Medically Compromised Patient:

Respiratory Disease
Most common respiratory diseases:
Acute Bronchitis
Pneumonia
Tuberculosis
Asthma
COPD
Cystic Fibrosis
1. Acute Bronchitis:
The tubes that carry air into the lungs are inflamed
Etiology:
Viral and Bacterial Infections
Dental Concerns:
Disease Prevention
Appointment management
Bacterial resistance to ___________________
Xerostomia from medications and _____________
________________
Oral Candidiasis
2. Pneumonia
An __________________ in the lungs
Etiology:
Viruses, bacteria, fungi, mycoplasma, or
___________________
Dental Concerns:
Extra oxygen may be needed
Prevent ________________ ____________________ by
controlling oral pathogens with proper effective oral
hygiene.
3. Tuberculosis
A chronic, infectious, and communicable disease
Etiology:

A bacterial infection spread through aerosols by:

_____________________ ____________________________
Dental Concerns Associated With Tuberculosis
- Treatment should be administered in a hospital and is
only
permitted in a dental office once disease is inactive
- Recognize ______________ and _________________ of TB
- Painful deep ulcerations overall, swelling of lymph
nodes
- Xerostomia from medications
4. Asthma
Chronic lung disease that makes it harder to move air in
and out of your lungs.
Etiology:
Cause is unknown
Dental concerns associated with asthma
Avoid ______________ and ________________
Oral Manifestations:
______________________
Possible increase in dental caries
GERD: can cause erosion
Oral Candidiasis
5. Chronic Pulmonary Obstructive Disease
Pulmonary disorders that obstruct the airflow
Two Common Types Include:
1. Chronic Bronchitis
2. Emphysema
Etiology:
Inhalation of tobacco smoke and environmental
pollutants
6. Cystic Fibrosis
An ________________ disease that causes thickened
mucus to form in the lungs, pancreas, and other organs.

Etiology:
Genetic

Dental Hygiene Care for Respiratory Disease:

Signs & Symptoms:
Cough/dyspnea at rest, wheezing, chest pain
Reduce Stressful Situations:
Short, morning appointments
Position patient semi-reclined or upright
Avoid local anesthesia with sulfite
Nitrous oxide-oxygen may be contraindicated
Avoid aspirin and NSAIDS
__________________ and ___________________ is
contraindicated
1. The use of the ultrasonic in an individual with
respiratory disease is contraindicated. The pathogens
found in bacterial plaque and periodontal pockets may
be aspirated into the lungs.
Both statements are true.
Both statements are false.
The first statement is true, and the second is false.
The first statement is false, and the second is true.
2. Which organism causes tuberculosis?
Streptococcus pyogenes
Mycobacterium tuberculosis
Candida albicans
Mycobacterium leprae
3. Which of the following are oral manifestations of
asthma?
Caries

 Candidiasis
Xerostomia
All of the above