Systemic risk factors affecting periodontal disease Flashcards

1
Q

How systemic disorders cause periodontal diseases

A

Systemic diseases, disorders, and conditions alter host tissues and physiology, which may impair the host’s barrier function and immune defense against periodontal pathogens, thereby creating the opportunity for destructive periodontal disease to progress

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2
Q

what SYSTEMIC CONDITIONS causes periodontal diseases

A
  1. Endocrine Disorders and Hormonal Changes.
  2. Hematologic Disorders and Immune Deficiencies.
  3. Genetic Disorders.
  4. Stress and Psychosomatic Disorders.
  5. Nutritional Influences.
  6. Medications
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3
Q

what Endocrine Disorders and Hormonal Changes leads to perio disease

A

diabetes puberty pregnancy DPP

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4
Q

What is thrombocytopenia?

A

A condition of reduced platelet count due to lack of production or increased loss of platelets.

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5
Q

What characterizes thrombocytopenic purpura?

A

Low platelet count, prolonged clot retraction and bleeding time, normal or slightly prolonged clotting time.

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6
Q

What are common symptoms of thrombocytopenic purpura?

A

Spontaneous bleeding into the skin or mucous membranes, petechiae, and hemorrhagic vesicles.

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7
Q

What is the effect of local factors on gingival conditions in thrombocytopenia?

A

The severity of gingival conditions is alleviated by removal of local factors.

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8
Q

What are bisphosphonates used for?

A

Treatment of osteoporosis and various types of cancer.

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9
Q

What serious condition is associated with bisphosphonates?

A

Osteonecrosis of the jaw (ONJ).

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10
Q

What effects can medications have on periodontal health?

A

Adverse effects on periodontal tissues, wound healing, or host immune response.

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11
Q

What are the consequences of protein deficiency in periodontal tissues?

A

Degeneration of connective tissue, osteoporosis of the alveolar bone, impaired cementum deposition, delayed wound healing.

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12
Q

What is a classic sign of vitamin C deficiency?

A

Gingivitis with enlarged, hemorrhagic, bluish-red gingiva.

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13
Q

How does vitamin C deficiency affect the periodontal microvasculature?

A

It may interfere with the integrity of the microvasculature and the vascular response to bacterial plaque.

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14
Q

What is the relationship between ascorbic acid levels and leukocyte function?

A

Optimal levels enhance chemotactic and migratory actions without influencing phagocytic activity.

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15
Q

What disease results from severe vitamin C deficiency?

A

Scurvy.

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16
Q

What is the effect of corticosteroids on periodontal disease?

A

They appear to have no effect on the incidence or severity of gingival and periodontal disease.

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17
Q

How does stress impact periodontal health?

A

It may lead to poorer oral hygiene and increased susceptibility to periodontal disease.

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18
Q

What systemic conditions can predispose individuals to periodontal destruction?

A

Genetic disorders, stress, nutritional influences, and hematologic disorders.

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19
Q

What is anemia?

A

A deficiency in the quantity or quality of blood, reducing erythrocytes and hemoglobin.

20
Q

What are the classifications of anemia based on morphology?

A
  • Macrocytic hyperchromic anemia (pernicious anemia) * Microcytic hypochromic anemia (iron deficiency anemia) * Sickle cell anemia * Normocytic–normochromic anemia (hemolytic or aplastic anemia)
21
Q

What oral changes are associated with pernicious anemia?

A

Red, smooth, and shiny tongue, marked pallor of the gingiva.

22
Q

What is the effect of vitamin D deficiency?

A

It results in rickets in children and osteomalacia in adults.

23
Q

What is the role of vitamins B and C in human health?

A

They are essential water-soluble vitamins required in the diet.

24
Q

What are the effects of stress on the immune system?

A

Increased cortisol suppresses immune response, affecting neutrophil activity and immunoglobulin production.

25
What is neutropenia?
A blood disorder resulting in low levels of circulating neutrophils.
26
What is agranulocytosis?
A severe form of neutropenia involving a reduction in circulating granulocytes.
27
What are the systemic risk factors for periodontal disease?
* Endocrine disorders * Hematologic disorders * Genetic disorders * Stress * Nutritional influences * Medications
28
How does stress influence periodontal therapy outcomes?
Psychological conditions like stress and depression lead to less favorable therapy outcomes.
29
What is the primary function of vitamin A?
Maintaining the health of epithelial cells of skin and mucous membranes.
30
What changes occur in the gingiva due to vitamin A deficiency?
Hyperkeratosis and hyperplasia, leading to increased periodontal pocket formation.
31
What are systemic diseases and their impact on periodontal health?
Systemic diseases, disorders, and conditions alter host tissues and physiology, impairing the host’s barrier function and immune defense against periodontal pathogens.
32
Name two leukocyte disorders associated with periodontal disease.
* Neutropenia * Agranulocytosis
33
What types of leukemia are associated with periodontal disease?
* Lymphocytic * Myelogenous
34
What is the relationship between uncontrolled diabetes and periodontal disease?
Uncontrolled diabetes is associated with long-term complications such as *microvascular diseases* and *macrovascular diseases*, increasing susceptibility to infections and poor wound healing.
35
List some oral manifestations in patients with uncontrolled diabetes.
* Enlarged gingiva * Gingival polyps * Abscess formation * Periodontitis * Loosened teeth
36
What changes occur in the oral flora of patients with diabetes?
* Greater predominance of Candida albicans * Hemolytic streptococci * Staphylococci
37
Fill in the blank: Chronic hyperglycemia causes proteins and matrix molecules to undergo a non-enzymatic _______.
glycosylation
38
What is metabolic syndrome?
Metabolic syndrome is a condition of abdominal obesity combined with two or more metabolic disturbances: *hypertension*, *dyslipidemia*, and *hyperglycemia*.
39
True or False: Obesity is associated with decreased cytokine production.
False
40
What is the role of polymorph nuclear leukocytes (PMNs) in periodontal disease?
PMNs are the primary defense against periodontal pathogens, and deficiencies in PMNs result in impaired chemotaxis, defective phagocytosis, and impaired adherence.
41
What effect does chronic hyperglycemia have on collagen metabolism?
Chronic hyperglycemia impairs collagen structure and function, affecting synthesis, maturation, and maintenance.
42
What are AGEs and RAGEs in the context of diabetes?
AGEs are accumulated glycation end-products, and RAGEs are receptors for AGEs, both playing a central role in diabetes complications and periodontal disease progression.
43
What hormonal changes in females are associated with gingival alterations?
Gingival alterations during puberty, pregnancy, and menopause are associated with physiologic hormonal changes.
44
List some oral changes experienced by diabetic patients.
* Cheilosis * Mucosal drying and cracking * Burning mouth and tongue * Diminished salivary flow
45
How does increased glucose in gingival fluid affect periodontal disease severity?
Increased glucose may change the environment of the microflora, inducing qualitative changes in bacteria contributing to periodontal disease severity.