Systemic factors Flashcards
what are a few systemic factors which can affect PD?
tobacco endocrine diseases like diabetes osteoporosis immunodeficiency blood dyscrasias genetic disorders stress medication like bisphosphanates
what caused an epidemic of PD in the 20th century
tobacco use
what oral findings are associated with tobacco use?
tobacco stains dental caries gingival recession PD necrotizing ulcerative gingivitis oral leukoplakia smokers palate smokers melanosis keratosis oral squamous cell carcinoma verrucous carcinoma
what is type 1 diabetes?
beta cells of the pancreas are destroyed, no insulin being produced: insulin dependant
what is type 2 diabetes?
insulin non-dependant, usually in older patients, 90 percent of all diabetes
what is gestational diabetes?
glucose intolerance diagnosed during pregnancy
what are six complications of diabetes?
heart disease neuropathy retinopathy kidney failure foot infections PD
how many of diabetes patients have PD?
how likely are they to have PD?
1/3
2x
what are the two ways to diagnose diabetes?
which one is more accurate
blood glucose and glycated hemoglobin
glycated hemoglobin because it measures it over time, normal level is about 6.5
at what glucose levels do you defer elective treatment?
less than 70 (give sugar) or greater than 200 (give insulin)
which type of diabetes has more severe bone loss?
type 2
what is the major cause of PD in the 21st century?
diabetes
what symptoms do HIV patients experience regarding their oral health?
linear gingival erythema
oropharyngeal candidiasis
necrotizing gingivitis
what is agranulocytosis?
lack of lymphocytes, more susceptible to infection
what is Acute Myelocytic Leukemia?
gingiva filled with myocytes
