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what is an autoimmune disease of unknown origin characterized by symmetric inflammation of joints especially of the hands, feet and knees
t/f prophylactic antibiotics needs to be given to prevent prosthetic joint infection
false-scientific evidence doesn't support
a pt comes into the office with a TJR within the last two years, he has diabetes and has several pins in his leg, is a prophylactic antibiotic indicated?
yes! immunocompromised (diabetes)--the ultimate decision lies with dentist though...
changes in the occlusion and anterior open bite due to destruction of the condylar heads and oss of condylar height of a pt with RA my cause what?
obstructive sleep apnea
what is another form of rheumatic diseases, a dengerative joint disease, the most common form of arthritis. almsot everyone over 60 develops this and is the leading cause of disability among elderly
what is the leading cause of disability among the elderly
systemic lupos erythematosus may affect what?
- other organs
discoid lupus erythematosus predominately affects what?
what is the most common manifestation of systemic lupus erythematosus
t/f neuropsychiarty are common with SLE?
what is associated with antiphospholipid antibody as an importatn contributor to abnormalities in the CNS?
the diagnosis of SLE is based on what criteria?
American Rheumatism associated
Is antibiotic prophylaxis recommened for SLE
no- AHA not recommended
what are the oral manifestations of SLE of the lips and mucous membranes?
nonspecific-maybe erythematous with white spots or radiating peripheral lines or painful ulcerations (lichen planus or leukoplkia
____ oral health care for pts with SLE is of paramount importance
what is an autoimmune disease consisting of primary and secondary forms that cuase exocrinopathy and affect salivary and lacrimal glands
hyposalivation, glossitis, mucositis, parotid gland hypertrophy, angular cheilosis, dysgeusia, secondary infections and significantly higher caries risk...also keratoconjunctivitis sicca, glossodynia, dysphagia, candidiasis, perodontitis, diffuculty tasting, tolerating and swallowing foods, indadequate nutrition and connective tissue disorder (OKAY SO THEY HAVE EVERYTHING...AND THEIR LIFE SUCKS!!!) what are these signs and symptoms of?
what is the main goal of tx for a pt with sjogren's syndrome?
relief of primary symptoms of oral and ocular dryness and secondary burning and iscomfort is main goal
is there a cure for sjogren's syndrome
what are the three main categories in tx of oral complications for a pt with sjogren's syndrome?
- moisture and lubrication stimulation
- secondary mucosal conditions (mucositis/candidiasis)
- prevention of oral disease
how do you prevent caries and erosions in a pt with sjogren's syndrome?
- meticulous oral hygiene with minimally abrasive fluoridated dentifrice and irrigation devices.
- frequent recall appts
- frequent fluoride applications
- OTC fluride rinses
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