Gerodontology Flashcards
(22 cards)
name three factors that might make older people more at risk for dental disease
diet
reduced manual dexterity
xerostomia
name three factors that relatives of people receiving end of life care may deem important
cleanliness
free from pain
dignity maintained
what is ART
atraumatic restorative treatment
give three factors which may cause ART to fail
lower number of toothbrushing/ day
absence of prosthesis
posterior location of tooth
name four effects of dry mouth on the patient
speech difficulty
nutritional function and intake decreased
social interaction decreased
protective features of saliva lost
what are the two types of causes of falls for older people
intrinsic - postural hypotension
extrinsic - trip hazards
name two dental implications of bone health in older people
MRONJ - if taking bisphosphonates
fracture of mandible following fall/ XLAs
name four dental implications of nutrition and weight loss on older people
NCTSL
higher caries rate
delayed healing
haematinics - recurrent aphthous stomatitis
what are oral corticosteroids usually used to treat
inflammatory autoimmune conditions
what are examples of disease modifying medications
methotrexate
mycophenolate
when is immunomodulatory treatment usually used
for cancer treatment
what are the two hallmark signs of diabetes
polyuria and polydipsia
- increased urine output and increased protein in urine
how should patients with diabetes be treated
morning appts
avoid scheduling appts that coincide with maximum insulin activity
name three risks diabetes patients pose
hypoglycaemia
fatigue/ intolerance for long treatment
poor wound healing
what are the four types of stroke
ischaemic
haemorrhagic
carotid artery dissection
cerebral venous thrombosis
name four effects a stroke might have on dental treatment
aphasia - inability to process language
denture wearing issues due to loss of muscle control
poor OH if loss of mobility
body support in dental chair
name four pieces of oral hygiene advice for patients with dysphagia
brush teeth upright with suction or aspirating toothbrush
low foaming toothpaste
remove excess water on toothbrush
rub toothpaste into toothbrush before placing in mouth
name three dental implications of parkinson’s disease
xerostomia
anxiety increases tremor which could affect tongue/ lips
L-dopa may cause taste disturbance and interact with adrenaline
name four main types of dementia
alzheimer’s
vascular
lewy body
frontotemporal
what occurs in alzheimer’s dementia
amyloid plaques build between nerve cells
loss of concentration and memory
what occurs in vascular dementia
disturbance in the blood supply to the brain causing neuronal death