Year6DD/Geriatric dentistry/Dr.TortBorany/
Another term refers to Geriatric Dentistry:
Pediatrice
Pharmacology
Geriodontics
Geriatric Medicine
Classification of Geriatric Dental Patients:
2
3
4
5
What are dental caries treatments:
Filling & RCT
RCT, Crowns & Dentures
Implants
All of them
Change in nervous system in elderly:
Nerve cells may begin to pass messages as normal
Nerve cells may begin to pass messages faster
Brain and spinal cord gain nerve cells and weight
Slowing of thought, memory, and thinking
Change in urinary system in elderly:
Number and size of nephrons decrease and narrowed arteries
Inability to concentrate or dilute urine and to excrete acid
Dehydration
All of them
The bladder becomes less flexible means:
It can hold less urine
It becomes more difficult to squeeze to get rid of all the urine
It becomes easier to squeeze to get rid of all the urine
It can hold less urine & it becomes more difficult to squeeze to get rid of all the urine
It can hold less urine & it becomes easier to squeeze to get rid of all the urine
What is Urethral sphincter:
Muscular ring that controls the passage of urine out of the body
Bladder
It stimulates the sensation of having to urinate
Muscular ring that regulate the balance of salts and other chemicals
The respiratory system comprises of:
Thoracic cage, lungs
Lungs, and diaphragm
All of them
None of them
The most common cause of kyphosis in older adults is:
Osteoporosis
Poor posture
Birth defects
Cancer and cancer treatments
What is kyphosis:
Abnormal lateral curvature of the spine
An adnormally hollowed back
Excessive outward curvature of the spine
Forward head position
Changes which is not related to respiratory system in elderly:
Decreases in measures of lung function such as vital capacity
Decline in the effectiveness of lung defense mechanisms
Stiffening of the thoracic cage from calcification of the rib cage
Increasing in chest wall compliance
Changes which is not related to cireulatory system in elderly:
The muscles of the left ventricle get thicker
The volume of the left ventricle may decline
The heart may both fill and empty more slowly
The heart may decrease slightly in size
Differences between young and old hearts:
Older heart speed up as quickly or pump as fast or as much blood as a younger heart
Older heart cannot speed up as quickly or pump as fast or as much blood as a younger heart
Older heart can speed up quickly but cannot pump as much blood as a younger heart
Older heart cannot speed up quickly but can pump as much blood as a younger heart
Changes which is not related to Endocrine system in elderly:
The levels and activity of some hormones, produced by endocrine glands, decrease
Growth hormone levels decrease, leading to decreased muscle mass
Aldosterone levels decrease, making dehydration more likely
More insulin may be produced
Changes in Digestive system in elderly:
Lactase levels decrease
The pancreas gains in overall weight
Constipation becomes more common
Lactase levels decrease and the pancreas gains in overall weight
Lactase levels decrease and Constipation becomes more common
Dimensions comprising oral health-related quality of life (OHRQoL):
4
5
6
7
Total volume of saliva per day is:
0.5 L
0.5-1 L
1 L
1.5 L
For mineralization, some of the difference between people who have the same diet and same exposure to fluoride is explained by a different of each individual's saliva
Buffering ability
Volume
PH
Stimulation
The subjective feeling of oral dryness:
Xerostomia
Hyposalivation
Remineralisation
Sialosis
Indirect cause increases dental caries:
Xerostomia
Hyposalivation
Remineralisation
Sialosis
Medication causes Xerostomia or hyposalivation:
Antibiotics
Aspirin
Anti-coagulant
Anti-histamine
Normal unstimulated saliva flow rate (ml/min):
0.1
0.3 - 0.5
0.5
0.7
Unstimulated saliva flow rate in Hyposalivation (ml/min):
0.1
0.3 - 0.5
0.5
0.7
Stimulated saliva flow rate in male hyposalivation patient (ml/min):
0.1
0.3 - 0.5
0.5
0.7
Stimulated saliva flow rate in female hyposalivation patient (ml/min):
0.1
0.3 - 0.5
0.5
0.7
Causes of salivary gland hypofun
Diseases
Infection
Medication
All of them
Minimum time using for testing hyposalivation:
30 second
1 minute
2 minute
5 minute
Dry mouth management:
Drink water often
Brush as usual
Use fluoride mouthrise
Drink water often and brush as usual
Drink water often and use fluoride mouthrinse
Cervical burnount is:
Common radiographic artefact on PBWs which is not real
Aproximal caries
Root caries
Unclear x-ray
Acid etch for root caries filling:
Enamel 20s and dentine 10s
Enamel 10s and dentine 20s
Etch for 20s
Etch for 10s
Light-curing time for root lesion filling:
20s each time and 20s for finishing
20s every time
40s every time
20s each time and 40s for finishing
Which filling material is the most inappropriate for root caries treatment:
Glass-ionomer
1 step self-etch (composite)
2 step self-etch (composite)
3 step self-etch (composite)
Symptoms of Chronic Adult Periodontitis:
Bleeding after brushing, halitosis, and a bad taste
Normally painless until very advanced but sometimes root sensitivity is a problem
Loose teeth when advanced and majority of bone has been lost
All of them
Formula to calculate combined Attachment Loss (CAL):
Gingival Recession (GR) + Pochet depth (PD)
PD - GR
Clinical crown length + Pocket Depth
Anatomical crown length + Pocket Depth
Risk factor for Chronic Adult Periodontitis:
Plaque and aging
Age and smoking
Smoking and Diabetes
Diabetes
All of them
Plaque control in elderly:
Toothbrush handle bigger
Brush for 2 minutes, 2 times per day
Toothbrush handle smaller
Toothbrush handle bigger and brush for 2 minutes, 2 times per day
Brush for 2 minutes, 2 times per day and toothbrush handle smaller
When do you have to keep the tooth for periodontal treatment in elderly:
A periapical abscess
Pain because of mobility
No function
Prior to bridge
Most dementia victims survive approximately:
1 year
3 years
7 years
13 years
Alzheimer's disease can be divided into multiple phases:
2 phases
3 phases
4 phases
5 phases
What is amnesia:
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
What is aphasia:
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
What is apraxia:
Memory loss
Communication difficulties
Inability to perform complicated motor task
Inability to recognize previously learned sensory input
What is agnosia:
Memory loss
Communication difficulties
Inability to perform complicated motor tasks
Inability to recognize previously learned sensory input
How do you manage Amnestic patients
Frequent reminder during the dental procedure
Non-verbal communication
The practitioner should talk with family
Manage as normal patient
................may worsen confusion rather than improve dementia patient for dental procedure:
Gas or other major sedatives
Oral sedation
Lorazepam
Topical anesthetics
Blood glucose levels usually range within:
60 to 150 mg/dL
90 to 110 mg/dL
75 to 115 mg/dL
70 to 150 mg/dL
What do you need to ask Diabetes patients:
Recent blood glucose levels and frequency of hypoglycemic episodes
Antidiabetic medications
Dosages and times of administration should be determined
All of them
What is the alternative terms for Oesophageal reflux:
Heartburn
Digestion
Dysphagia
Haematemesis
..................should avoided in the first trimester and last month of pregnancy:
GA or IV sedation
LA
Topical Anesthesia
GA
Weight gian is the sign of:
Hypertension
Hyperthyroidism
Hypothyroidism
Hypotension
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