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NBDHE Case Studies
nbdhe
154
Biochemistry
Undergraduate 2
02/10/2017

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Term
What is a side effect of 0.4% stannous fluoride gel?
Definition
Discolors teeth
Term
Does the age of the person affect his ability to metabolize meds?
Definition
Yes. Elderly will typically be given smaller does.
Term
Which is frequently associated with kidney disease?
Definition
Anemia. Patient may take iron and folic acid if they are anemic.
Term
What can happen to a tooth when its opposing or antagonist tooth is missing?
Definition
Hypercementosis (abnormally thick layer of cementum)
Term
What IN HOME fluoride products can a patient use?
Definition
1.1 % sodium gel in custom tray
0.5% sodium rinse
Toothpaste
Term
What fluoride product can a patient NOT use at home?
Definition
Fluoride VARNISH.
Term
What are the components of fluoride varnish?
Definition
2000 ppm
5% sodium fluoride
enhanced retenion on teeth structure
Term
Which bacteria are predominately found in deeper carious lesions?
Definition
Lactobacillus
Term
Which bacteria initiate a carious lesion?
Definition
S. Mutans
Term
Which bacteria are associated with root caries?
Definition
Actinomyces viscosus
Term
Which bacteria are associated with NUP/NUG?
Definition
Fusobacterium
Term
Describe internal oblique ridge?
Definition
Linear prominence of bone located on the interior surface of the mandible
Term
Where does the external oblique ridge typically end?
Definition
Near third molars
Term
Which motion and sides are active on magnetostrictive US scaler?
Definition
Cavitron! Elliptical with all sides.
Term
Which motion and sides are active with piezo US scaler?
Definition
Linear with lateral sides.
Term
Which material would be used underneath a large restoration?
Definition
BASE. provides thermal protection and mechanical strength
Term
How much anesthesia is needed for supraperosteal?
Definition
1/3 cart.
Term
When are ameloblasts lost?
Definition
After tooth eruption
Term
What is the primary site for drug metabolism?
Definition
Liver
Term
What type of epithelium lines the ventral surface of the tongue?
Definition
Extremely thin, Non-keratinzied
example of lining mucosa
Term
What type of epithelium lines the floor of the mouth?
Definition
Extremely thin, non keratinized
example of lining mucosa
Term
When does hyperkeratinized epithelium develop?
Definition
develops when non keratinized tissue undergoes consistent friction or trauma
Term
What kind of epithelium is masticatory in nature?
Definition
Orthokeratinzed and Parakeratinzed epithielium. ex. gingiva, hard palate, and dorsal surface of the tongue
Term
Describe circumvallate papilla
Definition
Largest papilla, von ebners glands wash and cleanse circum papilla, HAVE taste buds
Term
Folliate Papilla
Definition
Have the highest number of taste buds. Located on the external border of posterior portion of body of tongue
Term
Fungiform papilla
Definition
Red dots across dorm of tongue
Term
Regeneration of oral mucosa
Definition
gingival epithelium- 4-6 days
buccal mucosa: 10-14 days
Taste buds: 10 days
Term
What is a correct position for a patient suffering from dizziness and fainting?
Definition
Lying down. Recumbent. Supine position
Term
If the color from a patients face disappears and visible beads across their forehead is obvious, what are they about to experience? What should you do ?
Definition
Syncope. Put in supine or trendelenburg position (legs above their head so blood rushes to the brain)
Term
Class II Malocclusion. Division I
Definition
Anterior teeth are protruded facially
Term
Class II Malocclusion. Division II
Definition
Anterior teeth are protruded lingually.
Term
How long is the onset of action for Oraqix?
Definition
30 seconds.
Term
What should a patient with xerostomia do?
Definition
Use saliva substitutes, avoid juices/soda/anything that could lead to caries, and drink plenty of water.
Term
Patients with xerostomia should avoid...
Definition
Hard candy, sugar, soft drinks, juice.
Term
Name 3 different monosaccharides.
Definition
Glucose- main fuel for brain ex. fruit,veg
Fructose- sweetest of mono. ex fruit/honey
Galactose- component of milk sugar- ex dairy, legumes
Term
Name 3 disaccharides.
Definition
Sucrose-glucose + fructose
Lactose-glucose + galactose
Maltose- 2 glucose ex. beer
Term
Monosacchirides are what find of carbohydrate
Definition
Simple carbs- single sugars
Term
What organic compounds make up Carbs?
Definition
carbon, hydrogen, & oxygen
Term
Polysaccharides are what kind of sugar?
Definition
Complex sugars- composed of 10 or more sugar units
Term
Where is glycogen stored?
Definition
Liver
Term
Describe Glycogen.
Definition
Glycogen is created in the body and provides carbohydrate storage form of energy.
Term
What does Amylase do and where is it found?
Definition
Amylase is found in serous saliva and helps break down carbs
Term
Hypoglycemia
Definition
low blood glucose levels <70 mg/dl
Term
What are symptoms of hypoglycemia?
Definition
Shakiness, dizziness, sweating, headaches, irritability, hunger, lightheadedness, palpitations (not lowered heart rate)
Term
Proteins are made up of what compounds?
Definition
carbon, hydrogen, oxygen, and nitrogen
Term
Where does digestion of proteins begin?
Definition
In stomach.
Term
What are some considerations with patients with phenylketonuria?
Definition
Inborn error of metabolism where patients cannot metabolize amino acid phenylalanine. Patients must avoid aspartame.
Term
Describe Marasmus-
Definition
bodys adaptation to starvation in chronic form
Term
Describe Kwashiorkor
Definition
Acute severe- severe protein deficiency. Edema in legs, abdomen, and face. Delayed eruption and hypoplasia of teeth.
Term
Vitamin A functions
Definition
Prevents night blindness and maintains bone health and immune function
Term
Vitamin D functions
Definition
Absorption of calcium and phosphorus. Bone health and immune function
Term
Sources of Vit D
Definition
Body makes VIT D from exposure to sunlight- fortified foods ex milk
Term
Rickets
Definition
Vit D Deficiency Child form- softening of bones due to failureto calcify normally sx bowed legs, enlarged head, deformed pelvis
Term
Osteomalacia
Definition
Vit D Deficiency in adults- calcium is taken from bones to make up for insufficient absorption in intestine
Term
Another name for Vit E
Definition
Tocopherol
Term
Overconsumption of Vit E can...
Definition
interfere with blood coagulation of vit k- can also cause gingival bleeding if patient is taking aspirin
Term
Function of Vit K
Definition
aids in the formation of blood clotting factor prothrombin
Term
Vitamins A, D, E, K (ADEK)
Definition
Fat soluble vitamins
Term
What vitamin is associated with
Definition
Term
Vitamin A functions
Definition
Prevents night blindness and maintains bone health and immune function
Term
Vitamin D functions
Definition
Absorption of calcium and phosphorus. Bone health and immune function
Term
Sources of Vit D
Definition
Body makes VIT D from exposure to sunlight- fortified foods ex milk
Term
Rickets
Definition
Vit D Deficiency Child form- softening of bones due to failureto calcify normally sx bowed legs, enlarged head, deformed pelvis
Term
Osteomalacia
Definition
Vit D Deficiency in adults- calcium is taken from bones to make up for insufficient absorption in intestine
Term
Another name for Vit E
Definition
Tocopherol
Term
Overconsumption of Vit E can...
Definition
interfere with blood coagulation of vit k- can also cause gingival bleeding if patient is taking aspirin
Term
Function of Vit K
Definition
aids in the formation of blood clotting factor prothrombin
Term
Vitamins A, D, E, K (ADEK)
Definition
Fat soluble vitamins
Term
What vitamin is associated with
Definition
Term
Periochip
Definition
2.5 mg Chlorhexidine chips
Term
What are the two main inorganic compounds in supragingival calculus?
Definition
80& calcium phosphate and calcium carbonate
Term
What bacteria are associated with perio disease?
Definition
C. Rectus, P. Intermedia, P. Gingivalis (most common found in perio disease)
Term
What bacteria are commonly associated with pregnancy gingivitis?
Definition
Prevotella Intermedia, Campylobacter Rectus
Term
What is commonly seen after a periodontal dressing is removed?
Definition
White patch made of dead cells and tissue debris
Term
Characteristics of dehiscence in periodontium
Definition
Gingival recession, alveolar bone loss, root exposure
Term
Describe Fenestration
Definition
Window of bone loss with root exposure
Term
What is bacteria commonly associated with NUG/NUP?
Definition
Fusobacterium
Term
What is the drug of choice to treat NUG/NUP? Why?
Definition
Tetracycline- it is concentrated in the GCF
Term
What immediately follows initial vasoconstriction in the acute inflammatory process?
Definition
Vasodilation
Term
What is chemotaxis?
Definition
When cells migrate to the area of destruction
Term
Describe hyperemia?
Definition
increase in blood flow to different tissues in the body
Term
Gingivitis a result of ?
Definition
Ulceration at the sulcular base of the pocket
Term
What s the most common procedure to reduce pocket depth?
Definition
Gingivectomy - incise gingiva to produce recession
Term
Occlusal trauma causes ...
Definition
sensitivity, increased mobility, tooth migration
Term
How long does the junctional epithelium take to heal?
Definition
about 5 days
Term
When assessing tooth mobility, a score of 1 indicates?
Definition
Barely distinguishable tooth movement
Term
What is the main cause of inflammatory periodontal disease in diabetic patients?
Definition
Plaque biofilm- oral tissues of diabetics tend to be more susceptible and react more severely to infection, injury, and local irritants. Impaired PMN chemotaxis/phagocytosis predispose diabetics to lowered resistance to infection and poor wound healing
Term
What is free gingiva?
Definition
Unattached gingiva
Term
What makes up free gingiva?
Definition
Gingival margin, Free gingival groove, gingival sulcus
Term
Free gingival groove separates what?
Definition
free gingiva from attached gingiva
Term
Which structure is compromised of the innermost layer of junctional epithelial cells and attaches to the gingiva of the tooth?
Definition
Epithelial attachment
Term
Which microorganism is the most associated with AGRESSIVE PERIO?
Definition
Aggregatibacter Actinomycetemcomitans
Term
Prevotella Intermedia is associated with
Definition
Pregnancy gingivitis, NUG/NUP, cellulitis
Term
S. Mutans is associated with
Definition
Early carious lesions, dextrans, acids
Term
Lactobacillus is associated with
Definition
caries progression, lexans, acids
Term
Actinomyces is associated with
Definition
root decay, with or without oxygen
Term
Autograft
Definition
Graft utilizing bone from the same individual
Term
Xenograft
Definition
graft from animal to human being
Term
allograft
Definition
from one person to another, usually a sibling
Term
Signs of Angina
Definition
Increased heart rate, Levine
Term
Signs of Angina
Definition
Levine sign(hand over chest), cold sweat, nausea, increased heart rate
Term
Stage I hypertension
Definition
140-159/90-99
Term
Stage II hypertension
Definition
160/100
Term
Prehypertension
Definition
120-139/80-89
Term
What medication is recommended to lower the risk of heart attacks in patients with diabetes?
Definition
baby aspirin
Term
What kind of diet is prescribed with Lipitor?
Definition
Low fat diet
Term
How does Lipitor work?
Definition
blocks the enzyme in the liver that produces cholesterol
Term
What is Glucophage?
Definition
Metformin. Used to treat type II diabetes, it helps control blood sugar levels.
Term
Side effects of Glucophage
Definition
Headaches, diarrhea, nausea, abdominal discomfort
Term
What is a good physiotherapy aid to clean under bridges?
Definition
Textured floss
Term
Describe naproxen? Side effects
Definition
NSAID. Irritates stomach depresses CNS, inhibits platelets
Term
What is true of scleroderma?
Definition
Hardening of connective tissues, Causes skin abnormalities, more common in women, causes diffuse fibrosis. More common in women than men.
Term
What kind of medication is amlodipine (Norvasc) ? What does it treat?
Definition
Calcium channel blocker- Hypertension
Term
There may be an increase in bleeding and oral infections with arthritic patients because of intake of medications.
Definition
Term
Signs of hypothyroidism
Definition
lowered metabolism, fatigue, intolerance to cold, dry skn
Term
Hep B can be transferred from sharing a toothbrush with someone
Definition
Term
What is the most common form of arthritis?
Definition
Osteoarthritis. It is a result of trauma and/or infection to the joint, and aging
Term
Which hepatitis is DNA VIRUS?
Definition
Hep B
Term
which HEPATITIS is RNA virus?
Definition
Hep A,C,D
Term
Arestin can cause staining. T/F
Definition
True
Term
What are normal respiration ranges for children?
Definition
14-26 breaths
Term
What is considered tachycardia?
Definition
60-90 breaths
Term
Oral manifestations of arthritis
Definition
Delayed healing, bruxism, TMJ discomfort
Term
What meds can treat arthritis ?
Definition
Steroid, NSAIDS, Immunosuppressant's
Term
The first sites affected by rheumatoid arthritis are...
Definition
Fingers and hands- cause is unknown
Term
To achieve short scale, high contrast, do you want to decrease or increase kvp?
Definition
Decrease (LOW) KVP
Term
Aspirin should not be taken in those under 18 because of risk of Reyes syndrome. T/F/
Definition
True
Term
Aspirin should e taken on an empty stomach T/F
Definition
False. Should be taken with food, milk, or antiacid to reduce gastrointestinal irritation
Term
Instructions for patients taking aspirin
Definition
prolongs bleeding, do not take with over the counter analgesics, do not use with nsaids
Term
Extrinsic asthma is the most common asthma T/D What triggers it?
Definition
True. Triggered by allergens.
Term
Intrsinic asthma is caused by
Definition
emotional stress and GERD
Term
which TEETH are not succedaneous?
Definition
Permenant molars. since they do not replace any primary teeth
Term
Dental lamina forms during what stage?
Definition
Bud STAGE
Term
When does enamel organ form?
Definition
Cap stage
Term
When does differentiation of the enamel organ develop into 4 layers?
Definition
Bell stage
Term
When does amelogensis occur?
Definition
Apposition stage
Term
When asthmatic patients do not respond well to bronchodilator in an acute attack, what should be administered orally?
Definition
Prednisone
Term
Zantac is prescribed to reduce stomach acid and can cause tachycardia. T/F
Definition
True
Term
Meths duration is longer than cocaine. T/F
Definition
True
Term
meth use is increasing in the US
Definition
TRUE
Term
Zantac is an H2 receptor antagonist. SIDE EFFECTS?
Definition
Tachycardia, bradycardia
Term
Pernicious anemia is a form of megaloblastic anemia. T/F
Definition
True
Term
Signs of anemia.
Definition
Pallor, weakness, elevated papilla on the tongue
Term
VIT B12 IS
Definition
Cobalamin
Term
calcium can help with osteopenia, why?
Definition
higher calcium intake. especially in women in menopause years
Term
mandibular second pre molar has
Definition
3 cusps and lingual groove
Term
kidney disease predominates Type I diabettes
Definition
Term
atherosclerotic anemia dominates Type II diabetes
Definition
Term
functional unit of a kidney
Definition
nephron
Term
hypertension can cause impaired kidney function t/f
Definition
true
Term
specialized mucosa is on what surface?
Definition
lateral surface of the tongue
Term
gingiva, hard palate, tongue are what kind of mucosa?
Definition
masticatory
Term
Zoloft is also
Definition
sertraline
Term
what causes cystic fibrosis?
Definition
recessive gene in chromosome 7
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