Dental Concerns

General

1. Evaluate the patient for oral signs of Paget's disease.

2. It may be necessary to place the dental chair in a semisupine position in order to minimize the GI effects of the drug.

3. Shorter appointments may be necessary for patient comfort.

4. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis. Consultation with Primary Care Provider

1. Consultation may be required in order to assess extent of disease control. Client/Family Teaching

1. Review the importance of good oral hygiene in order to prevent soft tissue inflammation.

2. Review the proper use of oral hygiene aids in order to prevent injury.

3. Daily home fluoride treatments for persistent dry mouth.

4. Avoid alcohol-containing mouth rinses and beverages.

5. Avoid caffeine-containing beverages.

6. Dry mouth can be treated with tart, sugarless gum or candy, water, sugar-free beverages, or with saliva substitutes if dry mouth persists.

7. Do not take aspirin, indometha-cin, or calcium or mineral supplements within 2 hr before or after taking drug.

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