ABSTRACT
Topical corticosteroids (TCs) are the most commonly prescribed drugs in oral medicine practice. Use in management of immune-driven inflammatory oral mucosal disease is predominantly off-label and poorly supported by evidence, yet oral medicine specialists have considerable collective experience of prescribing, administering and managing these medications. TCs are also prescribed by others in healthcare including general dental practitioners. Successful TC use is influenced by accurate diagnosis, TC choice (potency and formulation), patient acceptability (including ease of use, taste and texture), frequency of application, duration of treatment, adverse effects, patient support and medication regulations and access. The aim of this review is to provide an overview of TC use in oral medicine practice. Recommendations are based on collective experience to help selection of the appropriate TC to maximise therapeutic efficacy and minimise the potential for adverse effects. This is within an understanding of medicines regulation and preparation availability when prescribing in both secondary and primary care.
Subject(s)
Oral Medicine , Steroids/administration & dosage , Administration, Topical , Drug-Related Side Effects and Adverse Reactions , Humans , Taste , United KingdomABSTRACT
Skin disorders are potentially important to dentists in diverse ways. The skin disease itself might have oral manifestations, and drugs used to treat skin disorders may impact on dental management. This second paper on skin disorders continues with a consideration of those disorders, and aspects of their treatment, which could have relevance to dental practitioners.
Subject(s)
Dental Care for Chronically Ill , General Practice, Dental/education , Mouth Diseases/etiology , Pigmentation Disorders/complications , Skin Diseases, Infectious/complications , Skin Diseases, Vesiculobullous/complications , Dermatologic Agents/adverse effects , Dermatologic Agents/therapeutic use , Hair Diseases/complications , Hair Diseases/pathology , Humans , Mouth/drug effects , Pigmentation Disorders/pathology , Skin Diseases, Genetic/complications , Skin Diseases, Genetic/pathology , Skin Diseases, Infectious/pathology , Skin Diseases, Vesiculobullous/pathologyABSTRACT
Skin disorders are potentially important to dentists in diverse ways. The skin disease itself might have oral manifestations, and drugs used to treat skin disorders may impact on dental management. This first paper considering skin disorders examines points to look out for in the history and considers specific groups of conditions. Further conditions will be discussed in part B.
Subject(s)
General Practice, Dental/education , Skin Diseases , Humans , Medical History Taking , Practice Patterns, Dentists' , Skin Diseases/classification , Skin Diseases/diagnosis , Skin Diseases/pathologyABSTRACT
Completion of accurate and legible operating notes are the clinician's responsibility. They require time, precision, concentration and legibility. A preprinted template helps meet these needs and complies with the guidelines of the Royal College of Surgeons.
Subject(s)
Jaw Neoplasms/surgery , Medical Records/standards , Forms and Records Control/standards , HumansABSTRACT
Computed tomography (CT) is the imaging method of choice for conditions that affect the paranasal sinuses. We reviewed all paranasal CT scans in the ear nose and throat (ENT) and maxillofacial surgery departments in 1 year. Of these 372 scans, unilateral opacity of the maxillary sinus was seen in 20 cases. Neoplastic disease was diagnosed in six of these, four of which were malignant. We describe the cases of neoplastic disease, particularly features of the history, examination, and scans that should alert the clinician to the possibility of sinister pathology. We emphasise the importance of nasendoscopic examination in the accurate assessment of sinonasal disease.
Subject(s)
Carcinoma, Adenoid Cystic/diagnostic imaging , Carcinoma, Squamous Cell/diagnostic imaging , Maxillary Sinus Neoplasms/diagnostic imaging , Maxillary Sinusitis/diagnostic imaging , Adult , Aged , Endoscopy , Humans , Male , Middle Aged , Tomography, X-Ray ComputedABSTRACT
We report a case of aspiration pneumonitis following the use of papain enzyme in a patient with chronic obstructive pulmonary disease with meat impacted in his oesophagus.