Systemic Disease and the Mouth Flashcards
what can the disease ectodermal dysplasia cause
hypodontia and hypoplasia
small cone shaped teeth
how might porphyria present dentally
changes in the amount of haem in the blood can be incorporated into dental tissues - brown spots
how may tetracycline use affect the dentition
banding of grey marks on the teeth
what are the two causes of giant cell lesions
osteoclast related
local irritation leading to production of giant cells to remove pathogens
what do you need to investigate in giant cell lesions
parathyroid function - could be excess of parathyroid stimulating hormone
what is the consequence of hyperparathyroidism
loss of cortical bone which affects the lamina dura
what is an oral presentation of Addisons disease (raised ACTH)
reactive melanosis of oral mucosa - due to ACTH also stimulating melanocytes
what is OFG
histologically similar to crohn’s
affects head and neck
when is OFG not considered OFG
when the patient has crohn’s disease it is termed oral crohn’s instead of OFG
what are the clinical presentations of OFG
peri-oral erythema
angular cheilitis
lower lip oedema
erythematous full thickness gingivitis
what is the association with OFG and dietary allergens
benzoate
dietary exclusion to determine trigger
how is OFG managed
3 month dietary exclusion
Topical treatment for angular cheilitis - miconazole
topical treatment to lip swelling - tacrolimus ointment
what is crest syndrome
a connective tissue autoimmune disease where little haemangiomas are formed on the skin and there is a loss of elasticity around the mouth
what are the two types of immune deficiency
acquired
congenital
what causes acquired immune deficiency
diabetes
drug therapy
cancer therapy
HIV
