Digestive Flashcards
Missing Teeth
-Permanent teeth missing.
-S&S- Malocclusion (improper positioning of teeth), jaw pain, bolting (inadequate chewing of food).
~Congenital, periodontal disease
Impacted Third Molars (Wisdom Teeth)
-Third molar is malpositioned, preventing tooth eruption.
~Become impacted when they don’t have enough room for eruption due to bone structure; adjacent teeth block eruption
Dental Caries (Tooth Decay)
-Erosion of tooth surface causing infection.
-S&S-Mild toothache, hypersensitivity to sweets and temp. extremes
~Acid plaque eroding tooth enamel causing formation of cavity
Discolored Teeth
-Teeth are discolored
-S&S- colors from slight yellow to brown and gray; brown spots, patches
~Age, Smoking, Dead tooth (gray color), red wine, coffee, tea, food, certain drugs, pertussis (whooping cough)
Gingivitis
-Inflammation and swelling of gums
-S&S- gums become red,soft, and shiny; bleed easily; leads to periodontitis if not treated
~Plaque (sticky deposit of mucus, bacteria and food particles that builds up as a result of inadequate brushing and flossing)
Periodontitis
-Destructive gum and bone disease around one or more of the teeth
-S&S- end result of gingivitis; pockets form between teeth and gums in ging. that expose the root; plaque develops; halitosis
~Plaque biofilm and unchecked gingivitis; poor personal oral hygiene; smoking.
Oral Tumors
-Neoplasms, benign(noncancerous) or malignant(cancerous), localized or invasive.
-S&S- begin as single, small pale lumps. Benign do not metastasize.
~Unknown cause
Malocclusion
-Specific angles of malposition and contact of the maxillary and mandibular teeth, faulty bite
-S&S- protrusion/recession of the jaw; teeth turned/twisted out of position because of crowding
~Characteristics inherited from parents; early loss of primary teeth or oral habits (thumb/finger sucking)
Temporomandibular Joint (TMJ) Syndrome
-Symptom complex related to inflammation, disease, or dysfunction of temporomandibular joint
-S&S- clicking sounds during chewing; severe pain/aching beind ears and jaw joints, headache, dizziness
~Bruxism (grinding of teeth); malocclusion; habitual gum chewing
Tooth Abscesses
-Pus-filled sac in the tissue surrounding the base of the root
-S&S- persistent aches/throbs; glands in neck and face become swollen/tender; fever
~Forms when a tooth is decayed/dying or when the tooth structure loss exposes the dental nerve to mouth bacteria
Mouth Ulcers (Canker Sores)
-Lesion on the mucous membrane, exposing underlying sensitive tissue
-S&S- aphthous: occur during stress/illness; traumatic: from injury (hot food burn, rough denture)
~No viral cause known. Acute ulcerations- viral and bacterial infections, mechanical trauma, stress, or illness
Herpes Simplex (Cold Sores)
-Contagious recurrent viral infection affecting skin and mucous membranes
-S&S- on lips and inside the mouth; tingling and numbness around the mouth precede the appearance (prodrome- initial stage of disease before onset of actual symptoms)
~Herpes simplex virus type 1 (HSV-1); recurrent because virus can lie dormant
Thrush
-Candidiasis of the oral mucosa (mouth, tongue, palate, and gums)
-S&S- burning sensation in the mouth; painful when rubbed; light bleeding might occur; sore slightly raised pale yellow patches in the mouth and sometimes the throat
~The fungus Candida albicans; can multiply out of control; prolonged treatment of antibiotics; cancer chemotherapy; diabetes
Necrotizing Periodontal Disease
-Infection affecting the gums and the anchoring structure of the teeth
-S&S- primary symptom: painful, red, swollen gums with ulcers that bleed; gray gums in areas of decomposing tissue; metallic taste
~anaerobic opportunistic bacteria; results from poor oral hygiene and bacterial infection secondary to gingivitis; stress; poor nutrition; smoking
Oral Leukoplakia
-Leukoplakia or white plaque is a thickening and hardening of a part of the mucous membrane in the mouth
-S&S- can vary in size; mucous membrane become rough, hard, and whitish gray, sensitive to hot or highly seasoned foods
~Chronic irritation e.g friction caused by habitual cheek biting, rough teeth that rubs an area raw; reaction to heat from tobacco smoke
Oral Cancer
-Squamous cell carcinoma and adenocarcinoma of the oral cavity (lips, cheek mucosa, anterior tongue, mouth floor, hard palate, upper and lower gingiva
-S&S- white, patchy lesion or an oral ulcer that fails to heal, pain occurs late in disease process which delays seeking medical treatment, dysphagia (difficulty swallowing), odynophagia (painful swallowing), weight loss
~Smoking, alcohol, betel nut chewing (SE Asia)
Gastroesophageal Reflux Disease (GERD)
-Regurgitation of stomach and duodenal contents into the esophagus
-S&S- belching with burning sensation in chest and mouth; dysphagia; eroded tooth enamel
~Overeating, pregnancy, or weight; relaxation of the lower esophageal sphincter; increase in intraabdominal pressure
-Treatment: proton pump inhibitor
Esophageal Varices
-Dilated submucosal veins that develop in patients w/ underlying portal hypertension
-S&S- superficial veins lining the esophagus become dilated and twitsted at the distal end; with rupture hematemesis(vomiting of blood); melena (dark, tarry stools stained with digested blood); hypovolemic shock (blood in the circulatory system is decreased)
~increased pressure within the veins causes varices; pressure occurs when the venous return to the liver is impeded
Esophagitis
-Inflammation and tissue injury of the esophagus
-S&S: burning chest pain (heartburn); hematemesis
~reflux (backward flow) of the acid contents of the stomach resulting from a defect of the lower esophageal sphincter; GI manifestation of HIV infection
Esophageal Cancer
-Malignancy of the esophagus (squamous cell carcinoma and adenocarcinoma)
-dysphagia, weight loss, burning sensation
~SCC- cigarette smoking, alcohol consumption
-Adenocarcinoma- smoking, obesity
Gastric and Duodenal Peptic Ulcers
-Ulcers of stomach-gastric; Ulcers of duodenum- duodenal
-S&S- Gastric: nausea; vomiting; abdominal pain. Duodenal: nausea; vomiting; heartburn
~H. Pylori infection; use NSAIDs; ingestion of gastric irritants
Gastritis
Inflammation of the stomach lining
S&S- Hematemesis; indigestion; epigastric pain
~Irritants such as aspirin; poisons; alcohol; tobacco