Oropharynx Flashcards
(13 cards)
What are the main drug causes of dry mouth?
Antimuscarinics, antihistamines, tricyclic antidepressants (TCAs), diuretics
Name two non-drug causes of dry mouth.
Radiotherapy (head/neck), Sjögren’s syndrome, dehydration, anxiety.
What are common complications of dry mouth?
Increased risk of dental caries, periodontal disease, and candidiasis
What systemic deficiencies can lead to oral ulcers?
Iron, vitamin B12, and folate deficiency
How long should an ulcer persist before urgent referral is considered?
More than 3 weeks (rule out oral cancer)
What is the first-line treatment for recurrent aphthous ulcers?
Topical corticosteroids (e.g., hydrocortisone oromucosal tablets)
Name two adjunct treatments for painful ulcers.
Lidocaine 5% ointment, benzydamine mouthwash/spray, chlorhexidine
What is the cornerstone of management for dental abscesses?
Drainage or removal of the infection source
When are antibiotics indicated for dental infections?
As an adjunct if the infection is spreading or systemic - Penicillin V.
What is the first-line antiviral for severe orofacial herpes infections?
Aciclovir
What supportive treatments help with primary herpetic gingivostomatitis?
Fluids, soft diet, benzydamine mouthwash, chlorhexidine
What is pericoronitis?
Inflammation/infection of soft tissue around a partially erupted wisdom tooth.
What is the preferred antibiotic for pericoronitis?
Metronidazole.
