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Oral Health: The Role of the Primary Care Team Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC
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Page 1: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

Oral Health: The Role of the Primary Care Team

Stephen Abel, DDS, MSDCheryl Stolarski, DMDNY/NJ AETC

Page 2: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

Oral LesionsStephen Abel, DDS, MSD

Hairy LeukoplakiaHodgkin's Lymphoma

HPV Aphthous UlcerationKS Lesion

Page 3: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

Xerostomia Gwen Cohen-Brown, DDS

Depapillated Red Tongue Rampant Caries

Dry-peeled lips Erythematous Candidiasis

Page 4: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

Caries David Nassry, DMD

Page 5: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

ADDITIONAL NOTES FOR SPEAKER – DO NOT PROJECT TO PARTICIPANTS

Fluorides: Prescription and over the counter (OTC) Many types of fluoride therapies are known, ranging from at-home therapies (use of fluoridated

toothpaste) to professionally administered, such as topical fluorides provided by dental offices, systemic fluoride and publicly sponsored fluoridation of water. At-home therapies can be further divided into over-the-counter (OTC) and prescription strengths.

-OTC fluorides and mouth rinses should be recommended by the medical provider. -If prescription fluoride is necessary it is best that the patient is evaluated by a dentist followed by

consultation between the dentist and medical provider. It would be best for the dentist to determine the form and frequency of fluoride prescribed.

-Please visit the American Dental Association website for additional information www.ada.org

What is the level of urgency to get this patient to a dentist? Dental referral is necessary if the patient presents with -Severe tooth related pain -Visible signs of decay or caries -Abscess, pus or acute infection (which could potentially lead to septicemia) -Broken teeth

Page 6: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

Dental Emergencies Ross Kerr, DDS

Recent onset of severe lingering pain

Disrupts sleep, eating, usual daily activities

Inadequate response to OTC analgesics

Pulpal painPeriodontal pain Fascial Space Infection

Page 7: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

MOUTH INVADERSThe Progression of Periodontal Disease

“Reproduced with permission. Copyright © (Publication Year) Scientific American, Inc. All rights reserved.”

A PRIME LOCATION

TENACIOUS BUGS and A HEATED STRUGGLE

Scientific American- Special Edition: Oral and Whole Body Health 2006

Page 8: Stephen Abel, DDS, MSD Cheryl Stolarski, DMD NY/NJ AETC.

Periodontal Diseases

GingivitisPeriodontitis

Necrotizing Ulcerative Periodontitis