Spinda Bifida Questions: Trivia Quiz!

The direct cause is unknown. However, low folic acid levels before and during pregnancy have been thought to play a part in the defect.

The correct answer is "All of the above." This means that all the symptoms listed in the question (loss or no bowel and bladder control, partial or complete paralysis, weakness of hips, legs, and feet) are symptoms of spina bifida/spinal injury.

Dexterity can be a problem if the client is paralyzed and will need dental aids to assist or a caregiver. Medications associated with spinda Bifida can cause a gingival overgrowth and other oral complications. Client management may be an issue if the client cannot stand to be in the dental chair for extended periods of time.

Clients with spinda Bifida are actually more prone to a latex allergy. Always ask the client if they have ever been exposed to latex or if they have a latex or any other allergy.

Only spinda Bifida clients that have a surgical shunt or tubes placed must have a pre-medication, following CDHO regulations and physician instructions.

There are 4 types of Spinda Bifida" 1) Occult Spinal Dysraphism (OSD): dimple on the lower back, red marks or tufts of hair or small lumps. Spinal cord may not grow the right way and may cause serious problems as the child grows. 2) Spina Bifida Occulta: 15% of heathly people can have it and not know it. Aka "hidden". Does not cause harm, has no signs and the spinal cord and nerves are fine. 3) Meningocele: Causes part of the spinal cord to come through the spine like a sac that is pushed out. The sac if filled with nerve fluid but no nerve damage. Individuals may have minor disabilities. 4) Myelomeningocele: a most severe form of Spina Bifida. Parts of spinal cord and nerves come through the open part of the spine. Can cause nerve damage and more major disabilities. http://www.spindabifidaassociation.org

The barriers to spina bifida/spinal injury dental treatment include difficulties in accessing and transporting to the treatment facility, challenges in getting in and out of the dental chair, the need to keep the mouth open for an extended period of time, the presence of latex allergy which can limit the use of certain dental materials, communication barriers that may hinder effective communication between the patient and the dental team, and learning disabilities that can affect the patient's ability to understand and follow dental instructions.

The care considerations for a client with Spina Bifida/Spinal Injury include leaving the client in a wheelchair for maximum comfort, providing oral hygiene instruction geared towards the client's learning disabilities, educating the client's caregiver, using the "Tell, Show, Do" method to communicate instructions effectively, and using oral aids such as a mouth prop to assist the client and provide comfort.

Clients who do not practice optimum oral care are at a higher risk for caries, which are dental cavities caused by tooth decay. These clients should seek shorter re-care intervals, meaning they should visit the dentist more frequently for check-ups and cleanings. This is because regular dental visits can help prevent and detect any potential dental issues early on, allowing for prompt treatment and better oral health outcomes. Therefore, the statement that clients should seek shorter re-care intervals as they are at a higher risk for caries due to lack of optimum oral care is true.

The client is at an increased risk for caries due to a lack of optimum oral health care and poor nutritional intake. Medications may have an impact on oral manifestations. Due to lack of optimum oral care, clients are more prone to gingivitis and periodontitis

There are different levels of impairment using this scale: A- Complete. No sensory or motor function. B- Incomplete. Sensory, but no motor function. C- Incomplete. Motor function is there but very minimal. D- Incomplete. Motor function is there, moderate to minimal usage. E- Normal. Sensory and motor functions are normal.