DHYG Exam III Questions and Verified Answers
what does radiation therapy increase?
increase artherosclerosis formation and risk of stroke
what is a dental management of CVA appointment procedures?
-pt might be a wheelchair or walker
-pt might be weak so short appointments
-Four handed dental hygiene
what are the oral manifestation of cva?
-facial paralysis leads to less tongue movement thus less self
cleansing -no sense of biofilm collection leads to more of
inflammation -carotid calcifications on panoramic
what is autism (neurological & developmental disorder)
Neural biological disorders affecting how a person interacts, communicates, relates, plays,
imagines, and learns
What is the cause of autism
Unknown
Possibly: psychogenic, genetic, biochemical, or neurophysiological
what are the types of autism?
-autistic disorder (classic)
-Asperger's syndrome
-Rett syndrome
-Childhood disintegrative disorder
-Pervasive developmental disorder, not otherwise specified
At what age do signs of autism start? What is the ratio between males and females?
,before age 3
Four times more likely in males
what is the clinical presentation of autism
-Delayed/abnormal social interaction, language, imaginative play
-Social communication deficits
-Restricted interests
-Repetitive behaviors
medical management for autism
-Psychotherapy
-speech and language therapy
-Educational & Dietary intervention
-Behavioral, musical, auditory therapy
-Meds: stimulants (ritalin), tranquilizers (diphenhydramine), anticonvulsants
(phenytoin), antipsychotic (risperidone)
dental management for autism
-caregiver should practice verbiage with PT before visit (ie. "Open your mouth", practicing with
plastic mirror & flashlight)
-limit wait time b4 seating
-short appt
-Quiet
-Tell-show-do
-Use caregivers for familiarity
-Praise and positive reinforcement
what are some oral manifestations of autism
, -Increase caries risk: due to limited diets and/or cariogenic foods as reward
-Increased inflammation risk: affinity for sauce/sweet foods, sensory issues decreasing OH care
-side effects of meds
what is down syndrome/trisomy 21 (neurological & genetic disorder)? What is the
clinical presentation?
Chromosomal abnormalities; extra chromosome
Presentation:
Short neck
Flattened facial profile/flat nasal bridge
Slanted eyes w/ epicanthic fold covering inner eye corner
what are some of the cognitive and behavioral characteristics of down syndrome
-Short attention span
-Impulsive
-Slow learning, delayed developmental milestones
what is the dental management for down syndrome?
-Involve caregiver
-consider cognitive abilities
-minimize background noise/interruptions
-more frequent recare
what are the oral manifestations of down syndrome?
-Macroglossia
-Macrosomia (big mouth)
-Narrow vaulted palate
-mouth breathing
what does radiation therapy increase?
increase artherosclerosis formation and risk of stroke
what is a dental management of CVA appointment procedures?
-pt might be a wheelchair or walker
-pt might be weak so short appointments
-Four handed dental hygiene
what are the oral manifestation of cva?
-facial paralysis leads to less tongue movement thus less self
cleansing -no sense of biofilm collection leads to more of
inflammation -carotid calcifications on panoramic
what is autism (neurological & developmental disorder)
Neural biological disorders affecting how a person interacts, communicates, relates, plays,
imagines, and learns
What is the cause of autism
Unknown
Possibly: psychogenic, genetic, biochemical, or neurophysiological
what are the types of autism?
-autistic disorder (classic)
-Asperger's syndrome
-Rett syndrome
-Childhood disintegrative disorder
-Pervasive developmental disorder, not otherwise specified
At what age do signs of autism start? What is the ratio between males and females?
,before age 3
Four times more likely in males
what is the clinical presentation of autism
-Delayed/abnormal social interaction, language, imaginative play
-Social communication deficits
-Restricted interests
-Repetitive behaviors
medical management for autism
-Psychotherapy
-speech and language therapy
-Educational & Dietary intervention
-Behavioral, musical, auditory therapy
-Meds: stimulants (ritalin), tranquilizers (diphenhydramine), anticonvulsants
(phenytoin), antipsychotic (risperidone)
dental management for autism
-caregiver should practice verbiage with PT before visit (ie. "Open your mouth", practicing with
plastic mirror & flashlight)
-limit wait time b4 seating
-short appt
-Quiet
-Tell-show-do
-Use caregivers for familiarity
-Praise and positive reinforcement
what are some oral manifestations of autism
, -Increase caries risk: due to limited diets and/or cariogenic foods as reward
-Increased inflammation risk: affinity for sauce/sweet foods, sensory issues decreasing OH care
-side effects of meds
what is down syndrome/trisomy 21 (neurological & genetic disorder)? What is the
clinical presentation?
Chromosomal abnormalities; extra chromosome
Presentation:
Short neck
Flattened facial profile/flat nasal bridge
Slanted eyes w/ epicanthic fold covering inner eye corner
what are some of the cognitive and behavioral characteristics of down syndrome
-Short attention span
-Impulsive
-Slow learning, delayed developmental milestones
what is the dental management for down syndrome?
-Involve caregiver
-consider cognitive abilities
-minimize background noise/interruptions
-more frequent recare
what are the oral manifestations of down syndrome?
-Macroglossia
-Macrosomia (big mouth)
-Narrow vaulted palate
-mouth breathing
