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what is the most common cause of a person to seek dental services
odontogenic pain
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what is the drug of choice for mild pain?
COX inhibitors (ASA, ibuprophen, naproxen, APAP)
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what is the primary dental care?
clean out infection
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what is the most common dermatologic disease in the mouth?
oral lichen lanus
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t/f as secondary therapy for OLP if it is moderate to severe or unresponsive to topical steriods then a stystemic steriod is given
true
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what systemic steroid is given for OLP
prednisone
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what is the most common oral mucosal disease?
recurrent aphthous stomatitis/ulceration CANCKER SORE
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t/f with prolonged use topical steriods can cause a thickening of the mucosa?
FALSE! THINNING!
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what is used if RAS is wide spread inflammation?
topical, rinse, creams or elixir
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what is the primary therapy for RAS?
coriticosteroids, covering agents, antiseptics, topical steroids, non steroid preparations (amlexanox or "Orabase soothe N seal protective barrier)
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what are three topical corticosteroids used in oral ulcerations RAS?
- clobetasol proprionate
- fluocinonide
- triamcinolone
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what is Amlexanox?
non steroid topical prepartion for RAS
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how is amlexanox (aphthasol) taken?
qid (4x a day) after brushing, meals and @ hs/ 10 day max
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what does Amlexanox do?
inhibit realse of histamine and leukotrienes
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how is Amlexanox applied?
dab of past on the lesion with q tip of finger
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what is a chronic systemic regimen Rx used as a tertiary line of therapy for RAS?
thalidomide
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if a topical corticosteroid such as tramcinolone acetonide ointment is used for lichen lanus, when should it be applied?
after meals and at bedtime
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what is the primary therapy for erythema multiforme?
topical anestehtic/antihistamine (diphenhydramine, vascous lidocaine, kaopectate or maalox)
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what is the secondary therapy for cicatricial pemphigoid?
dapsone
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t/f actinic cheilosis cannot become carcinoma
FALSE can become squamous cell carcinoma
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what is the primary therapy for actinic cheilosis?
- use SPF 30+
- avoid sun 10AM-4PM
- hat, long sleeves, sunglasses
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tingling, itching, buring and pain around vermillion, nose and lips could be defined as?
prodromal sensations
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t/f the prodrome phase is infectious
true
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t/f never use steroids on herpetic infections
true
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what is an OTC topical agent used for herpetic infections?
docosanol (abreva) apply at first prodromal sign with a cotton tipped applicator 5x day and only used on extra oral
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what is an example of Rx for herpetic infection (the one in the red)
valcyclovir (valtrex) only take for one day!
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why must dentures be removed at night?
tissues need to slough
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what should dentures be immersed in?
antifungal solution
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what are three antifungal agents used for candida as a primary therapy
- nystatin
- clotrmazole trouche
- ketoconazole cream
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t/f xylitol products and fluoride needs to be used daily because of the sugar added to the nystatin?
true
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what is an example (in red) of systemic disease causing xerostomia?
sjogren
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how is xerostomia diagnosed?
clinical examination
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what will you find clinically with a pt that has xerostomia? 4
- lack wetness of mucosal tissues and teeth
- thick, ropey saliva
- atrophic, fissured tongue
- incisal and smooth surfaces caries
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what are three pt educations that can be given for xerostomia?
- hydration
- fluoride dentifrice 2x day
- xylitol gums or candies 6 grmas 3 + times a day
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what is a medicaiton that is used to stimulate salivation?
pilocarpine (salagen)
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what are four things that need to be done for caries control of xerostomia?
- alcohol free chlorhexidine gluconate rinse
- supplimental fluoride and dentifrices
- xylitol products
- 3 month recall
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with pericoronitis the therpies used are to establish _____ and remove sources of ______
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what is done first during the primary treatment of pericoronitis?
establish drainage
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what is the drug of choice as a secondary line of therapy for pericoronities? When is this given?
- penicillin
- AFTER debridement
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how is a socket treated for alveolar osteitis?
irrigation "dilution is the solution to pollution"
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what is the analgesic given to a pt with alveolar osteitis?
hydrocodone/ibuprofen combo
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what is any inflammatory condition affecting the mucosal tissues of the mouth called?
stomatitis
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what are four oral health education to give to a pt with stomatitis?
- swallow aspirin
- tobacco cessation
- take out dental prosthesis at night
- correct prosthesis defects
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what is secondary thearpy for a pt with stomatitis?
- salt/backing soda water rinses
- 1/2 tsp salt and baking soda in 16 oz water
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what is the primary therapy for burning mouth disorder?
clonazepam (klonopin)
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t/f the DH can diagnose a lesion and inform the pt
FALSE DDS provides diagnosis
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thearpy for necrotizing ulcerative gignivitis begins with?
C. debridement to reduce bacterial mass
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