periodontology and bleeding Flashcards
in reference to bleeding why is it so important for the patient history
- Give insight to patients bleeding
- Insight to other medical issues
- Search for other clues – anticoagulated or immunocompromised
- Smoking, alcohol and diet
Haematological disorders we may come across
what is anaemia
a condition in which there is a deficiency of red blood cells or of haemoglobin in the blood
Haematological disorders we may come across
what is microcytic
low iron usually
Haematological disorders we may come across
what is macrocytic
b12
folate
pregnancy
drug related
Haematological disorders we may come across
normocytic
leukaemia
renal failure
inection
malignancy
what are anaemia dental findings
angular chelitis
candidiasis
glossitis
oral ulceration
mucosal pallor
what is this condition
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angular cheilitis
what is this condition
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candidiasis
what is this condition
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Glossitis
what is this condition
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Oral ulceration
what is this condition
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mucosal pallor
what is neutropenia
the presence of abnormally few neutrophils in the blood, leading to increased susceptibility to infection
what are the dental findings of neutropenia
candidiasis
oral ulceration
herpes simplex virus
neutropenic ulceration
what is this condition
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herpes simplex virus
what is this condition
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neutropenic ulceration
what are the dental findings for leukaemia
- Bleeding
- Infection
- Ulcers
- Gingival swelling
- Anaemia
- Lymphadenopathy – swelling of the lymph nodes
what is lymphoma
– occurs when lymphocytes become out of control, they divide in abnormal way or do not die when they should. (B or T lymphocytes)
what are the dental findings of lymphoma
- Often begin in neck
- Non hodgkins: painless enlarged cervical nodes, infections, ulcerations
- 50% cases present with painless neck node
disorders of the platelets are either acquired or inherited
what are the aquired disorders
- Liver disease
- Renal disease
- Thrombocytopenia – low platelet count
- Medication
disorders of the platelets are either acquired or inherited
what are the inherited disorders
- Platelet function
- Von willebrands (most common)
- Haemophilia
what are the oral signs of bleeding disorders when
brushing
eating
spontaneous
what category does warfarin fall in to
oral anticoagulants
oral antiplatelet drugs
NOAC,s
Injectible anticoagulant
oral anticoagulant
what category does asparin fall in to
oral anticoagulants
oral antiplatelet drugs
NOAC,s
Injectible anticoagulant
oral antiplatelet drugs
what category does dalteparin, enoxaparin, tinzaparin fall in to
oral anticoagulants
oral antiplatelet drugs
NOAC,s
Injectible anticoagulant
injectible anticoagulant