immunosuppressive drugs are usially used in combination know as what?
HAART-highly active antiretroviral therapy
foreign substances that trigger hypersensitivy reactions
antigen
t/f a pt presents in the office and has AIDS, tx can be declined to pt.
false-tx cannot be withheld-tx with standard precautions
can tx be withheld if a pt who is assumed to have AIDS refuses to be tested?
no-just assume they are infected and tx with standard precautions
when can a pt with AIDs be dismissed from tx?
if dentist and pt agree
if a dentist has AIDs what must be done?
inform pt of their status and receive signed consent to perform invasive tx
what is the reaction most often associated with LA?
toxic reaction
when does a toxic reaction usually result with an LA?
inadvertent intravenous injection of the anesthetic solution
what are the two main groups of LA in dentistry?
Ester-procaine, tetracaine
amides-lidocaine, mepivacinae, prilocaine
t/f esters and amides cross react with each other
false-the DO NOT cross react with each other
what are the adverse reactions to LA?
toxicity
central nervous system stimulation
central nervous system depression
vasoconstriction effects
anxiety
allergic reaction
signs and sympts of a toxic reaciont to LA?
talkativenss
slurred vision
dizziness
nausea
depression
euphoria
excitement
convulsions
what LA is associated with the highest incidence of allergic reactions
procaine
when do you refer a pt to an allergist?
if they have an allergic reaction to LA and you need to know specific agetn they are allergic to
what disease is an autoimmune disease of connective tissue characterized by an overproduction of collagen
scleroderma
what disease is characterized by immobility and rigidity of skin, imflammation/sclerosis throughout the body, cause is unknown, no hereditary factors and is associated with immunologic disorders/collagen syntehsis irregulartis and microvascular ablnomalities
scleroderma
what are the oral characteristics for slceroderma? (lips, mucosa, gingiva, teeth, masticaion, tongue)
