The Curbsiders Internal Medicine Podcast #423 Dental Pain, Caries, Gingivitis, and Oral Care Tips & Tactics for Primary Care With Dr Lisa Simon
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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.
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Marathon Running As A Daily Practice
- Dr. Lisa Simon ran-commuted across Boston during residency and uses marathon training as her main hobby.
- She qualified for the Boston Marathon multiple times and describes racing as both punishing and compulsive.
Mouthwash Is Optional; Brush And Floss First
- Prioritize brushing and flossing over mouthwash; mechanical cleaning is most effective to remove plaque.
- Use high-fluoride mouthwash only for patients at high caries risk if prescribed by a dentist.
Manage Dry Mouth With Substitutes And Sips
- For xerostomia, advise frequent sips of water, saliva substitutes (gels/rinses), and sugar-free lozenges to stimulate flow.
- Reserve pilocarpine for severe cases due to bothersome cholinergic side effects like sweating.