9 - Gerodontology Flashcards
1
Q
What factors impact oral frailty?
A
- mastication (difficulty eating hard foods or complete inability to chew)
- swallowing (decreased ability to swallow food or liquids)
- motor skill (impaired tongue movement, speech or phonatory disorders)
- salivation (hypo salivation or xerostomia)
2
Q
What do family deem important in end of life care?
A
- cleanliness
- free of pain
- family present
- dignity maintained
3
Q
How does frailty impact oral health?
A
- communication, OHRQoL
- halitosis
- comfort
- immune status and pain/infection
- nutrition
4
Q
What is an alternative to conventional restoration in older people?
A
ART
5
Q
What are common oral problems in the older population?
A
- oral candidiasis
- xerostomia
6
Q
What are the dental implications of falls?
A
- dental trauma
- sit patients up slowly after treatment (postural hypotension)
- manual handling
- domiciliary visits
- MRONJ
7
Q
What are the dental implications of poor nutrition?
A
- delayed healing
- NCTSL
- haematinics (burning mouth syndrome, RAS)
- higher caries rate
- opportunistic infections
8
Q
What are the dental implications of poor diabetic control?
A
- hyper/hypoglycaemia
- fatigue or reduced tolerance of long treatment
- infection risk
- poor wound healing
- periodontal disease
9
Q
How do you manage dysphagia?
A
- altered consistency of food
- non oral feeding NG or PEG
- tuck chin to chest when swallowing
- rehab
10
Q
What dental advice can you give someone with dysphagia?
A
- brush teeth with suction/self aspirating toothbrush
- low foaming toothpaste
- no excess water on toothbrush
- rub toothpaste in mouth prior to brushing
11
Q
What changes can be made to make an environment dementia friendly?
A
- good acoustics to aid communication
- walls, doors and floor different colours
- clear signage
- well lit
12
Q
What communication tools should you use to communicate with someone with dementia?
A
- engage and eliminate distraction
- eye contact
- physical contact to maintain attention
- verbal cues and short sentences
- reassure and use humour
- use first name
13
Q
What are key teeth for OHRQoL?
A
- occluding pairs
- increased number of teeth
- anterior teeth
14
Q
What are the dental implications of dementia?
A
- progressive neglect or inability to undertake OH
- inability to accept treatment
- xerostomia
- halitosis
- caries and periodontal disease progression
15
Q
What patients require domiciliary visits?
A
- bed bound
- oxygen therapy
- hospitalised
- agoraphobic
- end of life care
