Professional Documents
Culture Documents
ORAL DISORDERS
DRUG CLASSIFICATIONS
DENTIFRICES
ACTIONS: Contain one or more abrasive agents, a foaming agent,
and flavoring materials. Available in powder, paste, or gel and
are best used with a soft nylon toothbrush.
Fluoride is added to detifrices as a therapeutic agent for its
anticaries activity.
USES: Everyone should brush at least twice daily with a fluoride
toothpaste.
Therapeutic outcomes: Reduction in plaque formation and
cavities.
DENTIFRICES
Gel
Powder
Paste
DRUG CLASSIFICATIONS
MOUTHWASHES
White Brown
(Whitening) (Medicinal)
MOUTHWASHES
• A 0.9 % normal saline solution is an effective
gargle. It can provide temporary, soothing
relief of pharyngeal irritation from nasogastric
tubes, endotracheal tubes, sore throat, or
oral surgery.
Oral Disorders
• Cold sores
• Canker sores
• Mucositis
• Plaque
• Halitosis
• Xerostomia
COLD SORES
• Caused by the herpes
simplex type 1 virus
(herpes simplex labialis).
• Caused by toothbrush
abrasion, irritation from
braces, biting the inside of the cheeks or lips.
Dental Flossing
NOTE
If halitosis is persistent and has no readily
identifiable cause such as smoking or diet, a dentist
should be consulted for a thorough examination to
ensure that no other pathologic condition is
underlying the cause. .
XEROSTOMIA
• Is a condition in which the flow
of saliva is either partially or
completely stopped.
• Xerostomia causes loss of taste,
difficulty talking, and it increases
tooth decay.
• Can cause burning sensation and MUCOSITIS.
• Common causes of xerostomia are some of these medicines
like anticholinergic agents, diuretics etc.
Drug therapy for XEROSTOMIA
• Xerostomia is treated by changing the medicines that cause
dry mouth or with artificial saliva.
• Artificial saliva products do not stimulate natural saliva
production, but mimic the viscosity, mineral content and
taste.
• Patients with xerostomia should be seen by a dentist
regularly to help avoid additional dental caries.
Commercially available saliva
substitutes:
Caphosol
Indication: For dry mouth or
throat (hyposalivation or
xerostomia).
How to use:
Mix 1 blue (Caphosol A) and 1 clear
ampule (Caphosol B).
Swish the mouth thoroughly for 1
min with half of the solution and
spit out.
• Use immediately after mixing ampules.
Frequency: Repeat 2-10 times a day or as needed.
MOUTHWASHES
Mucositis – Chlorhexidine (Peridex)
Plaque – Brushing teeth, dental flossing, using mouthwashes
Halitosis – Avoid smoking, brushing teeth, use dental floss and
mouthwashes
Xerostomia – Caphosol
Oral Disorder Drug Classification Treatment
COLD SORES Dentifrices Docosanol (Abreva)
XEROSTOMIA Caphosol
NURSING RESPONSIBILITIES
Assessment
1. Obtain history of recent drug therapy.
2. Obtain a dental history that includes frequency of
visits to dentist and brief summary of procedures
that have been performed.
3. Ask about tobacco and alcohol use.
4. Ask about difficulty of chewing, swallowing or
speaking.
5. Ask any changes in the taste of foods such as
burning or tingling.
6. Put on gloves and inspect the oral cavity with
flashlight and tongue blade. Inspect the mucous
membranes for inflamed or receding gums.
7. Note the presence or absence of halitosis.
8. Biopsy of the soft tissues of the oral cavity to
confirm diagnosis of oral lesion.
Implementation
COLD SORES
1. Teach the patients with cold sores that lesions are common
and may occur at any time from childhood to adulthood. Cold
sores are contagious when an active lesion is present.
2. Cold sores must be kept clean by washing with mild soap
solutions. Instruct the patient that it should be kept moist to
prevent cracking and bacterial infection.
3. Instruct to apply docosanol (abreva) as prescribed.
4. When secondary infection are present, apply topical
antibiotic ointment (Neosporin) to cold sore.
NURSING RESPONSIBILITIES
CANKER SORES
1. Apply topical anesthetics before the patient eats or perform
oral hygiene.
2. Apply Aphtasol after meals and oral hygiene, 4 times daily.
3. Saline rinses using 1 to 3 tsp of tablesalt dissolved in 4 to 8 oz
of warm tap water.
4. Changes in diet can also reduce irritation to the sores.
NURSING RESPONSIBILITIES
MUCOSITIS
1. Oral hygiene regimens should be started at the time of
chemotherapy or radiation therapy.
2. Oral hygiene should include a soft-bristled brush.
3. Do not use containing alcohol mouthwashes because they
dry and irritate the mouth.
4. Instruct patient not to take food or drink approximately 15
mins after the medication has been given.
5. Mouth dryness can be relieved by chewing gum and sucking
on ice chips or ice pops. Dry lips can be coated with
petroleum jelly or lip balm and cocoa butter.
NURSING RESPONSIBILITIES
PLAQUE
1. Perform tooth brushing and dental flossing and use
mouthwashes on a scheduled basis daily to prevalent plaque.
HALITOSIS
1. Brushing dentures and teeth regularly and using dental floss
can remove particles of decaying food. Mouthwashes and
breath mints can mask halitosis, but usually last less than 1
hour.
NURSING RESPONSIBILITIES
XEROSTOMIA
1. Monitor the medication routine, report xerostomia to the
healthcare provider, and use artificial saliva if prescribed.
PATIENT EDUCATION
• Teach the patient proper cleansing techniques for
oral hygiene.
• Teach patient with the proper use of analgesics and
comfort measures.
• Discuss dietary practices that may relieve symptoms,
such as bland foods.
• Instruct the patient to report to the healthcare
provider conditions that are not relieved by the
prescribed therapies.
Thank you!