Systemic Disease and the Mouth Flashcards
what congenital conditions can give dental manifestations
syphilis, TORCH
ectodermal dysplasia
what does ectodermal dysplasia give
hypoplasia and hypodontia
presence or absence of salivary glands
what changes can congenital infections cause
changes to incisors mainly
hutchisons causes bulbous crowns
what is porphyria
red/brown teeth due to haem and haem products
what can tetracycline cause
linear band of staining whilst taking this drug
what oral mucosal effects can arise from systemic disease
giant cell granuloma
orofacial granulomatosis
recurrent aphthous stomatitis
dermatoses
immune deficiency
drug reactions
what should you check if giant cell lesions occur
parathyroid function
what can hyperparathyroidism cause
loss of cortical bone which affects lamina dura and causes absence of it around the tooth
what does raised ACTH and addisons cause
pigmentation (brownish)
what does immune deficiency/diseases cause
orofacial granulomatosis
sjogrens
addisons
infections
what can skin immune diseases cause orally
lichen planus
vesiculobullous disease
what can haematinic deficiencies cause
bleeding
oral ulceration
what does orofacial granulomatosis look like in children
perioral erythema
angular cheilitis
full thickness erythematous gingivitis
stag horning oedema on floor of mouth
linear fissure ulcer on bottom of labial sulcus
how do you screen for crohns
monitor bowel habits
growth monitoring
faecal calprotectin
what are the common dietary allergens associated with crohns
benzoate/sorbate/cinnamon/chocolate
what is the management of crohns
3 month dietary exclusion
topical treatment to angular cheilitis
topical treatment to lip swelling
what does systemic sclerosis look like orally
crest syndrome
calcinosis
loss of elasticity around the mouth making it unable to open
what occurs in wegners granulomatosis
ischaemia and necrosis of tissue
what oral issues can occur as a result of immune deficiency
opportunistic candida infections and changes in mucosal colour to purple
what are the oral effects of medical therapy
dry mouth
oral ulceration
lichenoid reaction
angio-oedema
osteonecrosis
