Week 1 Ch 32: Orofacial pain and discomfort

Question 1

clinical presentation of tooth hypersensitivity:

Answer 1

pt experiences pain from cold, hot, sweet, or sour drinks, and when hot or cold air touches teeth

Question 2

nonpharm therapy for tooth hypersensitivity?

Answer 2

• awareness of acid exposure on teeth

- improper or aggressive brushing

Question 3

do not brush teeth within __________ of consuming acidic food/drink

Answer 3

30-60 minutes

Question 4

how to make recommendations for orofacial pain and discomfort:

Answer 4

patient with intermittent tooth pain:
-obtain dental history
-diagnosed tooth hypersensitivity? if not tell them to see dentist
-if yes, determine if they fall under exclusions for self-treatment
-if not excluded, is hypersensitivity limited to teeth near receding gumline? if so see dentist
if not, use soft toothbrush for a week and follow-up
-if hypersensitivity still there use desensitizing toothpaste twice a day
- if not resolved in 14 days see dentist

Question 5

what is potassium nitrate good for?

Answer 5

blocks perception of stimuli (pain)

Question 6

non-pharm therapy for teething

Answer 6

massaging gums

cold teething ring

Question 7

is benzocaine safe for teething pain?

Answer 7

no

Question 8

good otc for teething pain?

Answer 8

pediatric doses of analgesics such as acetaminophen

Question 9

what is recurrent aphthous stomatitis?

Answer 9

canker sores

Question 10

treatments for canker sores?

Answer 10

topical oral anasthetics
topical oral protectants
wound-cleansing agents
oral rinses
systemic analgesics

Question 11

what are two examples of wound-cleansing agents?

Answer 11

carbamide peroxide

hydrogen peroxide

Question 12

exclusions of self-treatment for tooth hypersensitivity:

Answer 12

• toothache
• fever or swelling
• loose teeth
• bleeding gums
• broken/knocked out teeth
• severe tooth pain
• trauma to mouth

Question 13

topical oral protectant example?

Answer 13

denture adhesive rubbed on sore to protect it

Question 14

when tissues of the lips, tongue, cheeks, or palate are bruised, what nonpharm therapy can pt utilize?

Answer 14

applying ice to area to reduce swelling in 10-min increments but no more than 20 minutes on in an hour

Question 15

if oral injury worsens, what to tell patient?

Answer 15

injury should resolve within 7 days of treatment and within 10 days of injury. if symptoms persist or swelling, rash, or fever develops, pt should see dr

Question 16

best treatment of herpes simplex labialis?

Answer 16

keep lesions as clean as possible and try to avoid circumstances that induce more lesions

Question 17

pharm therapy to relieve symptoms, but not treat symptoms of herpes?

Answer 17

benzocaine, dibucaine, dyclonine hydrochloride, benzyl alcohol, camphor, and menthol

Question 18

name of only medication used to treat herpes symptoms?

Answer 18

docosanol

Question 19

what is xerostomia?

Answer 19

dry mouth

Question 20

what should pt avoid if experiencing dry mouth?

Answer 20

tobacco, caffeine, spicy foods, alcohol