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Oral Health as a public health
indicator
Marina Sameh
Yassmen Hesham
Zead Hossam
Muhanad Ehab Rady
Under Supervision
Dr. Shimaa Hussein
Mouth is a mirror of the internal
secrets of systemic health
Sample Footer Text
2
Oral Health An integral part of general
health and well-being
1/2/2024
Sample Footer Text
3
Oral cavity
Is intersection of medicine and dentistry.
Is a window into the general health of a
patient.
1/2/2024
Sample Footer Text
4
Importance of Oral Health
oral health and general health should not
be interpreted as a separate entities.
Oral health means more than a healthy
teeth.
No one can be healthy without oral health
1/2/2024
Sample Footer Text
5
What happens if oral health problems
are ignored?
pain and suffering
Devastating health complications , with
financial and social costs
Diminish the quality of life and burdens
society
1/2/2024
Sample Footer Text
6
Oral Diseases
 is a “Silent epidemic” condition .
Affect all populations:
Children
Elderly
No gender difference (male like female)
1/2/2024
Sample Footer Text
7
Oral health means much more
than healthy teeth
It means free from :
chronic oral-facial pain conditions
oral and pharyngeal diseases
oral soft tissue lesions
birth defects such as cleft lip and palate.oral, dental, and
craniofacial tissues (craniofacial complex)
1/2/2024
Sample Footer Text
8
The mouth is a mirror of
systemic health
 A thorough oral examination can detect:
signs of nutritional deficiencies
microbial infections
immune disorders
injuries
some cancer
1/2/2024
Sample Footer Text
9
What is the relationship between oral health
and general health and well-being?
1/2/2024
Sample Footer Text
10
What is the relationship between oral health
and general health and well-being?
 Many systemic diseases have initial signs of
oral manifestations.
 Oral cavity is a portal of entry of microbial
disease infections that affect general health
state.
 Oral cavity adversely affected by
pharmaceuticals therapies used for treating
systemic conditions. 1/2/2024
Sample Footer Text
11
Oral and craniofacial diseases contribute to :
 compromised ability to
bite, chew and swallow
foods.
 limitations in food
selection.
 poor nutrition.
1/2/2024
Sample Footer Text
12
Oral manifestations of systemic disease
 Periodontal diseases
 ORAL ULCERS
 Xerostomia
 Root caries
 Allergy and Mucosal changes due to drug therapy
 Benign soft tissue lesions and keratotic lesions, chiefly local
 Retarded eruption
 Psychic disorders
1/2/2024
Sample Footer Text
13
Separate Medical/Dental Education Systems
Medical Education System
does not help put oral health
on phyisician’s Radars!
1/2/2024
Sample Footer Text
14
Mechanisms that mediate the connection
between oral and systemic health
 Gene polymorphisms
 Environmental factors (stress, habits—such as
smoking and high‐fat diets/consumption of highly
processed foods)
 Medications
 Microbial dysbiosis that altered host immune
response. 1/2/2024
Sample Footer Text
15
Microbial dysbiosis
More than 400 species
of bacteria create an
exquisite microbial
ecological system in
the form of a biofilm
1/2/2024
Sample Footer Text
16
Oral infections
17
Sample Footer Text 1/2/2024
periodontal
diseases :
are the most
common chronic
microbial diseases
in the world.
Gingival and periodontal diseases
 is the most widespread
chronic inflammatory
response to oral
microbes’
1/2/2024
Sample Footer Text
18
Role of Oral biofilm in systemic diseases
1/2/2024
Sample Footer Text
19
Microbial Dysbiosis Pathogenesis
periodontal disease is a chronic
microbial, inflammatory
progressive disease.
Initiated by bacterial biofilm.
1/2/2024
Sample Footer Text
20
How Oral Microbes Cause Systemic
Disease?
Oral – infection – associated
bacteremias can contributes
to the risk of acute events.
1/2/2024
Sample Footer Text
21
The Emerging Connection between Oral
infection & Systemic diseases
1/2/2024
Sample Footer Text
22
Pathogenesis
Direct
Byproduct
bacteria
Endotoxins
into blood
circulation
Indirect
Inflamatory
mediators
IL
,
PG2
&MMP
1/2/2024
Sample Footer Text
23
Oral infections are associated with a number of
systemic diseases and disorders
 Bidirection relation between periodontal
disease and :
 Heart diseases
 Diabetes mellitus
 H,pylori
 respiratory diseases
 Preterm baby
 other diseases in immunocompromised
patients especially those with cancer.
1/2/2024
Sample Footer Text
24
There is a strong association between
periodontitis and ……
1/2/2024
Sample Footer Text
25
The effects of oral Disease
on Systemic Disease
• The periodontium serve as a
reservoir of bacteria, bacterial
products, inflammation and
immune mediators.
• These factors can interact with
other organ systems remote from
the oral cavity.
1/2/2024
Sample Footer Text
26
Oral manifestation of Cardiovascular
diseases
 Periodontal Diseases
 Lichenoid reaction (medication
used)
 Xerostomia
 Gingival hyperplasia
 Haemorrgic complication
1/2/2024
Sample Footer Text
27
Oral manifestation of Renal diseases
 Oral ulcer
 Uremic stomatitis
 Burning sensation
 Gingival hyperplasia (cyclosporin )
 Candidal infection
 Xerostomia
1/2/2024
Sample Footer Text
28
Radiographic image of
Hyperparathyroidism
-Bone has “ground
glass appearance”
-Multilocular
radiolucency
1/2/2024
Sample Footer Text
29
Oral Manifestation of Respiratory
Diseases
Xerostomia
Candidal infection
Chronic sinusitis
infection
Mouth breathing
1/2/2024
Sample Footer Text
30
Oral manifestation of Diabetes Mellitus
 Periodontal Abscess
 Xerostomia
 poor wound healing
 Gingival recession
 Cervical /root caries
 Sialosis
 Candidal infection
 Lichenoid reaction
1/2/2024
Sample Footer Text
31
Oral manifestation of Diabetes Mellitus
(Burning Mouth syndrome )
1/2/2024
Sample Footer Text
32
Oral Manifestation of Gastrointestinal
diseases
Gastrointestinal reflux ( Erosion
)
Ulcerative colitis (ulcers)
Crhons diseases ( mucosal tags
,ulcers , swollen lips)
Petuz jeghers syndrome (mucosal
pigmentation & intestinal polyps) 1/2/2024
Sample Footer Text
33
Blood Disorder
Chronic lymphocytic leukemia: severe gingival
enlargement
1/2/2024
Sample Footer Text
34
Blood Disorder
 Acute myelocytic leukemia: marked gingival enlargement
1/2/2024
Sample Footer Text
35
Severe necrotizing gingivitis in a 32-year-old
HIV sero-positive homosexual man
1/2/2024
Sample Footer Text
36
Hyperplastic gingivitis
1/2/2024
Sample Footer Text
37
Fibrous gingival hyperplasia caused by
phenytoin (medication )
1/2/2024
Sample Footer Text
38
Gingival hyperplasia caused by cyclosporine
1/2/2024
Sample Footer Text
39
Gingival fibromatosis
1/2/2024
Sample Footer Text
40
Severe gingivitis during pregnancy
1/2/2024
Sample Footer Text
41
Pyogenic granuloma of the gingiva
1/2/2024
Sample Footer Text
42
Herpes zoster: clusters of vesicles on the
palate.
1/2/2024
Sample Footer Text
43
Conclusions
44
1/2/2024
One should never underestimate oral
disorders as always curable.
People should take utmost care of the
oral condition seriously to prevent
significant complications.
Dental health should never be considered
a distinct, remote, and lower significant
part from general health
Oral health affects overall health
References
 Makkar, H.; Reynolds, M.A.; Wadhawan, A.; Dagdag, A.;
Merchant, A.T.; Postolache, T.T. Periodontal, metabolic, and
cardiovascular disease: Exploring the role of inflammation and
mental health. Pteridines 2018, 29, 124–163
 FDI World Dental Federation. Global periodontal health. Int.
Dent. J. 2019.
 Botelho, J., Mascarenhas, P., Viana, J. et al. An umbrella review
of the evidence linking oral health and systemic
noncommunicable diseases. Nat Commun (2022); 13, 7614.
1/2/2024
Sample Footer Text
45
46
Sample Footer Text
Thank you

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Oral health is a gate for systemic health [Autosaved].pptx

  • 1. Oral Health as a public health indicator Marina Sameh Yassmen Hesham Zead Hossam Muhanad Ehab Rady Under Supervision Dr. Shimaa Hussein
  • 2. Mouth is a mirror of the internal secrets of systemic health Sample Footer Text 2
  • 3. Oral Health An integral part of general health and well-being 1/2/2024 Sample Footer Text 3
  • 4. Oral cavity Is intersection of medicine and dentistry. Is a window into the general health of a patient. 1/2/2024 Sample Footer Text 4
  • 5. Importance of Oral Health oral health and general health should not be interpreted as a separate entities. Oral health means more than a healthy teeth. No one can be healthy without oral health 1/2/2024 Sample Footer Text 5
  • 6. What happens if oral health problems are ignored? pain and suffering Devastating health complications , with financial and social costs Diminish the quality of life and burdens society 1/2/2024 Sample Footer Text 6
  • 7. Oral Diseases  is a “Silent epidemic” condition . Affect all populations: Children Elderly No gender difference (male like female) 1/2/2024 Sample Footer Text 7
  • 8. Oral health means much more than healthy teeth It means free from : chronic oral-facial pain conditions oral and pharyngeal diseases oral soft tissue lesions birth defects such as cleft lip and palate.oral, dental, and craniofacial tissues (craniofacial complex) 1/2/2024 Sample Footer Text 8
  • 9. The mouth is a mirror of systemic health  A thorough oral examination can detect: signs of nutritional deficiencies microbial infections immune disorders injuries some cancer 1/2/2024 Sample Footer Text 9
  • 10. What is the relationship between oral health and general health and well-being? 1/2/2024 Sample Footer Text 10
  • 11. What is the relationship between oral health and general health and well-being?  Many systemic diseases have initial signs of oral manifestations.  Oral cavity is a portal of entry of microbial disease infections that affect general health state.  Oral cavity adversely affected by pharmaceuticals therapies used for treating systemic conditions. 1/2/2024 Sample Footer Text 11
  • 12. Oral and craniofacial diseases contribute to :  compromised ability to bite, chew and swallow foods.  limitations in food selection.  poor nutrition. 1/2/2024 Sample Footer Text 12
  • 13. Oral manifestations of systemic disease  Periodontal diseases  ORAL ULCERS  Xerostomia  Root caries  Allergy and Mucosal changes due to drug therapy  Benign soft tissue lesions and keratotic lesions, chiefly local  Retarded eruption  Psychic disorders 1/2/2024 Sample Footer Text 13
  • 14. Separate Medical/Dental Education Systems Medical Education System does not help put oral health on phyisician’s Radars! 1/2/2024 Sample Footer Text 14
  • 15. Mechanisms that mediate the connection between oral and systemic health  Gene polymorphisms  Environmental factors (stress, habits—such as smoking and high‐fat diets/consumption of highly processed foods)  Medications  Microbial dysbiosis that altered host immune response. 1/2/2024 Sample Footer Text 15
  • 16. Microbial dysbiosis More than 400 species of bacteria create an exquisite microbial ecological system in the form of a biofilm 1/2/2024 Sample Footer Text 16
  • 17. Oral infections 17 Sample Footer Text 1/2/2024 periodontal diseases : are the most common chronic microbial diseases in the world.
  • 18. Gingival and periodontal diseases  is the most widespread chronic inflammatory response to oral microbes’ 1/2/2024 Sample Footer Text 18
  • 19. Role of Oral biofilm in systemic diseases 1/2/2024 Sample Footer Text 19
  • 20. Microbial Dysbiosis Pathogenesis periodontal disease is a chronic microbial, inflammatory progressive disease. Initiated by bacterial biofilm. 1/2/2024 Sample Footer Text 20
  • 21. How Oral Microbes Cause Systemic Disease? Oral – infection – associated bacteremias can contributes to the risk of acute events. 1/2/2024 Sample Footer Text 21
  • 22. The Emerging Connection between Oral infection & Systemic diseases 1/2/2024 Sample Footer Text 22
  • 24. Oral infections are associated with a number of systemic diseases and disorders  Bidirection relation between periodontal disease and :  Heart diseases  Diabetes mellitus  H,pylori  respiratory diseases  Preterm baby  other diseases in immunocompromised patients especially those with cancer. 1/2/2024 Sample Footer Text 24
  • 25. There is a strong association between periodontitis and …… 1/2/2024 Sample Footer Text 25
  • 26. The effects of oral Disease on Systemic Disease • The periodontium serve as a reservoir of bacteria, bacterial products, inflammation and immune mediators. • These factors can interact with other organ systems remote from the oral cavity. 1/2/2024 Sample Footer Text 26
  • 27. Oral manifestation of Cardiovascular diseases  Periodontal Diseases  Lichenoid reaction (medication used)  Xerostomia  Gingival hyperplasia  Haemorrgic complication 1/2/2024 Sample Footer Text 27
  • 28. Oral manifestation of Renal diseases  Oral ulcer  Uremic stomatitis  Burning sensation  Gingival hyperplasia (cyclosporin )  Candidal infection  Xerostomia 1/2/2024 Sample Footer Text 28
  • 29. Radiographic image of Hyperparathyroidism -Bone has “ground glass appearance” -Multilocular radiolucency 1/2/2024 Sample Footer Text 29
  • 30. Oral Manifestation of Respiratory Diseases Xerostomia Candidal infection Chronic sinusitis infection Mouth breathing 1/2/2024 Sample Footer Text 30
  • 31. Oral manifestation of Diabetes Mellitus  Periodontal Abscess  Xerostomia  poor wound healing  Gingival recession  Cervical /root caries  Sialosis  Candidal infection  Lichenoid reaction 1/2/2024 Sample Footer Text 31
  • 32. Oral manifestation of Diabetes Mellitus (Burning Mouth syndrome ) 1/2/2024 Sample Footer Text 32
  • 33. Oral Manifestation of Gastrointestinal diseases Gastrointestinal reflux ( Erosion ) Ulcerative colitis (ulcers) Crhons diseases ( mucosal tags ,ulcers , swollen lips) Petuz jeghers syndrome (mucosal pigmentation & intestinal polyps) 1/2/2024 Sample Footer Text 33
  • 34. Blood Disorder Chronic lymphocytic leukemia: severe gingival enlargement 1/2/2024 Sample Footer Text 34
  • 35. Blood Disorder  Acute myelocytic leukemia: marked gingival enlargement 1/2/2024 Sample Footer Text 35
  • 36. Severe necrotizing gingivitis in a 32-year-old HIV sero-positive homosexual man 1/2/2024 Sample Footer Text 36
  • 38. Fibrous gingival hyperplasia caused by phenytoin (medication ) 1/2/2024 Sample Footer Text 38
  • 39. Gingival hyperplasia caused by cyclosporine 1/2/2024 Sample Footer Text 39
  • 41. Severe gingivitis during pregnancy 1/2/2024 Sample Footer Text 41
  • 42. Pyogenic granuloma of the gingiva 1/2/2024 Sample Footer Text 42
  • 43. Herpes zoster: clusters of vesicles on the palate. 1/2/2024 Sample Footer Text 43
  • 44. Conclusions 44 1/2/2024 One should never underestimate oral disorders as always curable. People should take utmost care of the oral condition seriously to prevent significant complications. Dental health should never be considered a distinct, remote, and lower significant part from general health Oral health affects overall health
  • 45. References  Makkar, H.; Reynolds, M.A.; Wadhawan, A.; Dagdag, A.; Merchant, A.T.; Postolache, T.T. Periodontal, metabolic, and cardiovascular disease: Exploring the role of inflammation and mental health. Pteridines 2018, 29, 124–163  FDI World Dental Federation. Global periodontal health. Int. Dent. J. 2019.  Botelho, J., Mascarenhas, P., Viana, J. et al. An umbrella review of the evidence linking oral health and systemic noncommunicable diseases. Nat Commun (2022); 13, 7614. 1/2/2024 Sample Footer Text 45