Oral Manifestations Of Systemic Disease Flashcards
What is multiple sclerosis?
A chronic inflammatory disease of the CNS Idiopathic Plaques Demyelination of axons Classification Variable symptomology
What are some clinical features of trigeminal neuralgia?
Unilateral Moderate to severe severity Shooting sharp pain Exhausting Unbearable Complete remission after a few weeks or months Pain lasts seconds and then leaves Provoked by light touch, eating, talking, washing but can also be spontaneous Relieved by sleep and drugs
What is the classification of respiratory disease?
Obstructive
Restrictive- intrinsic, extrinsic
Perfusion
Lung cancers
What are the oral manifestations of respiratory disease?
Dental caries
Dental erosion
Periodontal diseases
Oral candidiasis
What is sarcoidosis?
Multi-systemic granulomatous condition
Flu-like symptoms
What are the clinical presentations of sarcoidosis?
Lupus pernio -bluish/purple plaque like lesions Pahognomonic Salivary gland swelling Uveitis Oral involvement rare- swellings, intraosseous lesions, neuropathy
What are some oral manifestations of cardiovascular disease?
Pain in orofacial region can occur drain MI
Colour
Pathological changes
Medication
What are varices?
Abnormally dilated veins most commonly seen on the ventral tongue or the floor of the mouth
They tend to become more prominent with increasing age
They are usually asymptomatic and blanch on diascopy
What are some common oral related drug reactions with the cardiovascular system?
Burning mucosa Swellings Lichenoid reactions Dry mouth Ulceration Gingival hyperplasia Haemorrhagic lesions- petechiae, purpura, ecchymosis
What are some oral manifestations of coeliac disease?
Dental enamel hyperplasia, pitting, grooming, partial loss of enamel Delayed tooth eruption Aphthous ulcerations Oral lichen planus Angular cheilitis Atrophic glossitis Bleeding tendency
What is ulcerative colitis?
Inflammatory condition of the GI tract
What are the presenting symptoms of ulcerative colitis?
Bleeding from rectum
Urgency
Tenesmus
Diarrhoea
What are some oral signs of ulcerative colitis?
Oral ulceration
Pyostomatitis vegetans
What is Crohn’s disease?
Chronic granulomatous inflammation of the intestinal wall
An inappropriate inflammatory response to intestinal microbes and other environmental factors in a genetically susceptible host
What are the clinical symptoms of Crohn’s disease?
Abdominal pain Rectal blood loss Diarrhoea Decreased appetite Weight loss Fever
What are the oral manifestations of Crohn’s disease?
Diffuse labial and buccal swelling Cobble stoning Mucosal tags Stag horning Deep linear ulcerations Mucogingivitis Aphthous like ulcers Pyostomatitis vegetans Angular cheilitis Persistent submandibular lymphadenopathy
What are the oral manifestations of diabetes mellitus?
Sialosis Xerostomia Caries Periodontal disease Oral candidosis Oral dyaesthesia
What are the oral manifestations of hypothyroidism?
Goitre
Dysgeusia
Macroglossia
Periodontal disease
What are the oral manifestations of Addison’s disease?
Pale brown or deep chocolate pigmentation
Pressure points
Skin creases
What are the oral manifestations of leukaemia?
Gingival enlargement Bleeding Petechial Oral ulceration Opportunistic infections Lymphadenopathy
What are some of the oral manifestations of lymphoma?
Soft tissue swellings
Radiolucency
Alveolar bone loss and swelling mimicking periodontal disease
What are the oral manifestations of anaemia?
Mucosal pallor
Atrophic glossitis
Recurrent oral ulceration
Candidiasis
What are the oral signs of thrombocytopenia?
Epitaxis
Gingival bleeding
What are the oral manifestations of renal disease?
Bleeding Dry mouth Amyloidosis Halitosis Dysgeusia Uremic stomatitis Gingival hyperplasia
What are the oral manifestations of erythema multiforme?
Non-keratinised mucosal of anterior mouth
Lips which swell, crack, bleed and crust
Irregular superficial ulcerations
Target lesions
What are the oral manifestations of mucous membrane pemphigoid?
Epithelium blisters Gingivitis Bleeding Pain Dysphagia
What are the oral manifestations of pemphigus vulgaris?
Intra-epithelial blistering
Ulceration
Fragile bullae
Painful
What are the oral manifestations of rheumatoid arthritis?
Xerostomia TMJ pain, tenderness, swelling Oral ulceration Glossitis Angular cheilitis Lichenoid drug reaction Amyloidosis
What are the oral manifestations of systemic lupus erythematosis?
Maculopapular rash White patches Gingivitis Oral ulceration Glossitis Angular cheilitis Drug-induced oral lichen planus Trigeminal neuropathy Amyloidosis
What are the oral manifestations of scleroderma?
Periodontal ligament widening Facial asymmetry Thinning of lips Microsomia Telangiectasia Atrophy Oral ulceration Xerostomia Caries Periodontal disease Oral cancer
What are the oral manifestations of Sjögren’s syndrome?
Xerostomia Soreness of oral mucosa Fractured/carious Seth Dysphagia Swelling of salivary glands Lobular depapillated tongue Angular cheilitis Cervical caries
