Gout and Osteoarthiritis

Question 1

what are the symptoms of joint disease?

Answer 1

• pain
• immobility stiffness
• loss of function

Question 2

what are the signs of joint disease?

Answer 2

• swelling
• deformity
• redness
• crepitus
• loss of function

Question 3

what investigations can be done to assess joint disease?

Answer 3

• Radiography (MRI)
• Blood tests
• arthroscopy & biopsy

Question 4

what is acute monoarthropathy?

Answer 4

acute arthritis of 1 joint

Question 5

What is gout?

Answer 5

URIC ACID CRYSTAL DEPOSITION IN JOINTS

causes significant pain from reactive inflammation

hyperuricemia - high uric acid levels

enhanced by obesity & alcohol

Question 6

what are the symptoms of gout?

Answer 6

• acute inflammation of SINGLE joint
• usually on the great toe
• rapid onset - hours
• NSAIDs to treat

Question 7

what are the dental aspects of gout?

Answer 7

• avoid aspirin (it interferes with uric acid removal)
• drug treatments may give oral ulceration

Question 8

what is osteoarthiritis?

Answer 8

• Degenerative joint disease
• affects weight bearing joints (usually hips & knees)
• ITS NOT WEAR & TEAR (cartilage repair dysfunction)

Question 9

what are symptoms & signs of osteoarthiritis?

Answer 9

Symptoms:
- Pain
- BRIEF morning stiffness
- SLOWLY progressive over years

Signs:
- Radiographs (loss of joint space)
- joint swelling & deformity

Question 10

what is treatment for osteoarthiritis?

Answer 10

• nothing alters disease progression
• pain improved by (weight loss, increasing supporting muscle strength)
• NSAIDs to reduce inflammation

Question 11

what are dental aspects of Osteoarthritis?

Answer 11

• Jaw pain & stiffness
• TMJ disorder
• Tooth loss (alveolar bone & PDL impaired)
• poor OHI due to jaw pain so wont brush teeth