DOCSLIB.ORG

Asthma, Allergic Rhinitis, and Tooth Decay

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Asthma, Allergic Rhinitis, and Tooth Decay EARN This course was written for dentists, 3 CE dental hygienists, CREDITS and dental assistants. Dreamstime.com | Kaspars Grinvalds © Asthma, allergic rhinitis, and tooth decay A peer-reviewed continuing education course written by Erinne Kennedy, DMD, MMSc, MPH PUBLICATION DATE: DECEMBER 2020 EXPIRATION DATE: NOVEMBER 2023 SUPPLEMENT TO ENDEAVOR PUBLICATIONS EARN 3 CE CREDITS This continuing education (CE) activity was developed by Endeavor Business Media with no commercial support. This course was written for dentists, dental hygienists, and dental assistants, from novice to skilled. Educational methods: This course is a self-instructional journal and web activity. Provider disclosure: Endeavor Business Media neither has a leadership position nor a commercial interest in any products or services discussed or shared in this educational activity. No manufacturer or third party had any input in the development of the course content. Requirements for successful completion: To obtain three (3) CE credits for this educational activity, you must pay the required fee, review the material, complete the course evaluation, and obtain an exam score of 70% or higher. CE planner disclosure: Laura Winfield, Endeavor Business Media dental group CE coordinator, neither has a leadership nor commercial interest with the products or services discussed in this educational activity. Ms. Winfield can be reached at Asthma, allergic rhinitis, [email protected]. Educational disclaimer: Completing a single continuing and tooth decay education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop ABSTRACT skills and expertise. Asthma and seasonal allergies are chronic, yet treatable conditions that Image authenticity statement: The images in this have been shown to alter the oral microbiome. As oral health providers, we educational activity have not been altered. Scientific integrity statement: Information shared in this are called to help our patients cultivate the microbiome of their oral cavity CE course is developed from clinical research and represents the most current information available from evidence-based to achieve and maintain health. Specifically, this course will define asthma dentistry. and seasonal allergies, explain the current treatment recommendations, and Known benefits and limitations of the data: The information presented in this educational activity is derived discuss how these disease processes and treatments affect oral health. This from the data and information contained in the reference course also identifies ways that oral health professionals can help patients section. Registration: The cost of this CE course is $59 for three (3) with seasonal allergies and/or asthma achieve oral and overall wellness. CE credits. Cancellation and refund policy: Any participant who is not 100% satisfied with this course can request a full refund by EDUCATIONAL OBJECTIVES contacting Endeavor Business Media in writing. 1. Understand the impact of asthma and seasonal allergies locally (for the Provider information: patient) and nationally Dental Board of California: Provider RP5933. Course registration number CA code: 03-5933-20003. Expires 2. Review the current treatment recommendations for asthma and seasonal 7/31/2022. “This course meets the Dental Board of California’s allergies requirements for three (3) units of continuing education.” 3. Compare and contrast how both disease processes and their subsequent Endeavor Business Media treatments can impact oral health is a nationally approved PACE program provider for FAGD/MAGD credit. 4. Discuss how changing patient behaviors and using innovative products Approval does not imply acceptance by any regulatory authority or AGD endorsement. can improve oral health in patients with asthma and allergic rhinitis (AR) 11/1/2019 to 10/31/2022. Provider ID# 320452 AGD code: 010 Endeavor Business Media is designated as an approved provider by the American Academy of Dental Hygiene Inc. #AADHPNW (January 1, 2019–December 31, 2020). Approval does not imply acceptance by a state or provincial board of dentistry. Licensee should maintain this document in the event of an audit. Endeavor Business Media is an ADA CERP–recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of dental continuing education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ada.org/goto/cerp. Go online to take this course. DentalAcademyofCE.com QUICK ACCESS CODE 20003 DENTAL ACADEMY OF CONTINUING EDUCATION WHAT IS ASTHMA? HELPING PATIENTS WITH ASTHMA From a pharmacological perspective, Asthma is a chronic lung condition that Examples of ways to reduce these trig- SABA and LABA inhalers are associ- results in inflammation in the bronchial gers include ensuring that you clean the ated with adverse outcomes, such as an tubes that carry air (with oxygen) in and room and keep it well ventilated prior unpleasant taste, glossitis, sinusitis, and out of the lungs. Patients with asthma to the patient’s arrival. Severe asthmatic xerostomia.4 In one study, no specific den- often have an inflammatory reaction to patients may request the first appointment tal interactions were reported with leu- their environment, emotions, or physical of the day to reduce the number of fumes, kotriene receptor antagonists, mast cell activities. Triggers can include, but are aerosols, or irritants in the room or office. stabilizers, or methylxanthines. Among not limited to, time of day, viral respira- For other patients, you may find it helpful immunomodulators used to treat asthma, tory infections, allergens or irritants (sea- to source alternatives to chemical agents benralizumab was associated with pharyn- sonal, e.g., grass; environmental, e.g., dust that evaporate or release fumes into the air gitis, and reslizumab was associated with in apartment; occupational, e.g., fumes), when possible, ensure that a rubber dam oropharyngeal pain.4 weather changes, laughing, crying, stress, is used to prevent chemical odors in their or exercise.1 The frequency, severity, and airway, or keep the appointment shorter ASTHMA AND TOOTH DECAY source of triggers for asthma attacks are to reduce total exposure to triggers. Disease processes and medication have unique to each individual. Understanding Additionally, having a discussion with an effect on overall health, including oral asthma is important because patients can the patient about sources of stress that health. For many years, individual stud- be exposed to many of the environmental cause fear or dental anxiety can be help- ies evaluating the relationship between triggers for an asthma attack during a den- ful. For many patients, knowing what is asthma and tooth decay were inconclusive. tal appointment. Environmental triggers going on, being aware and working through However, in 2010, a systematic review and can include fumes from a cleaning agent finances in advance, or knowing they are meta-analysis conducted on asthma and or dental material (e.g., chemicals used to in control can reduce stress and anxiety. tooth decay in primary dentition clarified disinfect the office, dental bonding agent, It can be helpful to have a patient walk the relationship. A review of 14 articles or materials associated with acrylic resin) through his or her most successful medi- from 1950–2010 demonstrated that chil- or aerosols. When aerosols are generated cal visit for you out loud. You will be able dren with primary dentition have more from a procedure, physical particles, chemi- to clearly articulate alongside the patient than double the odds (OR = 2.73) of hav- cals, pathogens, and water are dispersed in what a successful visit will look and feel ing tooth decay if they were diagnosed the air around the chair and can be inhaled like for this patient. Simple environmental with asthma.5 Additionally, for children and cause irritation. Providers wear masks, controls for anxiety relief include weighted and adults with permanent dentition who but often patients are exposed to this aero- blankets, using music or podcasts during have asthma, their risk for developing tooth sol, and this cloud of irritants can trigger the procedure, holding a suction or raising decay is more than doubled (OR = 2.04).5 an asthma attack during a dental appoint- a hand as a signal, or having a care animal There are a few plausible explanations ment. Lastly, stress or a response due to in the practice. for this relationship that have been eluci- stress (e.g., crying, anxiety) can trigger an dated by research, including the change asthma attack. Reducing environmental ASTHMA TREATMENTS in saliva due to the disease process and triggers or stress can help prevent asthma Successfully treating asthma is not medication. Research has shown that attacks during dental appointments. achieved by taking medications alone. salivary composition changes in patients Surveillance from the 2016–2018 Health-care providers do prescribe oral with asthma, including electrolyte con- National Health Interview Survey (NHIS) or inhalation medications to treat symp- centration, flow rate, and inflammatory estimates that
Load more

Recommended publications
  • Guideline # 18 ORAL HEALTH
    Guideline # 18 ORAL HEALTH RATIONALE Dental caries, commonly referred to as “tooth decay” or “cavities,” is the most prevalent chronic health problem of children in California, and the largest single unmet health need afflicting children in the United States. A 2006 statewide oral health needs assessment of California kindergarten and third grade children conducted by the Dental Health Foundation (now called the Center for Oral Health) found that 54 percent of kindergartners and 71 percent of third graders had experienced dental caries, and that 28 percent and 29 percent, respectively, had untreated caries. Dental caries can affect children’s growth, lead to malocclusion, exacerbate certain systemic diseases, and result in significant pain and potentially life-threatening infections. Caries can impact a child’s speech development, learning ability (attention deficit due to pain), school attendance, social development, and self-esteem as well.1 Multiple studies have consistently shown that children with low socioeconomic status (SES) are at increased risk for dental caries.2,3,4 Child Health Disability and Prevention (CHDP) Program children are classified as low socioeconomic status and are likely at high risk for caries. With regular professional dental care and daily homecare, most oral disease is preventable. Almost one-half of the low-income population does not obtain regular dental care at least annually.5 California children covered by Medicaid (Medi-Cal), ages 1-20, rank 41 out of all 50 states and the District of Columbia in receiving any preventive dental service in FY2011.6 Dental examinations, oral prophylaxis, professional topical fluoride applications, and restorative treatment can help maintain oral health.
    [Show full text]
  • Tooth Decay Information
    ToothMasters Information on Tooth Decay Definition: Tooth decay is the destruction of the enamel (outer surface) of a tooth. Tooth decay is also known as dental cavities or dental caries. Decay is caused by bacteria that collect on tooth enamel. The bacteria live in a sticky, white film called plaque (pronounced PLAK). Bacteria obtain their food from sugar and starch in a person's diet. When they eat those foods, the bacteria create an acid that attacks tooth enamel and causes decay. Tooth decay is the second most common health problem after the common cold (see common cold entry). By some estimates, more than 90 percent of people in the United States have at least one cavity; about 75 percent of people get their first cavity by the age of five. Description: Anyone can get tooth decay. However, children and the elderly are the two groups at highest risk. Other high-risk groups include people who eat a lot of starch and sugary foods; people who live in areas without fluoridated water (water with fluoride added to it); and people who already have other tooth problems. Tooth decay is also often a problem in young babies. If a baby is given a bottle containing a sweet liquid before going to bed, or if parents soak the baby's pacifier in sugar, honey, or another sweet substance, bacteria may grow on the baby's teeth and cause tooth decay. Causes: Tooth decay occurs when three factors are present: bacteria, sugar, and a weak tooth surface. The sugar often comes from sweet foods such as sugar or honey.
    [Show full text]
  • Msnewsletter 201809 E.Pdf
    SEPTEMBER 2018 Volume 24, Issue 3 HEALTHY A newsletter for the members of Central California Alliance for Health YOU AND YOUR HEALTH are important to us. Please call us at 1-800- 700-3874 (TTY: 1-800- 735-2929 or 7-1-1) if you have questions, need help or have concerns about your care as an Alliance member. We’re here to help! Service with a smile! Have you ever wondered who is on the ● Answer questions about your ● Send you a new Alliance ID card if other end of the phone when you call benefits you lose yours Member Services? ● Explain how you can get medical ● Assist you with concerns or Our representatives are caring, care and services complaints dedicated professionals. They are here ● Let you know which doctors and We have representatives in Santa to answer your calls Monday through clinics you can go to Cruz, Monterey and Merced counties. Friday from 8 a.m. to 5:30 p.m. ● Help you choose or change your They live and work in the communities Our representatives are ready to: Primary Care Provider we serve. What they have in common ● Help you understand how your ● Offer interpreter services if you do is that they care about our members health plan works not speak English, Spanish or Hmong and are here to help. Important notice Member Services will not be available on the following dates and times due to companywide or departmental meetings: ● November 7, all day Permit No. 1186 No. Permit ● CA Merced, December 13, from 10:45 a.m.
    [Show full text]
  • Oral Health Toolkit for Athletes
    EASTMAN DENTAL INSTITUTE CENTRE FOR ORAL HEALTH AND PERFORMANCE wwwwwww Oral Health Toolkit for Athletes 1 Contents Introduction ..................................................................................................................................... 3 How to use the toolkit ..................................................................................................................... 4 Oral health drills .............................................................................................................................. 5 Preventing dental decay ................................................................................................................. 6 Preventing gum disease ................................................................................................................. 7 Preventing dental erosion ............................................................................................................... 8 Preventing problems with wisdom teeth ......................................................................................... 9 Additional preventative methods .................................................................................................. 10 Dental check-ups .......................................................................................................................... 11 Common dental diseases ............................................................................................................. 12 References ...................................................................................................................................
    [Show full text]
  • Third Molar (Wisdom) Teeth
    Third molar (wisdom) teeth This information leaflet is for patients who may need to have their third molar (wisdom) teeth removed. It explains why they may need to be removed, what is involved and any risks or complications that there may be. Please take the opportunity to read this leaflet before seeing the surgeon for consultation. The surgeon will explain what treatment is required for you and how these issues may affect you. They will also answer any of your questions. What are wisdom teeth? Third molar (wisdom) teeth are the last teeth to erupt into the mouth. People will normally develop four wisdom teeth: two on each side of the mouth, one on the bottom jaw and one on the top jaw. These would normally erupt between the ages of 18-24 years. Some people can develop less than four wisdom teeth and, occasionally, others can develop more than four. A wisdom tooth can fail to erupt properly into the mouth and can become stuck, either under the gum, or as it pushes through the gum – this is referred to as an impacted wisdom tooth. Sometimes the wisdom tooth will not become impacted and will erupt and function normally. Both impacted and non-impacted wisdom teeth can cause problems for people. Some of these problems can cause symptoms such as pain & swelling, however other wisdom teeth may have no symptoms at all but will still cause problems in the mouth. People often develop problems soon after their wisdom teeth erupt but others may not cause problems until later on in life.
    [Show full text]
  • What Every Transplant Patient Needs to Know About Dental Care
    What Every Transplant Patient Needs to Know About Dental Care International Transplant Nurses Society Should patients have that still need to be done. Taking gums each day because they don’t feel a dental exam before care of your teeth and gums (oral well. So some patients already have hygiene) is important for everyone. dental problems before they receive having a transplant? For people who are waiting for an a transplant. After transplant, you Transplant candidates should have a organ transplant and for those who may have been more concerned about dental check-up as part of the pre- have received organ transplants, problems like rejection, infection, transplant evaluation. It is helpful to maintaining healthy teeth and gums is or side effects of your medications. have an examination by your dentist an essential area of care. This booklet Because you are now taking medicines when you are being evaluated for will discuss many issues about dental to suppress your immune system, you transplant to check the health of your care and the best ways to take care of could have an increased risk of dental teeth and gums. This is important your teeth and gums. health problems. All of these factors because some medications that you can add to dental problems following take after transplant may cause you Why could I have transplant. to develop infections more easily. problems with my teeth Maintaining your dental health as best What are the most as you can while waiting for an organ and gums? will help you do better after your There are several reasons why you common dental transplant.
    [Show full text]
  • Tackling Tooth Decay
    FOR THE DENTAL PATIENT ... These substances are the building blocks of the Tackling tooth tooth’s hard enamel, and exposure to them can help the tooth repair itself. Like any treatment, decay remineralization is not always successful. Pa - tients who have the most success follow their ooth decay, usually referred to as “cavi- dentist’s recommendations closely regarding ties,” starts in the enamel, the outer pro- changes in home care. tective layer of the tooth. In some For more advanced disease, your dentist may T people, especially older adults, the gums need to remove the decay and restore the tooth. pull away from the tooth and expose the tooth If the affected area is small, he or she can place root. Decay can occur here as well. The good a filling in the tooth. When decay damages the news is that because of recent scientific advance- tooth’s structure more extensively, your dentist ments, tooth decay sometimes can be stopped. may need to place a crown over the remaining tooth. In other severe cases, not enough healthy HOW DOES TOOTH DECAY DEVELOP? tooth is left, and the tooth must be removed. Your teeth are covered with a sticky film of bac- teria called plaque. When you eat and drink, the PREVENTING TOOTH DECAY bacteria in plaque produce acids that can cause Good dental hygiene is the first step in pre- the enamel or root surface to break down. venting tooth decay. Brush your teeth twice a Plaque collects around the gumline and on the day with a fluoride-containing toothpaste and chewing surfaces of your molars in the back of clean between your teeth once a day with floss your mouth, putting these areas at higher risk or an interdental cleaner.
    [Show full text]
  • Dry Mouth QUESTIONS and ANSWERS U.S
    Dry Mouth QUESTIONS AND ANSWERS U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health What do I need to know about dry mouth? Dry mouth is the feeling that there is not enough saliva in the mouth. Everyone has a dry mouth once in a while—if they are nervous, upset or under stress. But if you have a dry mouth all or most of the time, it can be uncomfortable and can lead to serious health problems. It can also be a sign of certain diseases and conditions. Without enough saliva you can develop tooth decay or other infections in the mouth. You also might not get the nutrients you need if you cannot chew and swallow certain foods. Dry mouth is not a normal part of aging. So if you think you have dry mouth, see your dentist or physician—there are things you can do to get relief. What are the signs and symptoms? ● a sticky, dry feeling in the mouth ● trouble chewing, swallowing, tasting, or speaking ● a burning feeling in the mouth ● a dry feeling in the throat ● cracked lips ● a dry, rough tongue ● mouth sores ● an infection in the mouth The technical term for dry mouth is xerostomia (ZEER-oh-STOH-mee-ah). What causes dry mouth? People get dry mouth when the glands in the mouth that make saliva are not working properly. Because of this, there might not be enough saliva to keep your mouth wet. There are several reasons why these glands (called salivary glands) might not work right.
    [Show full text]
  • Abcs of Dental Care Oral Health Essentials
    ABCs of Dental Care Oral health essentials Achieving good oral health and preventing problems like cavities and gum disease is as easy as A-B-C: • Acquire healthy dental care habits. • Brush and floss regularly. • Conquer gum disease and tooth decay. Then, you can enjoy a healthy smile that lasts a lifetime. We keep you smiling® deltadentalins.com/enrollees Acquire healthy dental care habits Visit your dentist • Be mindful of when, how and what you eat. • Get dental checkups and cleanings. See your Holding foods (such as hard candy) in your dentist regularly to help prevent oral health mouth or eating foods that take a long time problems before they cause pain or require to chew results in longer contact with sugar, major treatment. which can damage your teeth. Avoid snacking • Share your complete medical and dental on sugary, carbohydrate-rich or acidic foods history with your dentist on your first visit. throughout the day. Eat these foods only during Then, continue to tell your dentist about any meal times or drink through a straw to minimize health changes each time you go back — even the amount of time your teeth are exposed to if the updates don’t seem related to your oral sugar and acid. health. • Drink fluoridated water. Fluoride promotes • Sit back and relax. For more stress-free dental the rebuilding of minerals in the tooth enamel, visits, choose a time when you’re not rushed, resulting in a compound that is harder bring along your favorite music and be sure to and more resistant to decay.
    [Show full text]
  • Oral Health During Pregnancy
    FOR THE DENTAL PATIENT ... delayed until after your baby is born, your den- Oral health during tist may need to obtain a radiograph as part of your dental treatment. To minimize your expo- pregnancy sure and that of the fetus to x-rays, your dentist will cover your abdomen with a protective apron and place a thyroid collar over your throat. What to expect when Talk with your dentist or physician about any concerns you may have about your treatment. expecting Good daily care is key to your oral health. To ou have so much to think about during help prevent caries (tooth decay) and gum disease, pregnancy, but don’t overlook your oral brush your teeth thoroughly twice a day with fluo- health, which can be affected by the hor- ride toothpaste to remove plaque. Be sure to clean Ymonal changes you will experience between your teeth daily during this time. with floss or another inter- For example, women are more likely to dental cleaner. Ask your develop gingivitis during pregnancy. Gingivitis dentist or hygienist to is an infection of the gingivae (gums) that can show you how to brush and cause swelling and tenderness. Your gums also floss correctly. When may bleed a little when you brush or floss. Left choosing oral care prod- untreated, gingivitis can affect the supporting ucts, look for those that tissues that hold your teeth in place. Your den- display the American tist may recommend more frequent cleanings to Dental Association’s Seal of prevent gingivitis. Acceptance, your assurance that they have met Sometimes lumps appear along the gum line ADA criteria for safety and effectiveness.
    [Show full text]
  • Oral Health in Elderly People Michèle J
    CHAPTER 8 Oral Health in Elderly People Michèle J. Saunders, DDS, MS, MPH and Chih-Ko Yeh, DDS As the first segment of the gastrointestinal system, the At the lips, the skin of the face is continuous with oral cavity provides the point of entry for nutrients. the mucous membranes of the oral cavity. The bulk The condition of the oral cavity, therefore, can facili- of the lips is formed by skeletal muscles and a variety tate or undermine nutritional status. If dietary habits of sensory receptors that judge the taste and tempera- are unfavorably influenced by poor oral health, nutri- ture of foods. Their reddish color is to the result of an tional status can be compromised. However, nutri- abundance of blood vessels near their surface. tional status can also contribute to or exacerbate oral The vestibule is the cleft that separates the lips disease. General well-being is related to health and and cheeks from the teeth and gingivae. When the disease states of the oral cavity as well as the rest of mouth is closed, the vestibule communicates with the the body. An awareness of this interrelationship is rest of the mouth through the space between the last essential when the clinician is working with the older molar teeth and the rami of the mandible. patient because the incidence of major dental prob- Thirty-two teeth normally are present in the lems and the frequency of chronic illness and phar- adult mouth: two incisors, one canine, two premo- macotherapy increase dramatically in older people. lars, and three molars in each half of the upper and lower jaws.
    [Show full text]
  • Adult/Caregiver Handouts
    Oral Health Risk Assessment Protocols, Training Modules and Educational Materials for Use with Families of Young Children. Adult/ Caregiver Adult/Caregiver FLUORIDE • Makes teeth stronger and protects them from tooth decay. • Is found naturally in water and some foods. • Is added to many community water systems (tap water) when there isn’t enough natural fluoride. • Is also available through drops, tablets, gels, toothpastes, mouth rinses, and varnishes. • Ask your doctor or dentist which type of fluoride is right for you and your family. 1 BRUSHING AND FLOSSING TEETH • Brush teeth two times a day to remove plaque. • Brush for two-three minutes reaching all teeth. • Brushing should be supervised by an adult until the child is 6-8 years old. • Floss once a day – starting at age 8 with adult assistance. • Replace toothbrush when bristles are frayed. • Wipe the gums of infants with a wet cloth after each feeding. 2 STAINED AND DISCOLORED TEETH Teeth can be discolored or stained on the surface and/or discolored from the inside of the tooth. The stain or discoloration may be all over the tooth or appear as spots or lines in the enamel. Causes: • Trauma to the tooth • High fever when tooth is forming • Excessive fluoride • Taking tetracycline before 8 years of age • Not brushing teeth and gums • Tooth decay • Drinking cola, coffee or tea • Old silver fillings • Tobacco products 3 SPOTS ON TEETH WHAT DOES TOOTH DECAY LOOK LIKE? • White spots on teeth are the first sign of tooth decay. They look chalky and white and are found near the gums where plaque forms.
    [Show full text]