This document discusses renal failure, including its epidemiology, etiology, clinical manifestations, and oral manifestations. It notes that renal failure can be congenital or acquired and prevalence ranges from 39 to 56 million children globally. Oral manifestations include soft tissue changes like pallor, hemorrhaging, and infections, as well as hard tissue changes like enamel hypoplasia, dental calculus formation, and manifestations of renal osteodystrophy. Close collaboration between dentists and nephrologists is important for treatment planning and management of patients with renal failure.
Association between alcohol consumption and periodontal diseaseDr Gauri Kapila
The document summarizes a study that assessed the relationship between alcohol intake and severity of periodontal disease in South Korea. The study used data from the Korea National Health and Nutrition Examination Survey from 2008-2010, which included health interviews, examinations, and nutrition surveys from over 20,000 participants. Logistic regression analysis found that higher alcohol intake, especially among male heavy drinkers, was associated with greater periodontal treatment needs, though the relationship was not seen among females. The results suggest that alcohol consumption may increase risk of periodontal disease through impacts on oral hygiene, immune function, bone metabolism, and interactions with other health factors.
This document provides information on various types of pulpal and periapical diseases. It discusses the etiology, signs and symptoms, pathogenesis, diagnosis, and treatment of different conditions including acute and chronic apical periodontitis, apical abscesses, granulomas, cysts, condensing osteitis, and root resorption. Microorganisms commonly associated with these diseases include streptococcus, peptostreptococcus, and provotella. Diagnosis involves clinical examination, vitality testing, and radiographic examination to identify features such as bone loss, lesions, or sinus tracts.
This document discusses risk factors for periodontitis. It identifies smoking, diabetes, and certain pathogenic bacteria as risk factors. Genetics, age, gender, osteoporosis, and a history of periodontal disease are described as risk determinants or indicators. The document provides details on how each of these factors increases the risk of periodontal disease, noting their effects on inflammation, bone loss, and disease progression. It emphasizes that eliminating or reducing modifiable risk factors can help improve prevention and treatment outcomes for periodontitis.
This document provides an overview of kidney anatomy, functions, and disorders. It discusses the normal kidney anatomy, major kidney functions including excretion and hormone regulation. Kidney disorders are classified as acute kidney injury, chronic kidney disease, and end-stage renal failure. Specific disorders like glomerulonephritis, nephritic syndrome, and nephrotic syndrome are explained. The document also reviews oral manifestations of chronic kidney disease and considerations for dental treatment of patients with renal disorders.
Hereditary white lesions include leukoedema, white sponge nevus, hereditary benign intraepithelial dyskeratosis, and dyskeratosis congenita. Reactive and inflammatory white lesions include linea alba, frictional keratosis caused by mechanical irritation such as dentures, and traumatic keratosis that resolves upon removal of the irritant.
Association between alcohol consumption and periodontal diseaseDr Gauri Kapila
The document summarizes a study that assessed the relationship between alcohol intake and severity of periodontal disease in South Korea. The study used data from the Korea National Health and Nutrition Examination Survey from 2008-2010, which included health interviews, examinations, and nutrition surveys from over 20,000 participants. Logistic regression analysis found that higher alcohol intake, especially among male heavy drinkers, was associated with greater periodontal treatment needs, though the relationship was not seen among females. The results suggest that alcohol consumption may increase risk of periodontal disease through impacts on oral hygiene, immune function, bone metabolism, and interactions with other health factors.
This document provides information on various types of pulpal and periapical diseases. It discusses the etiology, signs and symptoms, pathogenesis, diagnosis, and treatment of different conditions including acute and chronic apical periodontitis, apical abscesses, granulomas, cysts, condensing osteitis, and root resorption. Microorganisms commonly associated with these diseases include streptococcus, peptostreptococcus, and provotella. Diagnosis involves clinical examination, vitality testing, and radiographic examination to identify features such as bone loss, lesions, or sinus tracts.
This document discusses risk factors for periodontitis. It identifies smoking, diabetes, and certain pathogenic bacteria as risk factors. Genetics, age, gender, osteoporosis, and a history of periodontal disease are described as risk determinants or indicators. The document provides details on how each of these factors increases the risk of periodontal disease, noting their effects on inflammation, bone loss, and disease progression. It emphasizes that eliminating or reducing modifiable risk factors can help improve prevention and treatment outcomes for periodontitis.
This document provides an overview of kidney anatomy, functions, and disorders. It discusses the normal kidney anatomy, major kidney functions including excretion and hormone regulation. Kidney disorders are classified as acute kidney injury, chronic kidney disease, and end-stage renal failure. Specific disorders like glomerulonephritis, nephritic syndrome, and nephrotic syndrome are explained. The document also reviews oral manifestations of chronic kidney disease and considerations for dental treatment of patients with renal disorders.
Hereditary white lesions include leukoedema, white sponge nevus, hereditary benign intraepithelial dyskeratosis, and dyskeratosis congenita. Reactive and inflammatory white lesions include linea alba, frictional keratosis caused by mechanical irritation such as dentures, and traumatic keratosis that resolves upon removal of the irritant.
This document discusses diseases of the pulp, including types of pulpitis such as reversible, irreversible, acute, and chronic pulpitis. It outlines causes of pulp inflammation including mechanical, thermal, chemical and bacterial causes. Symptoms and classifications of different types of pulpitis are described. Histological features and management approaches for various pulp diseases like necrosis and hyperplastic pulpitis are also summarized.
This document discusses various classifications of pulpal diseases. It describes classifications proposed by Grossman, Baume, Seltzer & Bender, Johnson, American Board of Endodontics, Reit et al., Walton & Torabinejad, Torabinejad & Shabahang, Tronstad, Ingle & Beveridge, Castelucci, Beer & Baumann, Abbott, and the World Health Organization. Many classifications divide pulpal diseases into categories such as normal pulp, reversible pulpitis, irreversible pulpitis, necrosis, hyperplastic pulpitis, and previously treated pulp. The classifications aim to help with treatment planning, prognosis determination, and assessing restorative needs based on the signs and symptoms of
This document discusses various fungal infections that can affect the oral cavity and respiratory tract, including candidiasis, aspergillosis, and zygomycosis. It describes the characteristics and morphology of fungi, including molds, yeasts, dimorphic fungi. It then covers the pathogenesis, clinical manifestations, diagnosis and treatment of the main opportunistic fungal infections.
Diagnosis &treatment planning in conservative dentistry dr arsalanDr.Arsalan Zubair
The document discusses diagnosis and treatment planning in conservative dentistry. It covers patient assessment, risk assessment, clinical examination of teeth and restorations, radiographic examination, adjunctive diagnostic aids, occlusion examination, periodontal examination, and considerations for treatment planning such as sequencing of treatment and interdisciplinary coordination. The goal of examination and diagnosis is to identify problems and risks to develop an appropriate treatment plan.
The document discusses osteomyelitis, which is an inflammatory condition of bone that begins as an infection of the medullary cavity and spreads to involve the periosteum. It can be acute or chronic, and is caused by bacteria or fungi entering via trauma or a blood-borne route. Symptoms include pain, swelling, and pus drainage. Diagnosis involves medical imaging and biopsy. Treatment involves antibiotics, drainage of pus, debridement of infected tissue, and sometimes surgery. Chronic osteomyelitis can be difficult to treat and may require repeated surgeries. Risk factors include reduced blood supply to bone from conditions like diabetes.
This document discusses red and white lesions of the oral cavity, focusing on oral candidiasis. It describes the various types of oral candidiasis including pseudomembranous, erythematous, chronic plaque-type, and median rhomboid glossitis. Predisposing factors, clinical findings, diagnosis, treatment with antifungal medications or surgery, and prognosis are summarized for each type. Chronic hyperplastic candidiasis may require long-term antifungal therapy or surgery due to risk of recurrence. Overall prognosis is generally good if predisposing factors can be addressed.
endodontic surgery and its current concepts boris saha
This document provides an overview of endodontic surgery and its concepts. It discusses the history and evolution of endodontic surgery techniques. It also covers indications for endodontic surgery, classifications of different surgical procedures, and considerations for pre-surgical treatment planning. Key surgical steps like flap design, osteotomy, and root-end resection are summarized.
Influence of hematological disorder on periodontiumDr Saif khan
This document discusses the influence of various hematological disorders on the periodontium. It describes how blood cells play an essential role in maintaining a healthy periodontium. Comparable oral changes can occur in more than one form of blood dyscrasia. Hemorrhagic tendencies arise when normal hemostatic mechanisms are disturbed. Specific hematological disorders discussed in detail include leukemia, anemia, sickle cell anemia, thrombocytopenia, and leukocyte/neutrophil disorders which can all influence the periodontal tissues.
This document discusses various pulpal diseases, their causes, symptoms and treatment. It covers reversible and irreversible pulpitis caused by physical, chemical and bacterial factors. It also covers chronic hyperplastic pulpitis, characterized by a fleshy pulpal mass filling the pulp chamber. Internal resorption is discussed as an idiopathic resorptive process in the dentin and root canals, often asymptomatic with a history of trauma. Classification schemes and histopathological features of different pulpal conditions are also presented.
This document discusses the treatment of immature permanent teeth with incompletely formed roots. It describes apexogenesis for vital immature teeth, which aims to allow continued root formation through pulpotomy or partial pulpectomy. For non-vital immature teeth (apexification), the goal is inducing apical closure with calcified tissue using calcium hydroxide paste placed in the root canal. Placement of the paste every 3-6 months allows formation of a hard tissue bridge at the apex seen on x-rays within 3-12 months, at which point further root canal treatment can be completed. Calcium hydroxide has shown success rates of 74-100% for stimulating apexification.
This case report describes the successful non-surgical treatment of external inflammatory root resorption in a replanted maxillary incisor tooth. A 22-year old patient presented with a fractured and previously avulsed tooth #21 that was replanted over 3 months prior without endodontic therapy. Clinical examination found tooth #21 tender to percussion with mobility. Radiographs showed radiolucencies along the apex, consistent with external inflammatory root resorption. The tooth was treated with root canal therapy and calcium hydroxide dressings. Over a 1 year follow up, the resorptive lesions healed with new hard tissue formation and the tooth remained asymptomatic.
This document discusses various types of pseudocysts and true cysts found in the body. It begins by defining the key differences between a true cyst and a pseudocyst. Pseudocysts are lined by granulation and/or fibrous tissue rather than an epithelial cell layer. The document then classifies and describes different types of pseudocysts including traumatic bone cysts, aneurysmal bone cysts, and developmental cysts. It provides details on the etiology, location, patient demographics, clinical presentation, radiographic features, histopathology and treatment for each type.
This document provides an overview of periodontal prognosis, including definitions, types of prognosis, and factors that influence prognosis determination. Key factors include overall clinical factors like age, disease severity and plaque control; systemic/environmental factors like smoking and systemic diseases; local factors like plaque, calculus and tooth anatomy; and prosthetic/restorative factors. The relationship between diagnosis and prognosis is also discussed. Prognosis depends on the diagnosis and condition, with generally good prognosis for gingivitis if plaque is removed, and varying prognosis for periodontitis depending on additional risk factors.
This document discusses Necrotizing Ulcerative Gingivitis (NUG), also known as trench mouth. It defines NUG as a microbial disease of the gingiva caused by an impaired host response. Key clinical features include necrosis of gingival tissue and pain. Diagnosis is based on these clinical findings and microscopic examination. Management involves reducing the microbial load, removing necrotic tissue, treating any systemic conditions, and supportive periodontal therapy. Prognosis is generally good with treatment but recurrence is possible without ongoing maintenance of oral hygiene.
This document discusses aggressive periodontitis, a rare and severe form of periodontitis. It is characterized by early onset, rapid progression, and familial aggregation. There are two main types: localized aggressive periodontitis, which mainly affects first molars and incisors, and generalized aggressive periodontitis, which affects at least three teeth across the mouth. Risk factors include certain bacteria like Aggregatibacter actinomycetemcomitans, genetic factors, and immune system abnormalities. The document provides details on the clinical features, causes, and differences between the chronic and aggressive forms of periodontitis.
the oral cavity is a mirror of the whole body, it contains cells derived from all germinal layer. so there are so intense relationship between oral health and systemic health
This document discusses the relationship between periodontal disease and various systemic conditions. It covers how diabetes, metabolic syndrome, hormonal factors like pregnancy, and hematologic/immune disorders can influence periodontal health. Specifically, it describes how these conditions can alter the host response and make individuals more susceptible to periodontal pathogens by impairing immune function or increasing inflammation. The document also discusses genetic disorders and stress/psychosomatic factors that predispose to periodontal disease.
This seminar consists of a brief description about various systemic diseases along with their oral manifestations and treatments along with the special considerations to be followed
This document discusses diseases of the pulp, including types of pulpitis such as reversible, irreversible, acute, and chronic pulpitis. It outlines causes of pulp inflammation including mechanical, thermal, chemical and bacterial causes. Symptoms and classifications of different types of pulpitis are described. Histological features and management approaches for various pulp diseases like necrosis and hyperplastic pulpitis are also summarized.
This document discusses various classifications of pulpal diseases. It describes classifications proposed by Grossman, Baume, Seltzer & Bender, Johnson, American Board of Endodontics, Reit et al., Walton & Torabinejad, Torabinejad & Shabahang, Tronstad, Ingle & Beveridge, Castelucci, Beer & Baumann, Abbott, and the World Health Organization. Many classifications divide pulpal diseases into categories such as normal pulp, reversible pulpitis, irreversible pulpitis, necrosis, hyperplastic pulpitis, and previously treated pulp. The classifications aim to help with treatment planning, prognosis determination, and assessing restorative needs based on the signs and symptoms of
This document discusses various fungal infections that can affect the oral cavity and respiratory tract, including candidiasis, aspergillosis, and zygomycosis. It describes the characteristics and morphology of fungi, including molds, yeasts, dimorphic fungi. It then covers the pathogenesis, clinical manifestations, diagnosis and treatment of the main opportunistic fungal infections.
Diagnosis &treatment planning in conservative dentistry dr arsalanDr.Arsalan Zubair
The document discusses diagnosis and treatment planning in conservative dentistry. It covers patient assessment, risk assessment, clinical examination of teeth and restorations, radiographic examination, adjunctive diagnostic aids, occlusion examination, periodontal examination, and considerations for treatment planning such as sequencing of treatment and interdisciplinary coordination. The goal of examination and diagnosis is to identify problems and risks to develop an appropriate treatment plan.
The document discusses osteomyelitis, which is an inflammatory condition of bone that begins as an infection of the medullary cavity and spreads to involve the periosteum. It can be acute or chronic, and is caused by bacteria or fungi entering via trauma or a blood-borne route. Symptoms include pain, swelling, and pus drainage. Diagnosis involves medical imaging and biopsy. Treatment involves antibiotics, drainage of pus, debridement of infected tissue, and sometimes surgery. Chronic osteomyelitis can be difficult to treat and may require repeated surgeries. Risk factors include reduced blood supply to bone from conditions like diabetes.
This document discusses red and white lesions of the oral cavity, focusing on oral candidiasis. It describes the various types of oral candidiasis including pseudomembranous, erythematous, chronic plaque-type, and median rhomboid glossitis. Predisposing factors, clinical findings, diagnosis, treatment with antifungal medications or surgery, and prognosis are summarized for each type. Chronic hyperplastic candidiasis may require long-term antifungal therapy or surgery due to risk of recurrence. Overall prognosis is generally good if predisposing factors can be addressed.
endodontic surgery and its current concepts boris saha
This document provides an overview of endodontic surgery and its concepts. It discusses the history and evolution of endodontic surgery techniques. It also covers indications for endodontic surgery, classifications of different surgical procedures, and considerations for pre-surgical treatment planning. Key surgical steps like flap design, osteotomy, and root-end resection are summarized.
Influence of hematological disorder on periodontiumDr Saif khan
This document discusses the influence of various hematological disorders on the periodontium. It describes how blood cells play an essential role in maintaining a healthy periodontium. Comparable oral changes can occur in more than one form of blood dyscrasia. Hemorrhagic tendencies arise when normal hemostatic mechanisms are disturbed. Specific hematological disorders discussed in detail include leukemia, anemia, sickle cell anemia, thrombocytopenia, and leukocyte/neutrophil disorders which can all influence the periodontal tissues.
This document discusses various pulpal diseases, their causes, symptoms and treatment. It covers reversible and irreversible pulpitis caused by physical, chemical and bacterial factors. It also covers chronic hyperplastic pulpitis, characterized by a fleshy pulpal mass filling the pulp chamber. Internal resorption is discussed as an idiopathic resorptive process in the dentin and root canals, often asymptomatic with a history of trauma. Classification schemes and histopathological features of different pulpal conditions are also presented.
This document discusses the treatment of immature permanent teeth with incompletely formed roots. It describes apexogenesis for vital immature teeth, which aims to allow continued root formation through pulpotomy or partial pulpectomy. For non-vital immature teeth (apexification), the goal is inducing apical closure with calcified tissue using calcium hydroxide paste placed in the root canal. Placement of the paste every 3-6 months allows formation of a hard tissue bridge at the apex seen on x-rays within 3-12 months, at which point further root canal treatment can be completed. Calcium hydroxide has shown success rates of 74-100% for stimulating apexification.
This case report describes the successful non-surgical treatment of external inflammatory root resorption in a replanted maxillary incisor tooth. A 22-year old patient presented with a fractured and previously avulsed tooth #21 that was replanted over 3 months prior without endodontic therapy. Clinical examination found tooth #21 tender to percussion with mobility. Radiographs showed radiolucencies along the apex, consistent with external inflammatory root resorption. The tooth was treated with root canal therapy and calcium hydroxide dressings. Over a 1 year follow up, the resorptive lesions healed with new hard tissue formation and the tooth remained asymptomatic.
This document discusses various types of pseudocysts and true cysts found in the body. It begins by defining the key differences between a true cyst and a pseudocyst. Pseudocysts are lined by granulation and/or fibrous tissue rather than an epithelial cell layer. The document then classifies and describes different types of pseudocysts including traumatic bone cysts, aneurysmal bone cysts, and developmental cysts. It provides details on the etiology, location, patient demographics, clinical presentation, radiographic features, histopathology and treatment for each type.
This document provides an overview of periodontal prognosis, including definitions, types of prognosis, and factors that influence prognosis determination. Key factors include overall clinical factors like age, disease severity and plaque control; systemic/environmental factors like smoking and systemic diseases; local factors like plaque, calculus and tooth anatomy; and prosthetic/restorative factors. The relationship between diagnosis and prognosis is also discussed. Prognosis depends on the diagnosis and condition, with generally good prognosis for gingivitis if plaque is removed, and varying prognosis for periodontitis depending on additional risk factors.
This document discusses Necrotizing Ulcerative Gingivitis (NUG), also known as trench mouth. It defines NUG as a microbial disease of the gingiva caused by an impaired host response. Key clinical features include necrosis of gingival tissue and pain. Diagnosis is based on these clinical findings and microscopic examination. Management involves reducing the microbial load, removing necrotic tissue, treating any systemic conditions, and supportive periodontal therapy. Prognosis is generally good with treatment but recurrence is possible without ongoing maintenance of oral hygiene.
This document discusses aggressive periodontitis, a rare and severe form of periodontitis. It is characterized by early onset, rapid progression, and familial aggregation. There are two main types: localized aggressive periodontitis, which mainly affects first molars and incisors, and generalized aggressive periodontitis, which affects at least three teeth across the mouth. Risk factors include certain bacteria like Aggregatibacter actinomycetemcomitans, genetic factors, and immune system abnormalities. The document provides details on the clinical features, causes, and differences between the chronic and aggressive forms of periodontitis.
the oral cavity is a mirror of the whole body, it contains cells derived from all germinal layer. so there are so intense relationship between oral health and systemic health
This document discusses the relationship between periodontal disease and various systemic conditions. It covers how diabetes, metabolic syndrome, hormonal factors like pregnancy, and hematologic/immune disorders can influence periodontal health. Specifically, it describes how these conditions can alter the host response and make individuals more susceptible to periodontal pathogens by impairing immune function or increasing inflammation. The document also discusses genetic disorders and stress/psychosomatic factors that predispose to periodontal disease.
This seminar consists of a brief description about various systemic diseases along with their oral manifestations and treatments along with the special considerations to be followed
013.systemic diseases in the etiology of periodontal diseaseDr.Jaffar Raza BDS
The document discusses various systemic diseases and conditions that can affect the periodontium. It covers topics like nutritional deficiencies (such as scurvy from vitamin C deficiency), hematological disorders like leukemia which can cause gingival enlargement and bleeding, and metabolic conditions such as diabetes that increase periodontal disease risk. The document also discusses effects of medications, toxins, and diseases like HIV/AIDS on the periodontal tissues and considerations for treatment.
Hematologic disorders and immune deficiencies can profoundly impact the periodontium. Disorders that affect the production or function of white blood cells like neutrophils may result in severe periodontal destruction due to lack of bacterial defense. These include neutropenia, agranulocytosis, lazy leukocyte syndrome, and chronic granulomatous disease. Leukemia involves the malignant transformation of blood cell precursors in the bone marrow, displacing normal cells and reducing blood cell production. Symptoms vary depending on the type and severity of the underlying condition. Abnormal bleeding or infections in the oral cavity can indicate an underlying hematologic or immunodeficiency disorder.
This document provides an overview of hematological disorders and their significance in periodontal treatment. It begins with an introduction to how blood cells play an essential role in periodontal health. It then classifies hematological disorders into cellular defects affecting red blood cells, white blood cells, and platelets. Specific disorders discussed include anemias, leukemias, neutropenia, thrombocytopenia, and coagulation defects. The document outlines the oral manifestations and treatments for many of these conditions and discusses their implications for periodontal disease and treatment.
Oral manifestations of Hematological disordersSubhash Thakur
Oral manifestations can be the initial presentation of hematological disorders and may present as infiltration of tissues, secondary effects of bone marrow suppression, or side effects of treatment. Common oral signs include pallor, ulcers, bleeding, infections like candidiasis, and effects of radiation like mucositis and xerostomia. Specific disorders can cause angular cheilitis, glossitis, gingival enlargement, osteomyelitis, or lymphadenopathy. Detailed oral exams are important for early detection of underlying hematological conditions.
Chemotherapy and prosthodontics implicationBHU VARANASI
The objective of this presentation to improve removable prosthodontic therapy during chemotherapy to improve the patient's quality of life, enhance nutrition by reducing oral irritation and ulceration, and control the oral microbial populations associated with chemotherapy and the wearing of a denture.
During chemotherapy what all thing, let a dentist know well
it helps to provide information regarding the what all to use or not use .
This document discusses dental considerations for patients with endocrine diseases. It covers hormone excess, deficiency, and resistance related to the pituitary gland, adrenal gland, thyroid gland, and parathyroid glands. Key points include increased risk of infections for patients on high-dose steroids (Cushing's); need for IV glucocorticoids before dental work in Addison's disease; risks of aspiration and bleeding in hypothyroidism; increased caries and mobility in hyperparathyroidism; and increased infections and delayed healing in diabetes. Systemic treatment needs and dental management strategies are provided for each condition.
GERIATRIC CARE DENTISTRY - ORAL MANIFESTATIONS IN GERIATRIC PATIENTSdrpriyanka8
INTRODUCTION
CLASSIFICATION
AGE CHANGES AFFECTING STRUCTURES IN ORAL CAVITY
COMMON DISEASE AMONG GERIATRIC PATIENTS
MOST COMMON ORAL DISEASE WITH SUGGESTED TREATMENT
GOAL OF ORAL PHYSICIAN
COMMON SYSTEMIC DISEASE IN OLDER ADULT
CONCLUSION
REFERENCES
This document discusses orthodontic considerations for patients with medical disorders. It emphasizes the importance of thoroughly understanding a patient's medical conditions and medications before providing treatment. A comprehensive medical history should be obtained and updated regularly. Conditions discussed in detail include cardiovascular disorders like infective endocarditis, hematological disorders like bleeding disorders and sickle cell anemia, respiratory disorders like asthma and cystic fibrosis, neurological disorders like epilepsy and multiple sclerosis, hepatic disorders like hepatitis, renal disorders, endocrine disorders like diabetes, musculoskeletal disorders, allergies, and side effects of medications. Specific orthodontic precautions are outlined for each condition.
This document reviews oral manifestations and dental management considerations for patients with leukocyte alterations. Key points include:
1. Oral complications of neutropenia can include necrotic ulcers, severe gingivitis, and periodontitis. Agranulocytosis presents as necrotic ulcers without signs of inflammation. Congenital neutropenia risks periodontal disease despite treatment.
2. Dental treatment for patients with neutrophil disorders emphasizes preventive care and controlling infections to minimize surgery. Acceptable blood counts are recommended for oral surgery.
3. Leukemia can cause gingival hyperplasia from infiltration of leukemia cells. This presents as swollen, pale gingiva and
This document discusses various developmental disorders, dysfunctions, and diseases that can affect the salivary glands. It covers conditions such as aplasia, agenesis, hypoplasia, and accessory ducts as developmental disorders. Dysfunctions like xerostomia and its causes are explained. Inflammatory and reactive lesions including necrotizing sialometaplasia and radiation-induced pathology are outlined. Viral diseases like mumps and bacterial infections are also summarized, along with treatments for various conditions.
This document discusses oral manifestations of systemic diseases in older patients. It provides background on oral structures and functions. It then examines relationships between oral symptoms and conditions like drug reactions, fungal/viral infections, leukemia, Behcet's disease, Sjogren's syndrome, diabetes mellitus, nutritional deficiencies, and amyloidosis. For each condition, it describes common oral presentations and recommendations for treatment and differential diagnosis. The document concludes that the mouth can provide insights into a patient's immune function and that differential diagnosis is important.
Papillon-Lèfevre Syndrome (PLS) is a rare genetic disorder that causes severe gum disease and early loss of both baby and adult teeth. It is caused by mutations in the CTSC gene which encodes an enzyme important for immune function. Patients with PLS experience rapid gum inflammation and bone loss around teeth from a young age, resulting in pain, infection, and premature tooth loss. Skin lesions also develop on the hands and feet. Treatment focuses on antibiotics, oral hygiene, gum treatment, and early tooth extraction to prevent further infection and bone loss, with the goal of restoring chewing function through prosthetics or implants.
"INFLUENCE OF SYSTEMIC DISEASES (CONDITIONS) ON PERIODONTIUM" -PART-2Perio Files
This document discusses various systemic conditions and disorders that can influence periodontal disease, including:
1. Hematologic disorders like red blood cell disorders (such as sickle cell anemia), platelet disorders, and white blood cell disorders (such as leukemia) which can cause bleeding, infection, and gingival enlargement.
2. Systemic drug therapy that can cause gingival enlargement as a side effect, such as from anticonvulsants, immunosuppressants, and calcium channel blockers.
3. Psychosomatic disorders like stress, which may exacerbate periodontal disease through its effects on the immune system and increased production of pro-inflammatory mediators.
7.oral manifest of systemic diseases part iLama K Banna
Oral examination can reveal findings indicative of underlying systemic conditions. Careful oral evaluation includes inspection of the mucosa, periodontal tissues, and teeth. Oral manifestations of anemia may include pallor, glossitis, and candidiasis. Many systemic diseases are reflected in oral changes such as ulceration, bleeding, infections, bone disease, and dental issues. Local factors may also contribute to oral lesions in patients with systemic conditions. Diseases of the endocrine, hematologic, immune, and gastrointestinal systems can all impact the oral cavity. Medications prescribed for systemic illnesses can additionally cause oral side effects.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
How to Make a Field Mandatory in Odoo 17Celine George
In Odoo, making a field required can be done through both Python code and XML views. When you set the required attribute to True in Python code, it makes the field required across all views where it's used. Conversely, when you set the required attribute in XML views, it makes the field required only in the context of that particular view.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
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2. 1. Introduction
2. Epidemiology
3. Etiopathogenesis
4. Clinical manifestations
5. Oral manifestations
5.1. Soft tissue
5.2. Hard tissue
6. Medical management
7. Role of the pediatric dentist
3. Introduction
Kidneys are vital organs for maintaining a stable internal environment
(homeostasis).
Renal failure can be congenital or acquired condition and prevalence ranges
from 39 to 56 million children universally.
Acute renal failure is rapidly progressive loss of renal function characterized by
sudden and important reduction in glomerular filtration rate (GFR) lasting for
hours up to days.
5. Chronic renal failure is a progressive and irreversible decline in the total number
of functioning nephrons, which causes a decline in the glomerular filtration rate.
Nephrotic syndrome is a common chronic disorder that is characterized by
alterations of the glomerular capillary wall, resulting in protein loss through the
urine.
End-stage renal failure (ESRF) is the stage when renal replacement therapy by
dialysis or transplantation is required.
6. Epidemiology
There is limited information on the epidemiology of CRD in the pediatric
population. Because this disease is often asymptomatic in its early stages, it is
both underdiagnosed and underreported.
The estimated incidence of ESRF in childhood, either due to a congenital or
acquired condition, is 10–12 cases per 1 million children, with a prevalence
varying from 39 to 56 million children.
7. Etiopathogenesis
The kidney performs four essential functions:
• excretion of metabolites, particularly urea.
• regulation of blood volume and electrolyte concentration.
• regulation of erythrocyte production in the bone marrow by secreting
erythropoietin.
• participation in calcium homeostasis through hydroxylation of vitamin D3 into
active or inactive metabolites.
Any pathology involving renal function would be expected to have serious
pleiotropic effects.
8. Clinical manifestations
Clinical signs and symptoms of renal failure are collectively termed as
uremia.
Uremia is a state of intoxication that involves multiple extrarenal systems,
such as the bone, heart, vasculature, and lungs
Uremia causes suppression of lymphocytic responses, dysfunction of
granulocytes, and suppression of cell-mediated immunity.
9. Oral manifestations
Soft tissue
Reduced erythropoietin and the resultant anemia lead to pallor of the oral mucosa.
Platelet aggregation is altered during uremia. This situation, combined with the use of
heparin and other anticoagulants in hemodialysis, leads patients to become
predisposed to ecchymosis, petechiae, and hemorrhages in the oral cavity.
10. Stomatitis, mucositis, and glossitis can cause pain and inflammation of the
tongue
and oral mucosa.
Altered taste sensations, dysgeusia, as well as bacterial and candidiasis
infections can develop due to the underlying renal disease.
11. A common oral symptom of CRF is the sensation of a dry mouth, which may be
caused by restricted fluid intake (necessary to accommodate the reduced excretory
capacity of the kidney), adverse effects of drug therapy, and the low salivary flow
rate.
Patients also suffer from odorous breath (uremic breath) and sensations of
metallic tastes in the mouth (uremic fetor).
Uremic fetor occurs as a result of a high salivary concentration of urea, which is
converted to ammonia
Additional possible causes are increased phosphate and protein concentrations,
as well as changes in salivary pH.
12. Gingival inflammation has been reported to be due to plaque accumulation
and poor oral has hygiene.
Attention been given to general medical care, prolonged hospitalization,
and hypoplastic teeth as causes of high plaque scores in these patients.
However, the frequency of gingival inflammation is low because the
immunosuppression and uremia associated with renal disease alter the
inflammatory response to bacterial plaques in gingival tissue.
Pallor caused by anemia can also mask inflammatory signs in the gingiva.
13. Another manifestation of CRD is gingival enlargement secondary to drug
therapy or transplantation.
Gingival enlargement chiefly affects the labial interdental papillae
Gingival overgrowth (GO) is assumed to be related to the following:
alteration of the fibroblast metabolism by cyclosporine and or its
metabolites.
increasing protein synthesis, collagen, extracellular matrix formation.
14. Other problems related to gingival over growth are:
disagreeable appearance leads to psychological trauma to the patient.
eruption teeth will be delayed or ectopic eruption of teeth and problems of speech.
Cytomegalovirus infections are common post-transplant Candidiasis and herpes virus
infection are common due to prolonged immunosuppression.
15. Lichenoid reactions are medicine associated; drug induced oral hairy leukoplakia
(OHL).
Epstein-Barr virus can be seen in primary infection of oropharynx where the virus
gets latent in epithelium and gets reactivated upon immunosuppressant manifesting
itself as OHL and tongue lesions.
Increased risk of virus related to malignaization such as Kaposi sarcoma or non-
Hodgkin’s lymphoma.
Xerostomia is generally due to fluid restriction and medium induced along with
salivary gland dysfunction.
16. Reddish brown discoloration has been reported in developing dentition along with delayed
eruption of tooth.
Severe erosions have been seen on the lingual surface of the teeth due to frequent
vomiting induced by uremia, regurgitations and dialysis associated nausea and
medications.
Elevated salivary pH, decreased salivary magnesium, and high levels of salivary
urea and phosphorus lead to precipitation of calcium-phosphorus and calcium
oxalate, and, thus, dental calculus formation.
17. White patches of the skin, called ‘‘ uremic frost ’’ can occasionally be seen intraorally.
Uremic frost results from the formation of urea crystal on the epithelial surfaces after
perspiration and saliva evaporation.
18. Hard tissue
Disruptions during the histodifferentiation, apposition, and mineralization
stages of tooth development result in tooth structure abnormalities.
In children with renal disease, incidence rates of enamel hypoplasia range from
31% to 83%, depending on the racial, ethnic, nutritional, and socio-economic
statuses of the child’s family/parent.
In patients with renal disease, the risk of caries formation is increased by poor
oral hygiene and a carbohydrate-rich diet.
Nevertheless, the incidence of dental caries appears to be low in these
patients, owing to the presence of highly buffered and alkaline saliva due to
elevated urea and phosphate concentrations.
19. Manifestations of metabolic renal osteodystrophy and compensatory
hyperparathyroidism include :
demineralization, decreased trabeculation, and a ‘‘ground-glass’’ appearance
of bone,
decreased cortical bone thickness, loss of lamina dura, radiolucent giant cell
lesions.
maxillary brown tumors, enlargement of the skeletal base, and metastatic
soft-tissue calcification.
Patients have an increased risk of jaw fracture due to trauma or oral surgery.
20. Other dental findings include :
Narrowing or calcification of the tooth pulp chamber, tooth mobility,
malocclusion, enamel hypoplasia, pulp stones, and abnormal bone healing after
dental extraction.
Radiographically, osteodystrophy manifests as a failure of the lamina dura to
resorb and the deposition of sclerotic bone around the socket.
21. Medical management
Medical management of renal disease depends on the stage of disease and
clinical status of the patient.
Management may include dietary changes, administration of sodium bicarbonate
to reduce acidosis, and correction of systemic complications.
22. Role of the pediatric dentist
Close collaboration between the dentist and pediatric nephrologist is required
in the treatment of children with CRD.
Before any surgery, renal patients should undergo a detailed oral assessment,
and any necessary dental treatment should be carefully planned and
performed.
In any situation consultation with nephrologist is mandatory at all the time.
23. Prophylactic antibiotic therapy as these patients a very prone to infection.
Penicillin, clindamycin and cephalosporin are usually indicated. History
should be taken regarding the allergies of penicillin.
Avoid nephrotoxic drugs such as tetracycline or streptomycin.
Due to poor GI resorption antibiotic should administer by IM route.
24. Procedure indicated under antibiotic
1. prophylaxis
2. Extractions
3. Placement of orthodontic Bracket
4. Periodontal treatment, Calculus removal
5. Endodontic procedure
6. Periapical surgery
7. Reimplantation
8. Implants
25. Local anaesthesia used should be of amide type:
such as lidocaine , xylocaine because of their resorption potential of the
liver.
As per analgesics, paracetamol the drug of choice,
nonsteroidal anti inflammatory drugs should be adjusted or avoided in
case of advance renal failure.
Benzodiazepines of narcotic analgesic are metabolized via liver so does
not require dose adjustments.
Administration of relative analgesia to reduce anxiety.
For dialysis patients, Provide treatment on no dialysis days.
Consult nephrologist for heparin dose adjustment.
26. For dialysis patients:
1. At each visit patient medical history and medication list should be
checked.
2. Carry out dental treatment of hemodialysis patients on non dialysis days
to ensure absence of circulating heparin.
3. Prefer use of local anasthetics with reduced epinephrine in all dialysis
patients.
4. Withhold anticoagulants for a period of time agreed upon with the
nephrologist.
27. 5. Be aware that meticulous local haemostatics measures, including
mechanical pressure, packing, suturing and topical thrombin, may be
required, given the platelet dysfunction that often occurs in patients with
renal failure.
6. Desmopressin controls severe bleedings.
7. Conjugated estrogen achieves longer haemostasis.
28. 8. Tranexamic acid for oral rinse
9. Lidocaine, narcotics (except meperidine) and diazepam can be used
safely in patients with renal failure. Dose adjustment is needed for
aminoglycosides and cephalosporin.
Tetracycline is generally not recommended in patients with end-stage
renal failure. Most of the nephrologists agree to the use of nonsteroidal
antiinflammatory drugs, as dialysis patients usually have little
salvageable renal function.
29. For patients of renal transplant:
Evaluation and eliminate the foci of infection before transplant.
All the elective dental procedures should be avoided frst 6 months post renal
transplant.
Prophylactic antibiotic therapy is mandatory.
A recommended dose of 25 mg of hydrocortlume via IV route before the
procedure.
Uremic stomatitis can be treated with 10% hydrogen peroxide gargles
(1:1 in water) 4 times a day, can be recommended.
30. Immunosuppressive therapy is given lifelong.
For candida infection, systemic anti- fungal agents are commonly prescribed
prophylactically.
In the case of recurrent infections of HSV in these patients, doses of 400 mg
of acyclovir can be administered orally, 3 times a day during 10 days or more
(usually, more than 2 weeks).
Gingivectomy is indicated for gingival overgrowth to improve functional
discomfort and aesthetic alteration
31. Stress - reduction guidelines
Patient’s physician should be consulted, to determine the need for additional
steroids.
Patient should obtain proper rest the night before treatment and should
reduce work and social obligations the day of treatment.
32. Dialysis patients should be scheduled in the morning the day after dialysis therapy,
when the patient’s health is best suited for dental treatment.
Appointments should be kept short.
Barbiturates, benzodiazepines, meperidine, and chloral hydrate can usually be used
in normal amounts.
Nitrous oxide oxygen therapy is an excellent anxiolytic regimen accepted well by
patients with renal disease
33. Chair position
Sit the patient in the semi reclined position or in a position that is most
comfortable.
Provide breaks during treatment, as needed.
Local anesthesia can be used safely in the majority of patients with renal
diseases.
Administer immoral anesthetics slowly, with aspiration.
34. Antibiotic guidelines
Culture and sensitivity testing is recommended whenever oral infection is
present.
Antibiotic prophylaxis should be provided to the dialysis patient with an AV
fistula to protect against endarteritis and endocarditis
Total antibiotic dosage should be reduced. Consultation with the physician to
determine dosage and frequency of administration is advised.
35. Oral penicillin can be used without problems as long as patients are not
hypersensitive to the drug.
Tetracycline should be avoided. Doxycycline or minocycline should be substituted.
Aminoglycosides (gentamycin, streptomycin, tobramycin) are nephrotoxic and should
not be prescribed.
Cephalosporins may be nephrotoxic and should be used with caution.
36. Infection control
Antibiotic prophylaxis and oral antimicrobial rinses should be considered.
Gloves, masks, and eye protection is mandatory.
Aseptic protocol must be followed.
Contact with blood. saliva, and aerosols should be minimized by using a
rubber dam and high velocity evacuation, while limiting the use of rotary
hand pieces.
37. Cross-contamination is reduced by wrapping objects subject to touch and
providing for all instruments required in a single sterile package.
Contaminated instruments should be cleaned of all bodily fluids before
sterilization.
Contaminated disposable supplies should be discarded in labeled
biohazardous bags.
Surfaces should be cleaned and disinfected with the appropriate disinfectant
agents.
Instruments should be sterilized by autoclaving, dry heat, or ethylene oxide
gas.
38. Hemorrhagic dental procedures
Avoid hemorrhagic procedures with in the frst 8 hours after hemodialysis.
Provide prophylactic antibiotic to prevent infection.
Obtain preoperative complete blood count (RBC), differential, bleeding time,
PT.
Give attention to good surgical technique and closure.
To prevent bleeding after minor surgery, use microiibrillar collagen, topical
thrombin, stents.
Consider desmopressin or cryoprecipitate for major surgical procedures.
Avoid “needle sticks”, but if they occur, the patient should be screened for
HBAg and HIV.