DH Principles III Mid-term CNIH—-need
dementia, HF and arrhythmia added!
What is the CARE principle?
Comfort
Acceptance
Responsiveness
Empathy
What are the 3 developmental stages of adults?
1. Early adulthood
2. Middle age
3. Late maturity
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Geriatrics
Branch of medicine concerned with the illnesses of old age and their treatment
Gerontology
The scientific study of the factors affecting the normal aging process and the effects of aging
Functional Age
Age based on performance capacities
,Chronological Age
Age measured by calendar year since birth
What is the recommended treatment for chronic xerostomia?
1. 0.05% sodium fluoride rinse
2. 1.1% Sodium Fluoride Gel OR 0.4% Stannous Fluoride Gel
3. 0.12% CHG (Chlorhexidine Gluconate)
4. Use of xylitol-containing products
5. Nutritional counselling
6. Use of salivary substitute
7. Amorphous calcium and phosphate pastes (MI paste)
8. Rinse with water and baking soda
What must a client know when using both fluoride and CHG?
To wait at least 30 minutes between the use of fluoride and CHG
What does a diminished salivary flow alter?
1. Taste
2. Difficulty chewing
3. Difficulties speaking
4. Bacterial plaque formation
5. Caries formation
6. Dry, inflamed oral tissue
7. Denture retention
What is a brand of 1.1% sodium fluoride gel toothpaste that we can recommend to clients?
1. Clinpro 5000
2. Colgate Prevident
What is the brand of 0.4% stannous fluoride gel toothpaste that we can recommend to clients?
Colgate Gel-Kam gel
What are 2 types of saliva stimulants?
1. Xylithol containing oral products, candies or gum
2. Cholinergic agent medication
Age-Related Oral Changes
, Alterations of the structures of the oral cavity that are not a result of the disease process
Disease-Induced Oral Changes
Oral changes and pathology that is independent of the aging process
What are 7 age-related periodontal changes?
1. Increase in gingival width
2. Increased alveolar bone porosity (minimal in healthy people)NOTE: does not lead to crestal
bone resorption
3. Alteration in PDL cellular function
4. Increase in fibrous intercellular substances in the gingival connective tissues
5. Increase in calcification and arteriosclerosis of gingival vessels
6. Reduced number of nerves in the gingiva
7. Thinning epithelium, lowered keratinization, and increased cellular density
What are age-related changes in enamel?
1. Darker color
2. Surface cracks
3. Arrested dental caries
4. Severe attrition
5. Abrasion
6. Smooth occlusal areas
What are age-related changes in dentin?
1. Formation of secondary dentin
2. Obturation of dentinal tubules
3. Decreased vitality
What are age-related changes in cementum?
1. Increased in fluoride and magnesium content
What are age-related changes in pulp?
1. Decrease in blood supply
2. Increase of fibers
3. Increase in pulp calcifications
4. Reduced pulp chamber size
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