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what are high risk exposures for a pt with HIV/AIDS
- exposure to large volume of infected fluid
- deep penetrating injury with sharp device covered with visible blood from infected pt
- needle stick injury during injection of the infect pt
what is the most common oral condition for a pt with HIV/AIDS?
how is kaposi's scaroma identified?
what are the clinical findings for those at high risk HIV/AIDS? 5
- blusih/purple or red lesions
- kaposi's sarcoma
- hairy leukoplakia of laterla borders of tongue
- non hodgkins lymphoma
what are the oral lesions associated with HIV infection? 11
- HSV herpes zoster
- recurrent apthous ulcerations
- linear gingival erythematic
- necrotizing stomatitis
- oral warts
- facial palsy
- trigeminal neuropathy
- salivary gland enlargement
- melantonic pigmentation
what are five immunosuppresive drugs?
- protease inhibitors (PI)
- nucleoside reverse transcriptase inhibitors (NRTIs)
- non-nucleoside reverse transcriptase inhibitors (NNRTI's)
- Fusion inhibitors (FIs)
immunosuppressive drugs are usially used in combination know as what?
HAART-highly active antiretroviral therapy
foreign substances that trigger hypersensitivy reactions
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?
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?
- central nervous system stimulation
- central nervous system depression
- vasoconstriction effects
- allergic reaction
signs and sympts of a toxic reaciont to LA?
- slurred vision
what LA is associated with the highest incidence of allergic reactions
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
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
what are the oral characteristics for slceroderma? (lips, mucosa, gingiva, teeth, masticaion, tongue)
- lips:thin, ridgid, difficulty in opening/closing
- mucosa: thin, pale, tender, rigid, poor healing capacity
- gingiva: pale, unuslally firm
- teeth: increased mobility
- mastication: difficultion, TMJ movement limited
- tongue: may be immbole/difficult speech
what are the radiographic findings for a pt with scleroderma?
wideing of perio ligament spaces (pathognomonic for scleroderma)
what is the DH care for a pt with scleroderma?
make every effort to preserve teeth/gingiva avoiding and preventing need for extensive tx
t/f the preparation/wearing of dentures is difficult if not impossible as scleroderma progresses
true-disease becomes more severe
what is a pt with sceroderma sens to?
- undue emotion tension and fatigue
last module...for comp pt..are you excited?
HELLS YES! the semester is almost over!