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Pulmonary Disease

Pulmonary Disease. Presented by: Bobbie Jo Bennett, Kristen Franklin, & Lacey McGallion. Chronic obstructive pulmonary disease (COPD). A large group of lung diseases characterized by obstruction of air flow that interferes with normal breathing. 2 common types Chronic bronchitis

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Pulmonary Disease

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  1. Pulmonary Disease Presented by: Bobbie Jo Bennett, Kristen Franklin, & Lacey McGallion

  2. Chronic obstructive pulmonary disease (COPD) A large group of lung diseases characterized by obstruction of air flow that interferes with normal breathing. 2 common types Chronic bronchitis Emphysema

  3. Etiology • The primary etiology is use of tobacco and exposure to occupational and environmental pollutants. • Dental hygienists should motivate patients with COPD using tobacco to begin a smoking cessation program.

  4. Occurrence • Chronic bronchitis • 2009- estimated 9.9 million Americans • Emphysema • 2009- estimated 4.9 million Americans • Population at increased risk • Chronic bronchitis • Race: non-hispanic white • Age: 45-64 years old • Sex: women almost 2x likely • Location: South of the United States • Emphysema • Race: non-hispanic white • Age: 65+ years old • Sex: men • Location: South of the United States

  5. Treatment • No cure • Medication intervention • Home oxygen therapy • Pulmonary rehabilitation • Surgery (lung transplant & LVRS)–severe cases only • Patients are encouraged to… • Stop smoking • Adequate nutrition • Drink plenty of water • Exercise regularly • Decrease exposure to pollutants

  6. Medications • Pneumonia and influenza vaccines • Bronchodilators and other medications similar to those used for asthma • Beta-agonists • Anticholinergics • Systemic or inhaled corticosteroids • Antibiotics

  7. Dental Concerns Indications Contraindications • Low-flow oxygen helpful • Epinephrine • Nitrous oxide/oxygen for stress management • Narcotic analgesics • Diazepam/Lorazepam • Rubber dam

  8. How will oral health be impacted?

  9. Will medical treatment impact oral health? How? • Will medications impact oral health? How?

  10. Periodontal Management

  11. Expected/Accepted Treatment Options • Pre-med • No- controversial • Patient positioning • Semi-supine or upright chair position to facilitate breathing • Appointment length • Shorter appointments • Ultrasonic use • Avoid use- Pathogens may be aspirated into the lungs • Recall intervals • Semi-annual appointments- unless other medical/dental issues involved

  12. References • Wilkins textbook • Online… • http://www.lung.org/finding-cures/our-research/trend-reports/copd-trend-report.pdf • http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/pulmonary/chronic-obstructive-pulmonary-disease/ • http://www.fidanoski.ca/dentalhygiene/2011/COPD.htm

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