Health Conditions and Dental Tx Implications

Question 1

Dental aspects of URTI and LRTIs

Answer 1

Routine dental tx best deferred
Avoid GA and sedation
Pain and tenderness in upper teeth, maxilla, earache may be wrongly diagnosed as TA
Infection can spread to dentist and supporting staff
Frequent lower respiratory tract infections are a sign of HIV

Question 2

Tow main respiratory function tests:

Answer 2

PEFR and pule oximetry

Question 3

Chronic Obstructive Pulmonary Disease includes what 3 conditions:

Answer 3

Chronic Bronchitis
Emphysema
Refractory Asthma

Question 4

Dental considerations for COPD patients:

Answer 4

Patients are best treated in an upright position
Avoid GA and sedation
RD may aggravate issue
Drug interactions
Dry mouth due to some meds

Question 5

Dental aspects of asthma:

Answer 5

Anxiety may precipitate an attack
Avoid sedation and GA if severe
May have allergies eg penicillin
Attack can be triggered by some dental materials
Some drugs can precipitate an attack eg NSAIDs
May be on steroid therapy
Thrush risk due to steroid inhalers

Question 6

Dental aspects on cystic fibrosis

Answer 6

Risks with GA
Beware of liver disease and diabetes
Enlarged salivary glands
Enamel hypoplasia
Hig caries risk due to high carb diet

Question 7

Dental considerations for patients with kidney disease

Answer 7

Take good history. 
Acute or chronic? 
What tx is appropriate? 
Care with NSAIDs
Do work between haemodialysis dayys
Infection prevention key
Pre-op AB cover and savacol to avoid infection of shunt. 
Best to see patients day after dialysis but will still have heparin on board.