1. DENHY-125 Histology Application Group Presentation Project  Oral Herpes HSV-1 By: Rachelle Wells #19 Shellie Cianciarulo #8 Mariza Patino #13 Denise McKeen-Reyes #10 *** December 7, 2015

2. 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.

3. X-Rays

4. Oral Herpes HSV-1 Once the virus enters the body, it hides inside of the nerve cells of its host, where it can lay dormant for years. 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.saludyenfermedad.com www.herpanex.com/cgi-sys/suspendedpage.cgi http://www.identalhub.com/images/Advertisements/blister1.JPG 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

5. 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.

6. 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 Dental Hygiene Diagnosis (Human Need Deficit):  Wholesome Facial Image Dental Hygiene Intervention:  Patient Education: (Inform Patient of the Following)

7. 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.