Systemic Disease and The Mouth Flashcards
what are the dental manifestations of systemic disease?
disruption to tooth structure formation
disruption to the tooth structure content
what are the dental manifestations of systemic disease in children?
primary teeth affected if during pre/perinatal
secondary teeth for perinatal/childhood
severe illness, cancer, syphilis, ectodermal dysplasia
what are oral mucosal effects from systemic disease?
- giant cell granuloma
- orofacial granulomatosis
- recurrent aphthous stomatitis
- immune deficiency/disease
- drug reactions
what are some oral immune diseases that are present throughout a pt’s life?
- orofacial granulomatosis
- sjogrens
- autoimmune - addison’s
- infections - fungal/viral
how are patients screened for crohn’s disease?
- parental awareness
- growth monitoring at each hospital visit
- faecal calprotectin assay
what dietary allergens is orofacial granulomatosis associated with?
Cinnamon
preservatives in chocolate
benzoate (found in tomato products)
sorbate
how do you manage a patient with orofacial granulomatosis?
3 month dietary exclusion if unsure of triggers
topical treatment to angular cheilitis (antifungal/steroid)
topical treatment to lip swelling or facial erythema
what are the autoimmune diseases affect connective tissues?
Systemic lupus erythematosus (SLE) [immune system attacks its own tissues causing widespread inflammation and organ damage]
- systemic sclerosis
- sjogrens
how can a patient ACQUIRE IMMUNE DEFICIENCY?
Diabetic
drug therapy (immunosuppressants)
cancer therapy
HIV
what can cause haematinic deficiencies?
poor intake of haematinics - dietary analysis
malabsorption - GI diseases: coeliac disease, crohns
blood loss - peptic ulcers, bowel cancer, liver disease, crohns
Increased demand - growth spurts
what are some general oral effects on medical therapy?
- dry mouth
- oral ulceration
- lichenoid reactions
- angioedema
- osteonecrosis
