Special care: the middle years

Question 1

What is SEAMLESS care?

Answer 1

Seamless
Education
Access
multidisciplinary working
Liaison and linkwork
empowerment
Special care
Service provision

Question 2

What are common conditions in middle aged patients?

Answer 2

Rheumatoid arthritis
Huntington’s disease
MS
Down’s Syndrome
Cerebral Palsy
Cardiovascular disease
Respiratory disease

Question 3

What are the physical changes of rheumatoid arthritis?

Answer 3

Weight loss
Fatigue
Anaemia
Can affect the lacrimal salivary gland
Joint deformities

Question 4

What are the oral presentations of rheumatoid arthritis?

Answer 4

Mandibular dysfunction.
Secondary Sjogren’s syndrome
Glossitis
Oral ulceration

Question 5

How does MS impact oral health?

Answer 5

Poor OH
Meds cause dry mouth
Speech difficulties
Increased risk of caries
Dysphagia

Question 6

What are the oral dental features of cerebral palsy?

Answer 6

Developmental abnormalities
Uncontrolled movements
Bruxism and toothwear
Periodontal disease
Caries
Fractured teeth
Xerostomia
Drooling
Lip trauma

Question 7

What are the oral findings of Down’s Syndrome?

Answer 7

Open mouth posture with protrusive tongue
Large fissured tongue
Class III
Posterior cross bite
High palate
Morphological tooth abnormalities
Missing teeth
delayed tooth formation

Question 8

What are risk factors for cardiovascular dsease?

Answer 8

Smoking
Excess alcohol
Diabetes
High cholesterol
Family history
Sedentary lifestyle
Obesity