Tooth Hypersensitivity
What is the clinical presentation for tooth hypersensitivity
A sharp pain that happens when exposed dentin reacts to stimuli
What is teething (don't overthink it...)
emerging primary teeth
What is RAS
Lesions aka canker sores
A patient who suspects a cold sore but has never been diagnosed with one asks for a treatment option. What do you recommend
difficulty talking, burning tongue, dry mouth, loss of appetite
List 3 exclusions for self treatment
absence of stimuli, cracked / loose sleep, fever, swelling, trauma to the mouth
What are the exclusions for self care
What are the directions for making a saline rinse?
Use 1-3 tsp of salt in 48oz of warm tap water up to 4 times per day
What is the only FDA approved pharmacological treatment? (name and dose)
Docosanol 10%; apply 5x daily, use until healed or no longer than 10 days
True or False: sugary, starchy food intake should be increased
False
This kind of toothpaste is a non-pharm treatment for tooth hypersensitivity
Fluoride containing toothpaste
What are some non-pharm treatments?
gum massage, cold teething ring, teething cookies
Lesions present longer than ___ days require a referral
longer than 14 days
Burning, tingling, or numbness in the area of an incoming lesions usually starts how long before the lesion actually appears
24-48 hours
What is the pharmacological treatment for xerostomia
artificial saliva products containing carboxymethyl or hydroxymethyl cellulose
How long should treatment be attempted before a dental referal
4-6 weeks
What is the pharmacological treatment
Tylenol 10-15mg/kg every 4-6 hours
Carbide peroxide 10-15% and hydrogen peroxide 1.5% or 3%
What topical product can be used for burning or itching pain
topical anesthetics
MYSTERY! What is the pediatric dose for ibuprofen
5-10mg/kg every 6-8 hours
What is the pharmacological treatment?
desensitizing toothpaste - potassium nitrate 5% with sodium fluoride
If symptoms are not relieved after ____ days of treatment a dentist referral is needed
2 days
10 minutes
what is the only non-pharm measure mentioned
keep lesions and hands clean
MYSTERY! A young woman complains of bloating, depression, and breast tenderness. What do you suspect she has
PMS