Common Oral Complications of Medication Use

Ann Eshenaur Spolarich, RDH, PhD

Course date: Wednesday, October 10, 2012 08:00 PM (EST)
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The purpose of this course is to provide oral health professionals with information regarding the assessment of oral complications of medication use. Adverse medication effects on oral hard and soft tissues will be reviewed. Detailed descriptions of drug classes associated with each effect will be provided. Management strategies for improving oral health in medicated patients will be discussed.

Learning objectives:

  • Discuss the etiologies of medication-induced xerostomia.
  • Identify prescription drugs that increase risk for xerostomia and related oral sequelae.
  • Describe appropriate interventions for patients experiencing drug-induced xerostomia to reduce oral disease risks.
  • Describe drug classes known to alter taste.
  • Discuss medication-induced oral soft tissue alterations, including mucositis, aphthous stomatitis, lichenoid drug reaction, and gingival hyperplasia.
  • Describe medications associated with causing extrapyramidal effects that alter oral muscular function resulting in hard tissue damage.

Note: LIVE attendance is limited and will be issued on a first-come, first-serve basis. Nonetheless, all registrants will have access to the on-demand recoring of this lecture. Thanks for your understanding.

Presenter Disclosure: Dr. Ann Eshenaur Spolarich received an honorarium from Colgate-Palmolive to compensate for the time involved preparing and giving this presentation. 

Target audience: Dentists, Hygienists and Assistants.

Release date: Wednesday, October 10, 2012
Expiration date: Saturday, October 10, 2015

"Common Oral Complications of Medication Use" is co-sponsored by Dental Tribune America, LLC. Dental Tribune America LLC is a recognized ADA CERP provider.

The speaker will answer your questions

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Katarzyna Danko
13 July 2012, 11:36 AM (EST)
I am looking forward for the valuable course. I wonder if you could help me with my question about xerostomic patient who complains about the lack of lubrication. Which salivary glands are most likely to be responsible for the lack of lubrication? Are they minor (accessory) glands which are responsible for production of 70% mucins in mouth? Sublingual and submandibular as they assure most of unstimulated salivary flow? I know parotids generate saliva on stimulation. Does "lack of lubrication" mean the same as " decreased salivary flow" ? English is not my first language and understanding the difference really confuses me. I would be very greatful for your help.

Ann Eshenaur Spolarich RDH, PhD
27 September 2012, 09:18 PM (EST)
Thank you for your question. We will go through this information in great detail during the webinar. Most people complain of lack of lubrication when they have experienced a noticeable loss of fluid in the mouth which is most often attributed to lack of parotid flow (stimulated during eating, speaking or chewing) - so their mouth feels dry as well. When we lose a lot of parotid volume (which is more serous or watery in nature), it is difficult to moisturize food while eating and difficult to form the food bolus for swallowing. So - for many patients "lack of lubrication" often corresponds with "decreased salivary flow." People can have loss of parotid flow and still have adequate mucinous saliva from the minor glands but the mouth will still feel sticky. I hope that this explanation is helpful and I look forward to our webinar in 2 weeks. Ann
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Katarzyna Danko
03 October 2012, 07:27 AM (EST)
Thank you for the valuable information. I look forward to the webinar.
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Kristina Kripko
10 October 2012, 09:33 PM (EST)
I just finished watching the course. Was there a code given for this course?
Julia Wehkamp
11 October 2012, 08:37 AM (EST)
Hello,
In order to receive the CE credit for this course, you must take the quiz. Please follow the link above, "Take CE Quiz".
Thanks so much!
Ann Eshenaur Spolarich RDH, PhD
11 October 2012, 05:56 PM (EST)
Kristina

I hope that you have completed the CE course for credit. Thanks for participating. Ann
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Diana Lubbs
10 October 2012, 11:22 PM (EST)
I really enjoyed the new format! I was frankly embarrassed by the online chat room behavior of the people who listened to Dr Migliorati's Xerostomia presentation. I emailed him my apologies for their inconsiderate behavior.

I would have liked to have Dr Spolarich's presentation in two parts. She had so very much valuable information to share, and I felt that she was really rushed. I learned so much and I thought I was fairly knowledgeable on the subject. I teach caregiver classes for our county health system about Xerostomia, besides advising patients in our practice. My doctors already consider me the "go-to girl" on the subject. Now, Dr Ann has armed me with even more information! Thank you Colgate! These CE courses are the best in the industry!
Diana Lubbs, RDH,BSed
Ann Eshenaur Spolarich RDH, PhD
11 October 2012, 05:57 PM (EST)
Thanks for your positive feedback Diana and thanks for participating. Glad you came away with some new strategies to try with your patients. Ann
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Julia Keller
04 November 2012, 10:33 AM (EST)
Dear Ann,

I am not sure if you are still answers questions but I had some questions on recommended drug databases. I am currently teaching Pharmacology in our Dental Hygiene program. Right now we are using the latest Drug Information Handbook but I would like to go with an online program and I was wondering if you had some recommendations on what some of the top programs are that could be purchased for our Dental Hygiene program?
Thanks
Julia
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Ann Eshenaur Spolarich RDH, PhD
05 November 2012, 03:43 PM (EST)
Hi Julia

Thanks for your question. There are many good resources to use, but my favorite online resource that is tailored specifically for dentistry is available through LexiComp, Inc. Simply visit their website at Lexi.com and you will be able to find out about the live online version of their dental drug database along with their drug interaction checker program and downloadable patient education leaflets. This is what I use with my dental and dental hygiene students as well as in my own practice with my patients. Good luck! Ann

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Ann Eshenaur Spolarich , RDH, PhD

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Ann Eshenaur Spolarich is an internationally recognized author and speaker on pharmacology and the care of medically complex patients. She has presented over 800 lectures and has over 80 professional publications. She is Clinical Associate Professor and Associate Director of the National Center for Dental Hygiene Research & Practice at the Ostrow School of Dentistry at the University of Southern California; an Adjunct Associate Professor and Course Director of Clinical Medicine and Pharmacology at the Arizona School of Dentistry and Oral Health, and a Clinical Instructor on the Dean’s Faculty at the University of Maryland Dental School.  Ann is also an independent educational and research consultant, and practices dental hygiene part-time, specializing in geriatrics.

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