comp pt final

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Author:
cassiedh
ID:
82799
Filename:
comp pt final
Updated:
2011-04-30 15:08:15
Tags:
mod2
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Description:
pregnant and geriatric pts
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  1. for the geriatric pt what are the three barriers to treatment?
    • lack of perceived need (most common)
    • economic and access
    • physical/archtectural
  2. where are caries found most frequently with the geriatric pt?
    root caries
  3. t/f xerostomia is prevalent in the elderly. It is a consequency of age
    • first statement is true
    • second statement is FALSE it is NOT a consequency of age
  4. what is the most common cause of xerostomia in the elderly?
    systemic medications
  5. what are the three cuases of xerostomia in the elderly?
    • systemic medications
    • auto-immune disease and systemic disease
    • radiation therapy
  6. what are the etiologic factors for angular chelitis?
    candidiasis and vitamin B deficiency
  7. t/f an elderly pt with dentures is at high risk for angular chelitis
    true
  8. what are two aging associated disorders
    • osteoporosis
    • alzheimer's
  9. what are the oral findings in aging with the tongue?
    • atrophic glossits
    • taste sensations decline
    • sublingual varicosites
  10. what is the most common infection of the oral mucosal tissues
    oral candidiasis
  11. what are the two most common forms of oral candidiasis
    • denture stomatitis
    • angular cheiltis
  12. t/f pts with xerostomia have an incrased incidence of candidiasis
    true
  13. the number of blood vessels entering the tooth ____ with age
    declines
  14. why do pulpal changes develop?
    • reactions to wear
    • dental caries
    • restorations
    • bruxism
  15. elderly pt teeth are more ____ compared with young people, and may having chipping
    brittle
  16. how is the cementum affected with aging?
    increased thickness
  17. ____ given to mothers in the 2nd and 3rd trimester resulted in ____% of offsrping being caries free fro up to 10 years
    • fluoride
    • 97
  18. fluoride intake can ____ birth weight and _____ premature births
    • increase
    • decrease
  19. what should a expecting mother take to prevent spina bifida?
    folate
  20. what is the most common oral complication in pregnancy?
    gingivitis
  21. what is a pregnancy tumor?
    pyogenic granuloma
  22. what is the cause for preganncy gingivitis?
    • poor oral hygiene leaving biofilm on teeth
    • changes in hormones may later tissue reaction
  23. where does a pyogenic granuloma usually occur?
    labial aspects of interdental area
  24. what are the symptoms of a pyogenic granuloma?
    • bleeds eaisly
    • often painless
  25. what is the cause for enamel erosion of a pregnant pt
    morning sickness with vomiting
  26. how do you prevent enamel erosion with a prego pt
    • eat small non-cariogenic food throughout the day
    • use a sodium bicarbonate rinse
    • chew sugarless gum w/xylitol
    • use low abrasive toothpaste
  27. what is the cause for dental caries in a prego pt?
    • diet during pregnancy
    • neglect of oral care
  28. t/f pregnancy increasese the amount of caries
    false-habits of bregnant woman may cahnge anc cause more caries to occur
  29. what antibiotic can cause intrinsic staining for the baby of a prego pt?
    tetracycline
  30. when should radiographs be avoided during pregnancy?
    1st trimester
  31. when would you take radiographs on a prego pt?
    if necessary to benefit pt for accurate treatment
  32. what treatment can be done in the first trimester?
    • assess and instruct
    • baseline prophy
  33. when is the best time for treatment with a prego pt
    2nd trimester
  34. what tx can be done during the third trimester?
    elective tx
  35. what side should a prego pt be positioned? why?
    • left side
    • prevent supine hyptension
  36. what vitamin taken by prego pt can help prevent preterm birth but if taken excessively may cause birth defects?
    vitamin A
  37. when is the safest for the fetus to work on a prego pt?
    2nd trimester

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