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What is the primary benefit of using a rubber dam in dental procedures?
What is the primary benefit of using a rubber dam in dental procedures?
In patients with facioscapulohumeral muscular dystrophy, what activity is most likely to be impacted?
In patients with facioscapulohumeral muscular dystrophy, what activity is most likely to be impacted?
Why should dental anesthetics be used cautiously in patients with neuromuscular disorders?
Why should dental anesthetics be used cautiously in patients with neuromuscular disorders?
Referral to a registered dietitian for patients with muscular dystrophy is considered for which reason?
Referral to a registered dietitian for patients with muscular dystrophy is considered for which reason?
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What specific dental treatment should be introduced to children with Duchenne muscular dystrophy at the earliest age possible?
What specific dental treatment should be introduced to children with Duchenne muscular dystrophy at the earliest age possible?
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Intraoral stretching devices are used in patients with DMD primarily to preserve what?
Intraoral stretching devices are used in patients with DMD primarily to preserve what?
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What oral manifestation is commonly found in various forms of muscular dystrophy?
What oral manifestation is commonly found in various forms of muscular dystrophy?
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Which muscle group is particularly affected in patients with facioscapulohumeral muscular dystrophy?
Which muscle group is particularly affected in patients with facioscapulohumeral muscular dystrophy?
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What is a common characteristic of myotonic dystrophy?
What is a common characteristic of myotonic dystrophy?
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Which muscular dystrophy typically manifests between 30 and 50 years of age?
Which muscular dystrophy typically manifests between 30 and 50 years of age?
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What is a significant risk associated with weakened bones in muscular dystrophy patients?
What is a significant risk associated with weakened bones in muscular dystrophy patients?
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Which of the following describes a common sign or symptom of DMD or BMD as patients age?
Which of the following describes a common sign or symptom of DMD or BMD as patients age?
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In which population is the prevalence of myotonic dystrophy particularly high?
In which population is the prevalence of myotonic dystrophy particularly high?
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What connection is there between Duchenne and Becker muscular dystrophies and the heart?
What connection is there between Duchenne and Becker muscular dystrophies and the heart?
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What symptom is connected to respiratory issues in DMD or BMD patients?
What symptom is connected to respiratory issues in DMD or BMD patients?
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Which of the following complications is NOT typically associated with muscular dystrophy?
Which of the following complications is NOT typically associated with muscular dystrophy?
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Which of the following factors is commonly associated with open bites?
Which of the following factors is commonly associated with open bites?
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What is the primary cause of muscular dystrophies?
What is the primary cause of muscular dystrophies?
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Which type of muscular dystrophy is most common in males?
Which type of muscular dystrophy is most common in males?
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What characterizes the incidence of Duchenne muscular dystrophy?
What characterizes the incidence of Duchenne muscular dystrophy?
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Which condition is a common complication for tube-fed patients?
Which condition is a common complication for tube-fed patients?
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Which of the following statements is true about autosomal dominant forms of muscular dystrophy?
Which of the following statements is true about autosomal dominant forms of muscular dystrophy?
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What is the most common feeding tube used for patients with neuromuscular disorders?
What is the most common feeding tube used for patients with neuromuscular disorders?
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What is a typical management strategy for childhood-onset muscular dystrophy?
What is a typical management strategy for childhood-onset muscular dystrophy?
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What type of muscular dystrophies are Duchenne MD and Becker MD classified as?
What type of muscular dystrophies are Duchenne MD and Becker MD classified as?
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At what age does muscle weakness typically begin for individuals with Duchenne MD?
At what age does muscle weakness typically begin for individuals with Duchenne MD?
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Which therapeutic modality is specifically designed to maintain muscle strength in Duchenne MD patients?
Which therapeutic modality is specifically designed to maintain muscle strength in Duchenne MD patients?
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What is the main reason females with an X-linked gene mutation may not exhibit symptoms of muscular dystrophy?
What is the main reason females with an X-linked gene mutation may not exhibit symptoms of muscular dystrophy?
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Which of the following describes Becker MD in relation to Duchenne MD?
Which of the following describes Becker MD in relation to Duchenne MD?
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What is a common early motor development delay seen in children with DMD?
What is a common early motor development delay seen in children with DMD?
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Which of the following regions is the first to typically show muscle weakness in both Duchenne MD and Becker MD?
Which of the following regions is the first to typically show muscle weakness in both Duchenne MD and Becker MD?
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What role do medications like eteplirsen and golodirsen play in the treatment of DMD?
What role do medications like eteplirsen and golodirsen play in the treatment of DMD?
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What is a common oral cavity issue observed in Duchenne muscular dystrophy (DMD)?
What is a common oral cavity issue observed in Duchenne muscular dystrophy (DMD)?
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Which condition is characterized by difficulties in swallowing?
Which condition is characterized by difficulties in swallowing?
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Which of the following conditions is commonly associated with reduced salivary secretion?
Which of the following conditions is commonly associated with reduced salivary secretion?
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What oral condition is frequently observed in individuals with myotonic dystrophy?
What oral condition is frequently observed in individuals with myotonic dystrophy?
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What is a characteristic of the tongue in individuals with DMD?
What is a characteristic of the tongue in individuals with DMD?
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What anatomical change occurs with aging in DMD patients?
What anatomical change occurs with aging in DMD patients?
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Which condition may lead to drooling in patients with muscular dystrophy?
Which condition may lead to drooling in patients with muscular dystrophy?
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Which symptom is associated with temporomandibular joint (TMJ) disorder in myotonic dystrophy?
Which symptom is associated with temporomandibular joint (TMJ) disorder in myotonic dystrophy?
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What is a common dental healthcare program component for patients with Duchenne muscular dystrophy?
What is a common dental healthcare program component for patients with Duchenne muscular dystrophy?
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Which condition is discussed regarding its prevalence in the United States?
Which condition is discussed regarding its prevalence in the United States?
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What is a dental characteristic of patients with Duchenne muscular dystrophy?
What is a dental characteristic of patients with Duchenne muscular dystrophy?
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What benefit is associated with improving temporomandibular range of motion in patients with Duchenne muscular dystrophy?
What benefit is associated with improving temporomandibular range of motion in patients with Duchenne muscular dystrophy?
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What procedure is considered invasive dental hygiene for patients with Duchenne muscular dystrophy?
What procedure is considered invasive dental hygiene for patients with Duchenne muscular dystrophy?
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Which organization provides information on muscular dystrophy including dental care?
Which organization provides information on muscular dystrophy including dental care?
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What is an essential component of a dental healthcare program for patients with Duchenne muscular dystrophy?
What is an essential component of a dental healthcare program for patients with Duchenne muscular dystrophy?
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Which procedure is NOT typically part of dental care for patients with Duchenne muscular dystrophy?
Which procedure is NOT typically part of dental care for patients with Duchenne muscular dystrophy?
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Study Notes
Muscular Dystrophy
- Muscular dystrophy (MD) is a group of genetic conditions causing progressive muscle weakness and degeneration.
- Common types include Duchenne MD (DMD) and Becker MD (BMD).
- DMD typically affects males, and onset is usually before age 5.
- BMD is a milder form of DMD, and onset is generally between ages 7 and 12.
- Some types have adult onset.
- Medical clearance is advised before dental procedures if the patient is receiving immunosuppressant medications, general anesthetic agents are contemplated, or if there are concerns about medication-related osteonecrosis of the jaw (MRONJ).
- Antibiotic prophylaxis is not usually necessary.
- Postponing dental procedures might be considered sometimes, but not always. This depends on risk factors and patient conditions.
- Oral management implications include falls risks, wheelchair use, muscle weakness, swallowing issues, breathing problems, and potential complications during general anesthesia.
- Oral manifestations include facial muscle weakness, masticatory muscle issues, oral cavity atrophy, dysphagia, tongue weakness, and malocclusion.
- Specific precautions and modifications for dental hygiene are recommended depending on the type and severity of MD, such as using warm towels and adjusting chair positions.
Contraindications
- Initiating non-invasive dental hygiene procedures is not contraindicated.
- Initiating invasive dental hygiene procedures may be, although not typically, contraindicated.
- A medical consult is needed if the patient is being treated with immunosuppressant medications or if anesthesia is deemed necessary.
Medical Considerations
- Medical clearance is essential for patients on immunosuppressant medications, those undergoing dental procedures requiring anesthesia, and in situations where MRONJ exists.
- Antibiotic prophylaxis is generally not required, unless the patient is on prolonged corticosteroid therapy.
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Description
This quiz covers essential information about muscular dystrophy, focusing on its genetic nature and various types such as Duchenne and Becker. It highlights the implications for medical and dental care, including considerations for treatment and patient management. Test your understanding of the condition and its management.
