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The Curbsiders Internal Medicine Podcast

#423 Dental Pain, Caries, Gingivitis, and Oral Care Tips & Tactics for Primary Care With Dr Lisa Simon

Jan 22, 2024
Dr. Lisa Simon, an expert in dental care for primary care physicians, discusses a range of topics including dental pain, caries, gingivitis, dry mouth, TMJ dysfunction, and dental side effects of medications. She provides tips for diagnosing dental pain, treatment options, and post-operative care. She also talks about managing complications and emergencies in dental care, as well as oral health in patients with opioid use disorder. Additionally, she addresses the use of anticoagulants during dental procedures and offers recommendations for antibiotic prophylaxis.
01:15:07

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Dry mouth can be managed with lifestyle adjustments and medications if symptoms are severe.
  • Improving dental hygiene, including regular brushing and flossing, can help clear up gingivitis.

Deep dives

Dry Mouth and Bleeding Gums

Alma, a 30-year-old patient, presents with dry mouth and sensitive bleeding gums. She has a history of tobacco use, takes an oral contraceptive pill, and occasional antihistamines for hay fever. She also has Sjögren's syndrome. The dry mouth can be managed with lifestyle adjustments, such as staying hydrated and using sugar-free candies to stimulate salivary flow. Biotin gel or rinse may also provide relief. If the symptoms are severe, medication options like pilocarpine can be considered, but have potential undesirable side effects. The bleeding gums indicate gingivitis, which is often caused by plaque buildup. Improving dental hygiene, including regular brushing and flossing, can help clear up gingivitis.

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