Gingival Overgrowth Workbook Answers PDF

EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Gingival Overgrowth Julie Watson Teamwork Improving Kindness Safety Student name:...

EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Gingival Overgrowth Julie Watson Teamwork Improving Kindness Safety Student name: 1  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Introduction This handbook is to be used in conjunction with your lecture and power point on Gingival Overgrowth The Power point/presentation thus far would have covered:  Definition of gingival overgrowth  How to differentiate between overgrowth or hyperplasia  Pathological processes of enlargement  Classification of gingival overgrowth  Location and distribution of gingival overgrowth  Scoring guide of gingival overgrowth  Drug groups commonly associated with drug induced gingival overgrowth You will need to complete the workbook to meet the intended learning outcomes. This is intended as self directed learning. By the end of this session students should be able to:  Identify the clinical features associated with gingival overgrowth  Categorize the potential causative factors of gingival overgrowth  Select appropriate assessment measures of patients presenting with gingival overgrowth  List the Classification of Gingival Overgrowth and state the areas in the mouth where this may present  Evaluate the impact of gingival overgrowth to the health of the oral cavity and well-being of the patient  Recommend the potential management of patients with this condition. 2  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Please complete the table below: Drug Group Medical Condition Drug Name Hypertension, Angina Pectoris, Amlodipine Calcium Channel Peripheral Vascular Disease, Felodipine Cardiac Arrhythmia and Nicardipine Hydrochloride Blocker Coronary Artery Nifedipine Verapamil Hydrochloride Diltiazem Hydrochloride Cardizem Dilacort Phenytoin Anti Convulsant Epilepsy Ethatoin Sodium Valproate Phenobarbitone Vigabatrin Primidone Mephenytoin Ethosuximide Methosuxinimide Downs Syndrome Parkinson’s Disease Phenytoin Anti Convulsant Epilepsy Essential Tremor organ transplant Immunosuppressant inflammatory bowel disease Tacrolimus crohns disease ulcerative colitis rheumatoid arthritis ankylosing spondylitis Calcium channel Amlodipine blockers Cardiac Arrhythmia Felodipine Nicardipine Hydrochloride Nifedipine 3  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Verapamil Hydrochloride Diltiazem Hydrochloride Cardizem Dilacort 1. True or False. 1 Mark Cellular hyperplasia is an increase in the number of individual cells. True 2. Complete the statement: 2 Marks Gingival enlargement or overgrowth is the …… and ……. of the gingiva 4  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Proliferation and Intensification 3. True or False: 1 Mark Cellular hypotrophy is an increase in the size of the individual cell True 4. Match up the word with its correct definition: 4 Marks A. Diffuse B. Discrete 5  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY c. Papillary D. Generalised Involving the gingivae An isolated enlargement such throughout the mouth as an abscess Generalised Discrete Confined to the interdental Involving the gingival margins, papillae attached gingivae and interdental papillae Papillary Diffuse 5. List 5 instructions you may give to a 5 Marks patient suffering with DIGO to improve their plaque control Tooth brushing instruction: Manual & electric Single tufted brushes Interdental cleaning: floss & brushes Use of disclosing tablets Regular hygienist/therapist appointments Visit GP to see if medication can be changed 6  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY 6. List 5 compromising factors that the 5 Marks presence of DIGO could be having on your patient Speech, Aesthetics, Eating, Increased caries Increased periodontitis, Delayed tooth eruption, Prolonged retention of primary teeth Diastemas, Mouth breathing, Xerostomia, low self esteem, halitosis, lacking in self confidence, poor oral hygiene. 7. Match the Grade with its correct definition: 4 Marks A. Grade 1 B. Grade 0 c. Grade 2 D. Grade 3 7  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY Enlargement involves Enlargement covers three papilla and gingival margins quarters or more of the crown of the tooth C grade 2 D Grade 3 Enlargement confined to No signs of gingival the interdental papillae enlargement A Grade 1 B Grade 0 8. List 4 descriptors that you would 4 Marks include when completing your contemporaneous notes for a patient presenting with DIGO Shape, Nodules, Location, Generalised, Localised, Vascular, Classification, Scoring Guide, how long present, underlying causative factor if known. 9. A patient presents with DIGO due to 2 Marks taking Amlodipine. What alternative medication might be available that doesn’t cause this. Include 2 examples Ramipril Look online BNF to find another. 8  EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY 10. Which statement is correct: 1 Mark? Plaque is a mineralised film Plaque is a protective film. covering the teeth. It prevents cavities by covering It can be supra gingival or sub the tooth surface, thus gingival preventing sugar attacks. Plaque is always an Plaque is an innocuous exacerbating factor substance and can be left in situ Correct answer 9 EASTMAN DENTAL HOSPITAL EDUCATION CENTRE DENTAL HYGIENE & DENTAL THERAPY 10