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impairment of speech sounds
dysphagia
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liquid preparation such as syrup
elixir
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buring mouth or mucosal tissues
glossodynia
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weakness affecting one side of the body
hemiparesis
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a semisolid preparation for external areas of the body
ointment
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a clinical sign in which mucosa dislodges from the underlying connective tissue when rubbed
positive nikolsky sign
-
-
BMD
burning mouth disorder
-
CP
cicatricial pemphigoid
-
-
-
NUG
necrotizing ulcerative gingivitis
-
-
RAS
reccurrent aphthous stomatitis
-
RHL
recurrent herpes labialis
-
SJS
stevens johnson syndrome
-
TEN
toxic epidermal necrolysis
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what is the most common dermatologic disease in the mouth?
oral lichen planus OLP
-
what is the most comm oral mucosal disease?
RAS-recurrent aphthous stomatitis (CANKER SORE)
-
what are three topical corticosteroids used on oral ulcerations?
- clobetasol proprionate
- flucinonide
- tramcinolone
-
what is the primary, secondary and tertiary treatment for OLP?
- primary-topical corticosteroid (ointments, gells, elixirs
- secondary-systemic steroid (prednisone)
- tertiary-long term corticosteroid regimens
-
what is the primary therapy for RAS?
- OTC products
- topical steroid preparations (clobetasol proprionate, fluocinonide, triamcinolone)
- Nonsteroid topical (amlexanox
-
what is the secondary line of treatment for RAS?
systemic corticosteroid (prednisone)
-
what is the tertiary line of therapy for RAS?
chronic systemic corticosteroids regimen or THALIDOMIDE
-
t/f herpetic infections can be cured with a systemic corticosteriod
FALSE! no cure tailor therapy to individual pt, increases the healing time approx 1 day
-
t/f with herpetic infections the best therapy is kenelog cream
FALSE! Do not use kenelog cream and never use steroids
-
what should you advise your pt to do for xerostomia? 8
- maintain hydration
- use fluoride dentifrice twice daily
- use sodium fuoride rinses
- remove and clean prostheses at night
- avoid alcohol tobacco acidic or spicy food, fruits and veggies with high acid content
- reduce sugar intake
- use xylitol
- avoid alcohol mouth rinses
-
What is an Rx used for xerostomia? (linseed extract)
numoisyn
-
what is approved for treatment of xerostomia associated with Sjogren syndrome
cevimeline (evoxac)
-
what is approved for treatment of xerostomia associated with head and neck radiotherapy?
pilocarpine (salagen)
-
pilocarpine and cevimeline what are they used to treat?
xerostomia
-
what should be recommended for caries control for a pt with xerostomia? 4
- alcohol free chlorhexidine gluconate rinse
- supplemental fluoride and dentifrices
- xyliotol products
- 3 month recall
-
what is the role of the DH in pharmacologic management of oral conditions?
- DH may be the first to observe the oral lesion
- Knowledge about productions to recommend to pts
-
what is the primary treatment for Candida?
- topical antifungal agents
- Nystatin, Clotrimazole Trouche, Ketoconazole cream
-
what is the secondary treatment for oral candidiasis?
- systemic oral antifungal agent
- ketoconazole, fluconazole, itraconazole
-
what is the most used antifungal for candida?
fluconazole
-
all of the following are considered acute mucocutaneous vesiculobullous erosive disorders except for one, which one is the exception?
D. actinic cheilosis
-
what is an OTC topical agnet used for herpetic infections?
docosanol (abreva)
-
what are three Rx used for herpetic lesions?
- peniciclovir (denavir)
- acyclovir (zovirax)
- Valacyclovir (valtrex)
-
when should Rx for herpetic lesions be started?
at first prodromal sign
-
t/f valacyclovir is taken 5 times a day until healed?
false...4 tabs, take bid for one day only
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