Transcript Oral Herpes HSV-1 - Shellie Cianciarulo

DENHY-125
Histology Application Group
Presentation Project
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Oral Herpes HSV-1
By:
Rachelle Wells #19
Shellie Cianciarulo #8
Mariza Patino #13
Denise McKeen-Reyes #10
***
December 7, 2015
CASE STUDY
Joyce Seaman
SITUATION
Joyce Seaman is a full-time college student
PATIENT HISTORY SYNOPSIS
VITAL STATISTICS
23-year-old female, occasional social smoker (1-2/month) and alcohol consumption (3-4/week)
BP:110/70, P: 72, R:18
MEDICAL CONDITIONS
Asthma
CURRENT MEDICATIONS
Abuterol Inhaler
Mirena (IUD)
DENTAL HISTORY
Moderate hygiene care. Has sealants in place since she was a child and no current restorations or signs of caries. She makes regular
appointments with her dental office for every six months to have her teeth cleaned and buys bleaching gel. She loves to keep her
teeth white!
CHIEF COMPLAINT
Today at her appointment she states that she has sores on her lips and in her mouth. She also states that it started 2 days ago and she
is in a lot of pain. She is very self-conscious of how she looks. She does not understand how the lesions started. She was not sure
about coming into the dental office today for her cleaning but came in anyway in hopes that the dentist could help with her condition
and was also hoping to at least get her teeth whitening gel.
X-Rays
Oral Herpes HSV-1
The HSV-1 virus is a highly infectious disease that is mainly
transmitted by oral to oral contact via the saliva or by the blister
that forms on the labial portion of the mouth. However, the virus
can be spread to other parts of the body such as the oral mucosa,
face, eyes, hands and genitals. HSV-1 and HSV-2 (Genital herpes)
can both be spread from the mouth to the genitals and from the
genitals back to the mouth.
http://www.identalhub.com/images/Advertisements/blister1.JPG
www.herpanex.com/cgi-sys/suspendedpage.cgi
Once the virus enters the body, it hides
inside of the nerve cells of its host, where
it can lay dormant for years.
http://www.saludyenfermedad.com
After periods of
latency the virus
can be reactivated,
causing recurrent
episodes in the
epithelial cells by way
of viral shedding of
the skin through
lesions and sores.
http://www.bio.davidson.edu/people/sosara
http://www.healthinternetwork.org/wp-content/uploads/2014/06/herpes-stages.jpg
Dental Hygiene Diagnosis (Human Need Deficit):
 Conceptualization & Understanding
Dental Hygiene Intervention:
 Patient Education: (Inform Patient of the Following)
•Outbreaks can be triggered by certain stimuli such as stress, sun
exposure/burn, illness and menstrual cycle.
•During an active outbreak the virus can be easily spread by direct
contact, person to person quickly.
•During an outbreak, avoid physical contact and sexual activity as the
virus can be spread to other parts of the body.
•Avoid touching sores and wash hands IMMEDIATELY if you accidently
do so.
•After an outbreak, dispose of all lip products, toothbrushes, razors or
any other item that came into contact with the sores to prevent
spreading.
•Wash all towels, linens, etc. to avoid spreading the virus.
Dental Hygiene Diagnosis (Human Need Deficit):
Wholesome Facial Image
Dental Hygiene Intervention:
Patient Education: (Inform Patient of the Following)
•
No cure, but medications (pill, cream and injections) are available to shorten the length of an outbreak and
limit the number of future outbreaks. If frequent outbreaks occur, medications can be taken regularly.
•
Acyclovir, Famciclovir and Valacyclovir are antiviral drugs that help sores heal faster, keep new sores from
forming and decrease pain/itching.
•
OTC medications such as Abreva and cold sore creams are available to help with discomfort and shorten
time of outbreak.
•
Using ice or a warm compress may help with pain.
•
Avoid hot, salty, spicy and any citrus.
•
Use lip balm with SPF to protect lips from sun exposure and drying out.
http://amoxicillinprescriptions.com/uploads/41210/best-herpes-medicine.jpg
Bibliography
1. Salameh, S. "Early Events in Herpes Simplex Virus Lifecycle with Implications."
www.nncbi.nlm.nih.gov. N.p., 19 Jan. 2012. Web. 18 Oct. 2015.
2. "Herpes Simplex: Who Gets and Causes.”www. American Academy of Dermatology. N.p., n.d.
Web. 18 Oct. 2015.
3. Mayoclinic Staff. "Diseases and Conditions Genital Herpes." www.mayoclinic.org/d. N.p., 21
May 2014. Web. 18 Oct. 2015.