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Dental Hygiene 2 > Module 14- cleft, surgery, psychiatric disorders > Flashcards

Module 14- cleft, surgery, psychiatric disorders Flashcards

1
Q

What is the prevalence of cleft lip/palate?

A

1-2/1000 births

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2
Q

Cleft lip occurs more frequently in ________ and cleft palate occurs more frequently in _______

A

males

females

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3
Q

When does a cleft lip/palate occur?

A

first trimester

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4
Q

The lip forms between what weeks in utero?

A

4-7

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5
Q

Cleft lip becomes apparent by the end of the ______ month in utero?

A

2nd

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6
Q

The palate forms between what weeks in utero?

A

8-12

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7
Q

Cleft palate is evident by the end of the _____ month in utero?

A

3rd

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8
Q

Cleft lip and palate are caused by ______ ______ and _______ factors?

A

multifactorial genetic

environmental

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9
Q

When is the significant time for the environment to influence the development of cleft lip and palate?

A

early in 1st trimester

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10
Q

what vitamins (if deficient) can play a role in cleft lip and palate

A

vitamin A

Folic Acid

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11
Q

What is a class 1 cleft?

A

tip of uvula

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12
Q

What is a class 2 cleft?

A

bifud uvula

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13
Q

A cleft of the soft and hard palates is a class?

A

4

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14
Q

A cleft of the soft palate only is a class?

A

3

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15
Q

C cleft that continues through the alveolar ridge on ONE side is a class?

A

5

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16
Q

A class ___ cleft is when the muscle union is imperfect across the soft palate

A

7

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17
Q

A cleft that continues through alveolar ridge on BOTH sides is a class?

A

6

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18
Q

A pt. with clefts has a greater chance of what characteristics related to the teeth?

A

supernumerary
missing
form abnormalities

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19
Q

Missing teeth in pts. with clefts are usually presented on what side of the mouth?

A

the side the cleft is on

20
Q

An open palate provides direct communication with the ______ ____?

A

nasal cavity

21
Q

A cleft lip makes it difficult for a child to?

A

suck

22
Q

Cleft lip/palate or both are features of over _____ other disorders?

A

300

23
Q

A pt. with cleft lip/palate will have a deficiency of the _______ lip? It is usually short and ______?

A

upper

retroposed

24
Q

Cleft lip/palate pts. have a predisposition towards ______ respiratory and _____ ear infections?

A

upper

middle

25
Q

What is a common speech problem seen in a patient with clefts?

A

nasal tones

26
Q

What are the 2 common appliances used in cleft patients?

A

obturator

speech Aid prostheses

27
Q

An _______ is a removable device to close the palatal opening?

A

obturator

28
Q

A speech aid prosthesis is _______ and is used to complete the ______ _______ required for speech?

A

removable

palatopharyngeal valving

29
Q

Orthodontic treatment may begin as early as ____ yrs. old?

A

3

30
Q

What is the rule of 10’s with cleft lip surgery?

A

10 wks old
10lbs
10mg/ml hemoglobin count

31
Q

The main purpose of early surgical treatment of a cleft is to help with ______ closure of the palate?

A

partial

32
Q

Primary surgery to fix a cleft lip is at what age?

A

2-3 mo

33
Q

Primary surgery to close a cleft palate is done at what age?

A

18 mo or earlier

34
Q

Pts with clefts are known to be “______ _____”

A

clinic tired

35
Q

Why is halitosis a problem for pts. with clefts?

A

due to mucous from nasal cavity entering the mouth

biofilm accumulation on prostheses

36
Q

After a pre-surgery scaling appointment you would instruct a pt. to rinse with?

A

chlorhexidine for tissue conditioning

37
Q

What vitamins are essential in promoting healing after oral surgeries?

A

A, C, riboflavin

38
Q

Having a cleaning before oral surgery may make it less likely for ______ _____ post surgically?

A

bacterial infections

39
Q

Having a cleaning before oral surgery may make improve the ______ of tissues and lessen the ________ at time of surgery?

A

tone

bleeding

40
Q

Irrigation should be performed for how long after oral surgery?

A

first few days

41
Q

What type of mouth-rinses are used for irrigation following oral surgery?

A

saline
chlorhexidine
fluoride

42
Q

Is a cleaning carried out on a patient who is undergoing an acute exacerbation of schizophrenia?

A

NO

43
Q

What is tardive dyskinesia?

A

involuntary movements of mouth, lips, tongue, jaws

44
Q

When would you see a pt. with tardive dyskinesia?

A

long term antipsychotic meds (schizophrenia)

45
Q

A patient who is _______ and in the _____ phase may have abraded/lacerated gingiva because of overeager brushing motions?

A

bipolar

manic

Dental Hygiene 2 (19 decks)

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