Anxiety
What is one type of anxiety disorder?
Generalized anxiety disorder or panic disorder.
What is mania in regard to bipolar disorder?
An extreme high (highly energized level of physical and mental activity).
What is one type of eating disorder?
Anorexia nervosa or bulimia nervosa.
A 21-year-old female patient presents with severe enamel erosion, hypersensitivity, and swollen cheeks.
What psychological disorder does this patient most likely have?
Bulimia nervosa.
What are two dental considerations for an individual with anxiety?
Xerostomia, high risk of tooth loss/caries, and increased risk of periodontal disease.
What are two dental considerations for an individual with bipolar disorder?
Home care neglected, higher risk of caries, higher risk for periodontal disease, gingival tissues may appear lacerated, medication side effects – xerostomia, dysgeusia, stomatitis and glossitis, loss of taste, dizziness.
What are two dental considerations for an individual with an eating disorder?
Erosion and bruxism, xerostomia and high dental caries, parotid gland enlargement.
A 57-year-old male patient specifically requests a morning appointment and asked if he could listen to music during his cleaning. He appears extremely restless and irritable during his appointment.
What psychological disorder does this patient most likely have?
Generalized anxiety disorder.
Name 3 appointment interventions for a patient with anxiety or panic disorder.
Come up with "stop" cue, distractions, use anesthetic or nitrous oxide, schedule morning appointments, develop rapport and trust, provide "tell, show, do".
Name 3 appointment interventions for a patient with bipolar disorder.
Simply surroundings, use direct & simple instructions, recommend saliva substitutes, fluoride, dietary counseling, xylitol gum, place patient on 3-4 month recall if needed, develop rapport and trust.
Name 3 appointment interventions for a patient with an eating disorder.
Monitor patient’s vital signs, develop rapport and trust, assess nutritional status, reduce cariogenic foods and recommend fluoride, avoid brushing after vomiting/rinse with water.
All 3 of these psychological disorders have dental considerations, including xerostomia and a high caries risk.
What three recommendations could you give a patient that could help their dry mouth and reduce their high caries risk?
Recommend saliva substitute, xylitol gum/mints, nutritional counseling, RX or OTC fluoride, stress the importance of home care.