Systemic Disease and the Mouth Flashcards

1
Q

what congenital conditions can give dental manifestations

A

syphilis, TORCH
ectodermal dysplasia

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2
Q

what does ectodermal dysplasia give

A

hypoplasia and hypodontia
presence or absence of salivary glands

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3
Q

what changes can congenital infections cause

A

changes to incisors mainly
hutchisons causes bulbous crowns

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4
Q

what is porphyria

A

red/brown teeth due to haem and haem products

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5
Q

what can tetracycline cause

A

linear band of staining whilst taking this drug

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6
Q

what oral mucosal effects can arise from systemic disease

A

giant cell granuloma
orofacial granulomatosis
recurrent aphthous stomatitis
dermatoses
immune deficiency
drug reactions

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7
Q

what should you check if giant cell lesions occur

A

parathyroid function

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8
Q

what can hyperparathyroidism cause

A

loss of cortical bone which affects lamina dura and causes absence of it around the tooth

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9
Q

what does raised ACTH and addisons cause

A

pigmentation (brownish)

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10
Q

what does immune deficiency/diseases cause

A

orofacial granulomatosis
sjogrens
addisons
infections

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11
Q

what can skin immune diseases cause orally

A

lichen planus
vesiculobullous disease

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12
Q

what can haematinic deficiencies cause

A

bleeding
oral ulceration

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13
Q

what does orofacial granulomatosis look like in children

A

perioral erythema
angular cheilitis
full thickness erythematous gingivitis
stag horning oedema on floor of mouth
linear fissure ulcer on bottom of labial sulcus

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14
Q

how do you screen for crohns

A

monitor bowel habits
growth monitoring
faecal calprotectin

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15
Q

what are the common dietary allergens associated with crohns

A

benzoate/sorbate/cinnamon/chocolate

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16
Q

what is the management of crohns

A

3 month dietary exclusion
topical treatment to angular cheilitis
topical treatment to lip swelling

17
Q

what does systemic sclerosis look like orally

A

crest syndrome
calcinosis
loss of elasticity around the mouth making it unable to open

18
Q

what occurs in wegners granulomatosis

A

ischaemia and necrosis of tissue

19
Q

what oral issues can occur as a result of immune deficiency

A

opportunistic candida infections and changes in mucosal colour to purple

20
Q

what are the oral effects of medical therapy

A

dry mouth
oral ulceration
lichenoid reaction
angio-oedema
osteonecrosis