MIH and Asthma Flashcards

1
Q

name two types of medication asthmatics may have a risk of adverse reactions to

A

NSAIDs
aspirin

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2
Q

what should asthmatics who take theophylline medication avoid taking

A

erythromycin

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3
Q

what affect does beta-2 agonist inhalers cause in the oral cavity

A

they make the pH of the mouth below 5.5 which is favourable for caries

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4
Q

what are asthmatics encouraged to do after administering their medication

A

rinse with water or fluoride mouthwash to neutralise the oral pH

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5
Q

what is a significant link between asthma and periodontal disease

A

gingival tissue of asthmatics contains more IgE which is responsible for periodontal destruction

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6
Q

what is long term use of inhaled corticosteroids associated with

A

oral candidal infection - pseudomembranous candidiasis

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7
Q

what aspect of the dry powder of inhaled corticosteroids encourages candidal infection growth

A

lactose

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8
Q

what could be prescribed to asthmatics to take alongside their inhaled corticosteroids

A

nystatin or fluconazole

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9
Q

why might fluoride varnish be contra-indicated in severe asthmatics

A

colophony

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10
Q

name four asthma symptoms

A

persistent cough at rest
wheezing from the chest
difficulty breathing
nasal flaring

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11
Q

what is required to diagnose MIH

A

at least one FPM has to be affected

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12
Q

what is present clinically on teeth with MIH

A

demarcated opacities at the occlusal and buccal part of the crown

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13
Q

what are three links to cause of MIH

A

genetics
medical problems during pregnancy
if amoxicillin is used in first year of life

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14
Q

what is the treatment for posterior teeth with MIH

A

OHI and diet advice
fluoride applications
GIC or composite restorations
scheduled extractions

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15
Q

what is the treatment for anterior teeth with MIH

A

microabrasion (18% HCl)
resin infiltration
external bleaching
composite restorations

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16
Q

what is MIH

A

where there is reduced mineralisation of permanent incisors and FPMs which makes it poorer quality and more susceptible to breakdown

17
Q

name four symptoms of MIH

A

sensitive teeth
complaints of yellow patches on the teeth
loss of tooth substance
caries symptoms

18
Q
A