Oral Conditions And Their Tx

Question 1

What are infectious lesions?

Answer 1

ANUG, Herpes Labialis, candidiasis, angular cheilitis, alveolar osteitis

Question 2

What are immune reactions?

Answer 2

Recurrent aphthous ulcers, lichen planus,

Question 3

Miscellaneous oral conditions

Answer 3

Geographic tongue and burning mouth syndrome or tongue syndrome

Question 4

Inflammation reactions

Answer 4

Pericoronitis

Question 5

ANUG is cause by which factors

Answer 5

Bacterial and environmental factors

Question 6

Treatment of ANUG

Answer 6

OH and mouthwash

Question 7

Meds used for ANUG

Answer 7

Non prescription for pain reliever
Rx antibiotics should only be used if the patient is immunosuppressed

(Infectious lesion)

Question 8

Herpes labialis etiology

Answer 8

HSV 1 or HSV2

Question 9

Initial occurrence of herpes labialis is the result of

Answer 9

Direct contact

Question 10

Progression of herpes labialis

Answer 10

Flare: tiny blister on vermillion border of lip

7-10 days: self limiting ie. heals

Question 11

Prescription antivirals for Herpes labialis

Answer 11

Acyclovir, famiclovir, and valacyclovir

Question 12

Non rx for herpes labialis

Answer 12

Docasonol 10% (topical abreva)

Question 13

Angular cheilitis treatment is geared towards

Answer 13

Secondary infection

Question 14

Cheilitis can result from a

Answer 14

Vitamin b6, b2 deficiency

Question 15

Treatment for severe candidiasis is? Mild?

Answer 15

Rx of fluconazole. Nystatin

Question 16

Alveolar osteitis treatment

Answer 16

CHX, saline water rinses, debridement, placement of pack, analgesics, SPT

Question 17

Recurrent aphthous stomatitis etiology?

Answer 17

Unknown.

Question 18

Treatment for recurrent aphthous stomatitis

Answer 18

Corticosteroids, nutritional deficiencies, avoiding oral trauma

Question 19

Treatment of lichen planus

Answer 19

Dependent on symptoms: good OH, elimination of irritation, avoidance of habits, smoking cessation

Question 20

Treatment of geographic tongue

Answer 20

Avoid irritating food and alcohol

Question 21

Causes of burning mouth or tongue syndrome

Answer 21

Local or systemic symptoms

Question 22

Treatment of burning mouth syndrome

Answer 22

Tricyclics antidepressants

Question 23

Pericoronitis treatment

Answer 23

Debridement with saline irrigation and rinses will help if the condition is observed early

Question 24

To help with comfort of pericoronitis, these can be used

Answer 24

Analgesics

Question 25

With pericoronitis infection can spread rapidly in these types of patients: What treatments should be:

Answer 25

Debilitated patients. | Aggressive with antibiotics

Question 26

Treatment of root sensitivity

Answer 26

Desensitizing toothpastes, fluoride, and amorphous calcium phosphate

Question 27

Actinic lip changes are caused by

Answer 27

Long term exposure of the lip to the sun can cause irreversible actinic cheilitis

Question 28

Actinic lip changes can be prevented through

Answer 28

The use of sunscreen

Question 29

Treatment of actinic lip changes are

Answer 29

Topical 5-fluorouracil to promote sloughing

Question 30

Fun fact:

Answer 30

Different lesions can be produced by the same drug | And different drugs can produce the same lesion

Question 31

Drug induced oral side-effects are

Answer 31

Xerostomia, sialorrhea, hypersensitivity-type reactions

Question 32

Treatment of xerostomia

Answer 32

Caries prevention, artificial saliva, home care, change in medication, pilocarpine, cevemeline HCl

Question 33

Drugs that produce sialorrhea are

Answer 33

Pilocarpine

Question 34

Hyper-immune responses triggered by

Answer 34

An antigenic component of the drug or its metabolites

Question 35

Another type of hypersensitivity reactions are localized and are caused by - And diffuse are caused by -

Answer 35

Localized: gum/candy Diffuse: toothpaste

Question 36

Oral lesions that resemble autoimmune-type reactions are:

Answer 36

Lichenoid-like eruptions, lupus-like eruptions, erythema multiforme-like lesion

Question 37

Lichenoid like eruptions are induced by

Answer 37

Hydrochlorothiazide

Question 38

Gingival enlargement can be caused by these drugs

Answer 38

Phenytoin, cyclosporine, calcium channel blockers, other anticonvulsants

Question 39

Common agents used to treat oral lesions are

Answer 39

Corticosteroids and palliative treatment

Question 40

Corticosteroids are used for

Answer 40

Inflammation or immune responses

Question 41

Primarily these types of corticosteroids are used and if not effective these are used

Answer 41

Topical then systemic

Question 42

Palliative treatment are to

Answer 42

Reduce pain, and topical and systemic may be used together for an additive effect