symptoms: skin pigmentations, weakness and fatigue, headache, nausea and/or vomiting, low threshold for stress, abnormally low bp, altered level of consciusness, susceptibility to infections, rapid heart and respiratory rates
maintain a nonstressful atmosphere in the dental setting
just keep in mind that a patient with ________ disease can gie an emergency injection of hydrocortisone in times of stress
hypercortisolism (cushing's syndrome)
An overproduction of cortisol by the adrenal glands
symptoms: weight gain, fatty tissue deposits in the face creating a "moon" face, buffalo hump, large abdomen, excess sweating, thin and easily bruised skin, and purple pigmentation on the trunk and legs
its important to provide oral hygiene instruction for the miantaince of healthy tissue with people experencing?
charecterized by improper behavior and/or failure to pay attention, with deficits in learning.
it is estimated that 3-5% of the population has this disorder
etiology: possbly smoking or alcohol-use during pregnancy. Other causes include high levels of lead exposure, brain injury, refined sugar, food additives, or genetics
symptoms: inattentivess, hyperactivity, impulsiveness, and possible learning disablity
alchololics can develop _____________ as a result of insufficient intrinsic factor in the stomach. plus they are at high risk for cancer
alcohol related problems
craving for alcohol. And in cases where an alcholoic suddenly stops drinking, nausea, shakiness and anxiety.
alcohol related problems
oral manifestations: xerostomia, glossitis, PD, and possible poor oral hygiene
alcohol relate problesm
you may need to perform SRP to return tissues to health. diet consulting is needd to help the patient realize he is at rish for pernicious anemia. Place the patient on a frequent recall basis and recomment noalcoholic mouthwashes
a severe disorder that brings about the gradual loss of brain cells. Over time, the patient memory and ability to learn are wiped out?
xerostomia, angular cheillitis, glossitis, loss of taste, root caries or PD
oral care for alzheimers diseas
advise the care giver about oral hygiene for the patient. The patient may need an adapted handle on a manual brush or a power. Nightly fluoride rinses or pastes may help control root caries. Xerostomia may be relieved with saliva subsitutes such as biotine
the most common type of arthritis in the US
starts with the breakdown of the cartilage in joints, causing pain and stiffness.
an inflammation of the lining of the joints
due to autoimmune disease when the body attacks healthy joint tissue, and might also be due to genetics and environmental factors
symptoms: swelling, stiffness, and pain occur in the joints with possible crepitus
symptoms: stiffness and joint swelling, warmth and tenderness
patients may require an adapted handle on a manua brush or power. A floss holder may help the patient with flossing
a neurological disorder that results in developmental disabilities. It occure with in the 1st 3 years of life, more prevalent in boys
patient have trouble with verbal and nonverbal communication, social interactions and play activities.
a high functioning autism, where the patient seems of normal intelligence and communicates well, but has autistic characteristics
symptoms: repetitive routines, speech difficulties, preference for being alone, lack of eye contract, abnormal attachment to things, learning disabilities, spinning of objects, no fear of danger
instruct the caregiver in OH, keeping in mind that the patient may be uncooperative. Nutritional couseling may revel that the child has a diet high in sugar set up a reward system for good behavior. during the dental appointment, provide repetitive encounters in a quite atmosphere.
an ideopathic, unilateral facial muscle paralysis affecting the facial or 7th crainal nerve.
most patient recover in 3 weeks or up to 6 months, though some experience permanent paralysis
possibly a viral infection, where a laten virus travels along the sensory nerves, though more recent research suspects the herpes simplex virus.
this can possible occur after a tooth extraction or parotid gland surgery
unilateral facial paralysis, drooling, loss of turgor and inability to close the eye on the side affected
inadequate oral care on the affected side, causing tissue inflammation and/or carious lesion
focus on home care techmiques and adjunts for better plaque removal
indicates a drop in oxygen-carrying hemoglobin in red blood cells
the failure of the bone marrow to produce enough red and white blood cells and platelets
iron def -anemia
pale gingiva and mucosa, angular cheilitis and painful glossitis.
burning glossitis, and bleeded gingiva
focus on good oral hygiene, since any gingival disease may cause an abnormal amount of bleeding?
a genetic disorder that affects men with hemophilia A and B that is carried by females in their X chromosomes
hemophilia A lacks factor _____ clotting factor while hemophilia B(christmas disease) lacks factor ____
brusing with ease, blood in the urine (hematura), bleeding intojoint with swelling, intracranial bleeding without injurt, backache or paralysis due to bleeding into the spinal colum, and frequent nosebleeds.
ecchymosis, hematoma or prolonged bleeding with dental procedure
screening for clotting factors. home care should include oral hygiene instruction to maintain healthy soft tissues so that bleeding gingiva is prevented
sickle cell disease
palor of the oral tissues, with liver involovment, jaundice, delayed tooth eruption and tooth hypoplasia
sickle cell disease
oral care consideration: use local without epi
a mental retardation disorder where the person had prominent physical fatures and limited intelligence potential