Systemic Disease

2.  Growth
 Maintenance of homeostasis
 Repoduction

3. PITUITARY
GLAND

4.  Coarse facial appearance
 Enlarged nose
 Thick lips
 Macrocephaly macroganthia disproportionate mandibular
growth
 Mandibular prognathism and distema
 Anterior open bite

5.  Excessive soft tissue growth
 Tooth migration
 Macroglossia
 Hypertrophy of pharyngeal tissues

6.  May show:
 Large pulp chambers
 Excessive deposition of cementum

7.  Small facial appearance
 Abnormal tooth formation
 Abnormal alveolar formation
 Tooth crowding
 Malocclusion
 Eruption of primary & secondary dentition are delayed
 Delayed shedding

8.  Plaque accumulation
 Poor oral hygiene
 Severe gingivitis/periodontitis
 Dental fluorosis
 Enamel defects

9. ADRENAL
GLAND

10.  Round moon face
 Surface capillaries become fragile
 Facial skin has ruddy color
 Excessive facial hair
 Delayed dental growth
 Oral candida is common

11.  Recuuent herpes labialis
 Herpes zoster
 Gingival and periodontal disease
 Impaired wound healing

12.  Unusual skin pigmentation over sun exposed area
 On face freckles and moles become more intense
 Tan like complexion
 Increased pigmentation around lip area
 More pigments in gingival margins,buccal
mucosa.palate and lingual surface of tounge

13.  Pigmentation may occur in irregular patterns
that range from pale brown to brown and
black
 Oral candida may present
 Recurrent herpes
 Herpes zoster
 Impaired wound healing
 Severe gingival and periodontal condition

14. THYROID
GLAND

15.  Can increase the patient response to dental
pain and anxiety
 Changes in oculomotor functions
 Protrusion of eyes
 Excess sweating
 Enlargement of tongue
 Difficulty in swallowing
 Increased dental caries
 Incresed periodontal conditions

16.  Facial myxdema
 Enlarged tongue
 Compromised periodontal health
 Dealyed tooth eruption
 Hoarse voice
 Salivary gland enlargement
 Change in taste
 BMS
 Xerostomia

17. PARATHYROID
GLAND

18.  Long standing hpercalcemia causes generalised
osteoporosis
 Cortical resorption & rarefactions
 Loss of trabeculations leads to ground glass
appearance
 Partial or total loss of lamina dura
 Gingival swelling
 Increased periodontal pockets

19.  Dental pain
 Spontaneous mandible fractures
 Teeth may become mobile
 Drifting of teeth may be present
 Malocclusion

20.  Lytic lesions
 Meatastatic calcifications
 Thinning and loss of cortical bone of maxilla and
mandible can be seen especially on lower border
of mandible
 Rare expansion into periosteum
 Fully develop teeth may appear more radiopaque
 Periradicular radiolucency

21.  Lytic jaw lesions or BROWN TUMORS
can increase in size causing expansion of
bony cortex

22.  Hypocalcemia produces increased muscular
and peripheral nerve irritability
 Painful muscular spasm
 Effected oral and largengeal muscle
 Acute or chronic candidia
 Enamel hypoplasia

23.  Single or parallel horizontal bands on the
enamel
 Malformed tooth
 Anodontia
 Impacted teeth
 Mandibular exostoses

24.  Dense maxilla or mandible
 Well calcified trabeculae
 Poorly mineralized dentin
 Short blunt root apices
 Elongated pulp chambers