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Plennary
Discussion
BY TUTORIAL 4
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Doa Belajar
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Tutorial 4
Ayu Nur AIni
Adik Anis S.
Ike Yuni Iriyanti
Ayu Nurdiandari
Puspitasari
Lionida Agustiani
Kiki Pramana Aditya Yuliasanti
Fischera Diaz
Larastika A.
Ditya Anggraini
Puji lestari
Zaitun Alfa K.
Armantika
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Scenario
A 65 years old man complained about his upper fulldenture which had been replaced 3 months ago. Itcould be detached easily while he was eating. He alsocomplained about his burning tongue and bad breath.He said that he used listerine gargle twice a day and
cleaned his teeth at dentist routinely every year. Hismedical history showed that he has been consumsingmetformin and eclid for 6 years, and also ACE inhibitorand Calcium Chanel Blocker since 2 years ago. He hasbeen using amitriptyline for this last 6 month. Intra oralexamination showed poor oral hygiene, gingivitismarginalis and viscous sticky saliva. There was whiteplaque on his tongue which could be rub easly and lefta reddish area. There were red atrophic mucosal andcervical caries on his remaining teeth.
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Patient 65 yearsold man
Subjective
Objective
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Examination Subjective Upper full denture detached easily while he was
eating
Burning tongue and bad breath He used listerine gargle twice a day
Cleaned his teeth at dentist routinely every year
He has been consumsing Metformin , Eclid , ACE
inhibitor , Calcium Chanel Blocker , and Amitriptyline.
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Examination Objective
Poor oral hygiene
Gingivitis marginalis
Viscous sticky saliva
White plaque on his tongue which could be rubeasly and left a reddish area
Red atrophic mucosal
Cervical caries
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Main Topic
Xerostomia
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Xerostomia is the subjective complaint oforal dryness, and is medically classified as asymptom.
Hyposalivationis the objective reduction insalivary secretion, as the consequence ofreduced salivary gland function.
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Causes
Drugs and medications
Infection
Certain diseases
Some cancer treatments
Other causes
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Impact of xerostomia on
the oral cavity
Xerostomia Acut PseudomembranousCandidiasis
Cervical Caries
Gingivitis Marginalis Red Atropic mucosal
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Management
CIE (Communication, Information and Education)
a. Stop using alcohol mouthwash
b. Stimulation the saliva by chewing sugar free bubblegum
c. Refer to the internist to change the medicines
d. Education to maintain oral health
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References
http://www.dentalcare.com/en-US/dental-education/patient-education/xerostomia-english.aspx
http://www.simplestepsdental.com/SS/ihtSS/r.==/st.32219/t.25069/pr.3.html
http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Dry_mouth_syndrome
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Thanks For Your
Attention