Common oral health conditions in older adults Flashcards Preview

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Flashcards in Common oral health conditions in older adults Deck (41):
1

T/F: after the age of approximately 35 years, patients' teeth tended to become somewhat darker, somewhat redder, and more saturated, with the exception of the cervical sites, which apparently become yellow

true

2

T/F: older patients have increased value and decreased chroma

false, decreased value and increased chroma

3

T/F: mean amount of tooth exposed in MAXILLARY central incisor decreases with age

true

4

T/F: mean amount of tooth exposed in MANDIBULAR central incisors decreases with age

false, increases

5

what is the #1 cause of disability in the US?

stroke

6

T/F: initial attacks of strokes are higher in women until about 30 years old and then becomes more frequent in men

true

7

90% of strokes in older adults are what type?

ischemic stroke

8

remaining 10% of strokes in older adults are what type?

hemorrhagic stroke

9

ischemic stroke

blockage of blood vessels leading to lack of blood flow to affected area

10

hemorrhagic stroke

rupture of blood vessels leading to leakage of blood

11

controllable risk factors for stroke

1. high BP
2. atrial fibrillation
3. high cholesterol
4. diabetes
5. atherosclerosis
6. circulation problems
7. tobacco use and smoking
8. alcohol use
9. physical inactivity
10. obesity

12

uncontrollable risk factors for stroke

1. age
2. gender
3. race
4. family hx
5. previous stroke or TIA

13

implication for dentistry in stoke patients prescribed urinary antispasmotics

xerostomia

14

implications for dentistry in stoke patients prescribed antidepressants

1. xerostomia
2. increased appetite

15

implications for dentistry in stoke patients prescribed antihypertensives

1. xerostomia
2. orthostatic hypertension

16

implication for dentistry in stoke patients prescribed anticoagulants

abnormal hemostasis

17

implication for dentistry in stoke patients prescribed broad spectrum abx

oral candidiasis

18

who is at risk for neurogenic dyspagia

stroke patients (45-75%) > dementia patients (45%)

19

dysphagia affects about what percent of stroke patients initially but improves within 7-14 days?

50%

20

conditions associated with strokes that compromise the rendering of dental care

1. transferring into and out of dental chair
2. providing informed consent
3. visualizing instructions
4. food selections
5. depression

21

treatment consideration for stroke patient with paralysis

special transfer training or assisted devices

22

treatment consideration for stroke patient with loss of cognitive or communication skills

obtain informed consent from guardian

23

treatment implications for stroke patient with visual field deficit

proper positioning when speaking to patient

24

treatment implications for stroke patient whose food selections are highly cariogenic

recurrent and root caries

25

treatment implications for stroke patient who has depression

1. xerostomia
2. difficulty making decisions

26

oral motor sensory evaluation

1. gag reflex
2. facial symmetry
3. lip posture
4. tongue range of movement
5. mandibular range of movement

27

posterior occlusal relationship

1. "freedom in centric" so mandatory wide centric
2. horizontal overjet 1.5 mm throughout
3. minimal vertical overlap
4. non-anatomic/flat plane tooth form
5. consider lingualized occlusion

28

absent or attenuated gag reflex is due to what?

loss of sensory input in pharynx

29

treatment consideration for stroke patient with absent or attenuated gag reflex

1. sit patient up-right
2. throat pack
3. avoid low viscosity impression materials

30

treatment consideration for stroke patient with dysphagia

1. sit patient up-right
2. high speed evacuation

31

cheek and tongue biting in stroke patients are due to what?

paresthesia of buccal and labial tissues

32

treatment consideration for stroke patients who experience cheek and tongue biting

increase horizontal overlap

33

treatment consideration for stroke patients who are experiencing reduced denture retention due to loss of sensory input

initially prescribe denture adhesive, later reline or remake existing denture

34

Parkinson's disease

chronic neurodegenerative MOVEMENT disorder affecting voluntary and emotional movements and most commonly seen in t he elderly, but is also found in the young and inexorably progresses leading to significant disability

35

what is the leading cause of death in Parkinson's patients?

pneumonia (aspiration or broncho-)

36

what percent of Parkinson's patients have died due to pneumonia?

50-64%

37

what are the most common comorbid physical diseases in Parkinson's patients?

dental caries > periodontitis > pulmonary diseases > diabetes mellitus > chronic liver disease

38

T/F: the high prevalence of impaired swallowing, perio disease and dental caries may lead to a greater risk of aspiration pneumonia

true

39

T/F: Maintenance of good OH and control of oral biofilm formation in the elderly reduce the number of potential respiratory pathogens in the oral secretions, which in turn reduces the risk of pneumonia

true

40

T/F: SDF is often use to treat severe root caries in the nursing home population

false, SDF in elderly population should only be used as a temporary measure to control small areas of caries until they can be restored at a later time

41

T/F: edentulous patients with Parkinson's disease may benefit from implant-retained dentures if they have a lot of oral-facial involvement including tremors

true