Musculoskeletal Pathology Flashcards
What is rheumatoid arthritis?
Multisystemic disease
Autoimmune
Symmetrical poly arthritis
What is the cause of RA?
Chronic inflammatory
Genetic
What are the 2 main groups of clinical features of RA?
Intra articular - synovial joints, inflammation, morning pain, movement impaired, atlanto-axial joint of cervical spine
Extra articular - systemic, subcutaneous nodules, sjogrens, carpal tunnel, lungs, heart, skin
What are the 2 main treatment for RA?
Anti inflammatory
DMARDS- steroids
What is the dental relevance of RA?
Neck stability
TMJ
Risk of infection immunosuppressants
Dexterity tooth brush
Anaemia
What is osteoarthritis?
Degenerative destruction of joint cartilage and bone
Wear and tear
What areas do osteoarthritis affect?
Large joints, not tissues
Weight bearing joints, his, knees, spine
What are the 2 types of osteoarthritis?
Primary - no cause, age, obesity
Secondary - trauma, surgery, neuro
What are the symptoms of osteoarthritis?
Pain worse with use
Hard bony swelling
Joints enlarged
what are the treatments for osteoarthritis?
Analgesia
Joint replacement
Physio
Surgery
What is the dental relevance of osteoarthritis?
NSAIDs don’t overdose
TMJ
Manual dexterity
What is Sjögren’s syndrome?
Dry eyes and dry mouth
Autoimmune systemic
Lacrimal and salivary glands infiltrated with lymph’s and plasma cells
What are the 2 types of Sjögren’s syndrome?
Primary - dryness of mouth, eyes, skin, vag
Secondary - with other autoimmune disorders, RA
What is the dental relevance of Sjögren’s syndrome?
Xerostomia
Salivary gland enlargement
Caries
Candidasis
What is osteoporosis?
Decrease in mineral density of mineralised bone
Weakening of whole skeleton
Fractures in hip and wrist
Who are at risk to osteoporosis?
Renal disease
Steroid therapy
Post menopausal women
Vit D deficiency
What is the dental relevance of osteoporosis?
Implants take longer to integrate into bone
What is giant cell arteritis ?
Granulomatous inflammation in arteries of head and neck
How does giant cell arteritis present?
Headache
Tender scalp
Tender temporal
What is pagets disease?
Chronic disease
Random phases of bone restoration and deposition
Disorganised bone structure
What are the clinical features of Paget’s disease?
Deformed bones
Cotton wool bones
Headaches
Hearing loss
Pain due to bone pressure on nerves
What is the treatment for Paget’s disease?
Calcium supplement
Bisphosphates
What is the dental relevance for Paget’s disease?
Jaw bones affected
Mobile teeth
Facial pain
