Final Exam

Question 1

Why study patients who presents with special needs?

Answer 1

For Normalization: patients who present with special needs should be supported in accessing dental care as much like other people in their community and of their age as possible

Question 2

What is the overal dental management for a patient with special needs?

Answer 2

• Awareness
• patient evaluation and risk assessment
• ABC checklist

Question 3

What are some dental considerations for women who are expecting?

Answer 3

• Complete a Health HX
• Provide DH Care and patient education: Preiodntal disease increases: Preterm births, preeclampsia, gestational diabetes, small infant, featl loss and maternal caries
• Follow ALARA for radiographic exposure
• OTC (Acetaminophen best recommendation)
• Anesthesia (EPI is safe)
• Antibiotics (PEnicilic, erythromycin and ceohalos safe)
• Nitrous for less than 30 min

Question 4

What are some dental management for patient taking bisphosphonates ?

Answer 4

Medical consult to
determine diagnosis,
cause, and
treatments
Follow protocol for
safe treatment of
patients who have
cancer
Provide routine
dental care: use
anesthesia
Minimize trauma and
bleeding during
procedures
Periodontal
procedures with
bone manipulation
present greatest risk
Follow
recommendations if
ONJ develops
Treat infections
aggressively with
antibiotics

Question 5

What are some treatment considerations for older patients 65+ ?

Answer 5

• More frequent appointment (short)
• Biofilm control
• Oral hygiene instuction
• Xerostomia relief
• Cognitive function dictates appointment length
• Caries Control
• Diet and nutrition

Question 6

What is recommended oral antibiotic for individual who require antibiotic premedications prior to recieving dental treatment?

Answer 6

Amoxicillin

Question 7

When dental treatment for a patient eith stable angina a history of MI w/o ischemic symptoms or even heart failure

Answer 7

non-sterioidal anti-inflammatory drugs (NSAIDS)
should be avoided

Question 8

What is the medical amanagement of angina pectoris?

Answer 8

• Identify and treat causative conditions
• Reduce cardiovascular risk factors: HBP, smoking, high
  cholesterol, sedentary lifestyle, poor diet, obesity
• Pharmacologic management: Nitroglycerin/nitrates, beta blockers, calcium channel blockers, anti-coagulant drugs, statins
• Surgery to open arteries and improve blood flow: angioplasty, stent placement, grafting 19