Oral Health Exam

What is the most common chronic disease of childhood? - dental caries __ is a consequence of untreated dental caries. - cellulitis What condition is associated with periodontal disease? Asthma, Preterm Labor, Sinusitis - preterm labor (also low birth weight) Which medication is linked to gingival hyperplasia? - phenytoin What can a primary care clinician do to promote oral health? - collaborate with dental and other health professionals (screen all pts for caries?) Which of these classes of medications is NOT generally associated with decreased salivary flow? - abx A patient undergoing chemotherapy for cancer is at risk for which oral complications due to the effects of chemotherapy? - oral mucositis Which of the following infections is NOT potentially caused by direct extension from a dental source? - otitis media What is the suggested common pathway linking chronic periodontitis and conditions such as diabetes, coronary artery disease and adverse pregnancy outcomes? - inflammation Which of the following is NOT a mechanism for inter-relationships between oral and systemic disease? - neurologic What is ECC? - an infectious, chronic disease Oral bacteria and dietary sugars are two of the three parts of the "Etiology Triad" of ECC. What is the third part of the triad? - enamel and dentine of teeth (which is vulnerable to demineralization.) What is a risk factor for developing ECC? - caries in siblings (or caretakers) How can primary care clinicians prevent ECC? - counsel caregivers about diet The mother of your 10-month-old patient asks for a prescription for supplemental fluoride. She reports that the family obtains their water from a well. What is your best course of action? - test the well's fluoride level prior to prescribing a dietary fluoride supplement What is the first step in performing a knee-to-knee oral examination of a child's mouth? - have the caregiver hold the child facing him or her in a straddle position What guidance about *teething* should a primary care clinician provide to a toddler's caregiver? - teething child may be fussy Periodontal disease can be clinically distinguished in which ways? - enlarged pockets at the gum base Which of the following is *NOT* a common site for oral cancers? - hard palate Which dental procedure does *NOT* require prophylaxis for individuals at high risk of bacterial endocarditis? - postop suture removal Which of the following is most likely to lead to *poorer* oral health in the elderly? - AD Which of the following is *NOT* a normal age-related tooth change? - root caries Which of the following patients require bacterial endocarditis antibiotic prophylaxis?