times daily

Question 24

What is more potent, ibuprofen or diclofenac?

Answer 24

diclofenac

Question 25

Can diclofenac be bought over the counter?

Answer 25

no, only prescription

Question 26

What are some side effects of diclofenac?

Answer 26

higher incidence of gastric bleeding higher incidence of asthma triggering allergic reactions (rash)

Question 27

what is the daily dose of diclofenac?

Answer 27

50mg three times daily

Question 28

What are hypnotics and anxiolytics?

Answer 28

sleep and anxiety medication

Question 29

What is a common hypnotics and anxiolytics?

Answer 29

diazepam

Question 30

What are examples of topical antiseptics?

Answer 30

chlorohexidene hydrogen peroxide

Question 31

What is an example of a topical analgesic?

Answer 31

benzamine mouthwash or spray lidocaine spray/ointment

Question 32

How would you apply lidocaine?

Answer 32

spray/ ointment

Question 33

How would you treat oral mucosal ulceration?

Answer 33

topical immunomodulators or topical analgesics

Question 34

What is an example of a topical immunomodulator? (for oral ulcers)

Answer 34

beclometasone inhaler or rinse hydrocortisone pellets doxycycline dispersible tablets

Question 35

When would you prescribe a topical immunomodulator?

Answer 35

for mouth ulcers

Question 36

What are examples of topical analgesics for oral mucosal ulcerations?

Answer 36

benzamine mouthwash or spray lidocaine spray/ointment

Question 37

How would you manage a dry mouth?

Answer 37

saliva orthana - spray or lozenges Bioextra gel saliva stimulating tablets (SST) sodium fluoride toothpaste/mouthwash --> usually small frequent sips of water is most effective

Question 38

What is a superbug infection?

Answer 38

MRSA, resistant bacteria take over

Question 39

How many antibiotics can dentist prescribe?

Answer 39

13

Question 40

What are common antibiotics which dentists prescribe?

Answer 40

penicillin amoxycillin erythromycin doxycycline metronidazole