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impairment of speech sounds
liquid preparation such as syrup
buring mouth or mucosal tissues
weakness affecting one side of the body
a semisolid preparation for external areas of the body
a clinical sign in which mucosa dislodges from the underlying connective tissue when rubbed
positive nikolsky sign
burning mouth disorder
necrotizing ulcerative gingivitis
reccurrent aphthous stomatitis
recurrent herpes labialis
stevens johnson syndrome
toxic epidermal necrolysis
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
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)
what is approved for treatment of xerostomia associated with Sjogren syndrome
what is approved for treatment of xerostomia associated with head and neck radiotherapy?
pilocarpine and cevimeline what are they used to treat?
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?
all of the following are considered acute mucocutaneous vesiculobullous erosive disorders except for one, which one is the exception?
A. stevens-johnson syndrom EM
B. erythrema multiforme
C. actinic cheilosis
D. toxic epidermal necrolysis EM
C. actinic cheilosis
(this multiple choice question has been scrambled)
what is an OTC topical agnet used for herpetic infections?
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