Mucosal Therapies Chapter 59

shevyatiwari's version from 2015-04-13 13:04

Section 1

Question Answer
Erosive Gingivostomatitis
Creams are the most effectiveF, ointments and gels
Creams have no tasteF, unpleasant, less l
Patients should not eat, talk or drink for 30-60 minutes post useT
Orobase is adhesive and smoothF, gritty
Topical, inhaled or systemic corticosteroids predispose to candidiasis but not HSV stomatitsiF, also HSV stomatitis
Chlorhexidine gluconate contains 26.7% alcoholF that's listerine. This contains 11% alcohol and saccharin
Triamcinolone acetonide 0.1%, fluocinonide 0.05% gel, clobetasol 0.05% gel are topical CST
IF applied to denture plates, need to stay in for 30-60 minutesF, 10-20 minutes
Liquid corticosteroid availabel as triamcinoloneF, dexamethasone
Lignocaine has no maximum dosingF, 8 times/day
Applying lignocaine with a fingertip or cotton applicator increases the risk of aspirationF, reduces

Section 2

Question Answer
Oral candidiasis
Oral antifungals increase risk of caries in short termF, in long term. Contain sucrose, promote candida overgrowth and worsen glucose toleranc
Dentures should be soaked in bleach baths for 20 minutes ODF, BD
Gentian violet solution causes clothes to stainT. Not used much. Anti staph and anti candidial
Clotrimazole tablets dissolved in the mouth is safe in liver diseaseF
Nystatin tablets are less effective than the oral solutionF, more effective, pleasant taste
Nystatin tablets are appropriate in xerostomiaF, difficult to dissolve

Section 3

Question Answer
Hairy Tongue
Topical tretinoin can be appliedT

Section 4

Question Answer
Recurrent aphthous stomatitis
Topical corticosteroids are first line treatmentT
Gels are ideal for localised lesions in anterior mouthT
Gels are ideal for ulcers on pharynx/soft palateF, an elixir
Sucrasulfate is appropriate for Bhecet'sT
Pentoxyfilline is appropriate for ulcersT
Colchicine, dapsone, clofazamine, thalidomide can be used in oral aphthaeT

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