Friday, October 28, 2011

Oral manifestations of systemic diseases


GIT diseases
Crohn disease
diffuse labial, gingival or mucosal swelling
cobblestoning of buccal mucosa and gingiva
aphtous ulcers
mucosal tags
angular cheilitis
oral granulomas
Crohn disease
Ulcerative colitis
oral signs are present in periods of exacerbation of disease
aphtous ulceration or superficial hemorrhagic ulcers
angular stomatitis
pyostomatitis vegetans, pyostomatitis gangrenosum
pyostomatitis vegetans
Gastroesophageal reflux
reduction of the pH of the oral cavity below 5,5 – enamel damage
damage of the dentin – higher sensitivity (to temperature..), caries
enamel damage and
damage of the dentin
Chronic liver diseases
jaundice
petechiae or gingival bleeding (hemostasis disorder)

Hematologic diseases
Anemias
folate and vit. B12 deficiency or iron deficiency
glossitis
red colour
atrophic papilae
recurrent aphthae
candidal infection
angular stomatitis
oral pain

Leukemia
gingival hypertrophy
petechiae
mucosal ulcers
                  hemorrhage
            Treatment of leukemia
reactivation of herpes simplex virus – oral mucosistis
gingival hypertrophy in leukemia
Summary of oral manifestations of gastrointestinal and hematologic diseases
Labial swelling
Crohn's disease

Glossitis
   Crohn's disease
   Iron-deficiency anemia
   Pernicious anemia
   Ulcerative colitis

Erosion of enamel and dentin
Anorexia nervosa/bulimia
        Gastroesophageal reflux
Ulcerations and erosions
   Crohn's disease
   Iron-deficiency anemia
   Pernicious anemia
   Pyostomatitis vegetans
   Ulcerative colitis

Gingivitis
Anorexia nervosa/bullimia
Crohn's disease
Scurvy

Hemorrhage
Pyostomatitis vegetans
Scurvy
        Ulcerative colitis
Angular cheilitis
Iron-deficiency anemia

Aphthous ulcers
Crohn's disease
Pernicious anemia
Ulcerative colitis

Intraoral burning
   Iron-deficiency anemia
   Pernicious anemia

Candidiasis
   Crohn's disease (steriod therapy)
   Iron-deficiency anemia
   Pyostomatitis vegetans (steriod therapy)
   Ulcerative colitis (steroid therapy


Connective-tissue diseases
Sjรถgren syndrome
autoimmune disease
men : women - 1 : 9
50 years and older
     Main signs
sicca syndrome
keratoconjuctivitis sicca
xerostomia
     Oral signs
decrease in saliva
xerostomia
dry, red, wrinkled mucosa
difficulty in swalloving and eating
disturbance in taste and speech
increased dental caries
infections
atrophy of the papilae
candidiasis

Kawasaki disease
vasculitis of medium and large arteries
    Oral signs
swelling of papilae on the surface of the tongue (strawbery tongue)
intense erythema of the mucosal surfaces
cracked, cherry red, swolen and hemorrhagic lips

Scleroderma
diffuse sclerosis of the skin, GIT, heart muscle, lungs, kidney
    Oral signs
pursed lips – dificult to open the mouth
esophageal sclerosis ® gastroesophageal reflux – damage of enamel
pale, rigid mucosa
teleangiectasias
decreased mobility of tongue
salivary hypofunction

Lupus erythematosus
autoimmune disease
        Oral signs
ulcerations
similar tooral lesions of lichen planus – painful
petechiae
damage of salivary glands - xerostomia

Pulmonary diseases
Cystic fibrosis
    Oral signs
disorder of salivary glands
swelling lips
gingivitis
dryness

Sarcoidosis
    Oral signs
multiple, nodular, painles ulcerations of the gingiva, bucal mucosa, labial mucosa and palate
tumorlike swelling  of salivary glans
swelling of the tongue
xerostomia
                      facial nerve palsy
Cutaneous diseases
Psoriasis
    Oral signs
fissured tongue
small white papules
red and white plagues
bright red patches

Acantosis nigricans
hyperpigmentation, papillomatosis
    Oral signs
gingival hyperplasia
gingiva, tongue, lips – papilomas

Endocrine diseases
Diabetes mellitus
    Oral signs
xerostomia caused decreased salivation and increased glucosa level in saliva
gingivitis
oral infections
candidiasis
higher incidence of caries
bilateral enlargement of parotid glands
altered taste
burning mouth syndrome

Hypoparathyroidism
    Oral signs
candidiasis
upper lip twitching

Hyperparathyroidism
    Oral signs
loss of the lamina dura surrounding the roots of the teeth
decrease of trabecular density
osseous lesions „brown tumor“

Cushing´s syndrome
    Oral signs
fatty tissue deposition – „moon face“
osteoporosis ® pathological fractures of the mandible, maxilla or alveolar bone
delayed healing of fractures and also sof tissue injuries
moon face
Addison´s disease
Oral signs
„bronzing“ hyperpigmentation of the skin
oral mucosal melanosis – buccal mucosa, tongue
hyperpigmentation
Renal diseases
Uremic stomatitis
rare
in undiagnosed and untreated chronic renal failure
irritation and chemical injury of mucosa by ammonia or ammonium compounds
              Signs
painful plagues and crusts – bucal mucosa, the floor or dosrum of the tongue, floor of the mouth
Type I
generalized or localized erythema
exudate
pain, burning, xerostomia, halitosis, gingival bleeding, candidiosis
Type II
ulceration
secondary infection
anemia
painful plagues and crusts – bucal mucosa, the floor or dosrum of the tongue, floor of the mouth

22 comments:

  1. This is an excellent referral for special needs patients within the dental community, I hope you expand on this thank you, Gail RDH

    ReplyDelete
  2. Oral health diseases are very bad and quite difficult to handle. Maintaining oral health by simple natural remedies is very effective idea. There are lots of people (including me) who spent lots of time and money to cure this problem. But the results were not impressive. After reading your article I am very impressed with your suggestions to treat oral problems. I have read your articles about health disease and illness illness which is also very helpful and interesting.

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  3. Teeth are important in many ways so they need more cure than any other parts of body. These days a lot of people are going for tooth replacement. If you are also going for tooth replacement and want to know the best dental implant center in Punjab, then you must contact Ludhiana Dental Center. We offer you the best treatments at very affordable prices.

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  5. Hiv disease for the last 3 years and had pain hard to eat and cough are nightmares,especially the first year At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. However, not everyone with HIV will go on to develop AIDS. The earlier you receive treatment, the better your outcome will be.I started taking ARV to avoid early death but I had faith in God that i would be healed someday.As a Hiv patent we are advise to be taking antiretroviral treatments to reduce our chance of transmitting the virus to others , few weeks ago i came on search on the internet if i could get any information on Hiv treatment with herbal medicine, on my search i saw a testimony of someone who has been healed from Hiv her name was Achima Abelard and other Herpes Virus patent Tasha Moore also giving testimony about this same man,Called Dr Itua Herbal Center.I was moved by the testimony and i contacted him by his Email.drituaherbalcenter@gmail.com We chatted and he send me a bottle of herbal medicine I drank it as he instructed me to.After drinking it he ask me to go for a test that how i ended my suffering life of Hiv patent,I'm cured and free of Arv Pills.I'm forever grateful to him Drituaherbalcenter.Here his contact Number +2348149277967...He assure me he can cure the following disease..Hiv,Cancer,Herpes Virus,Lyme Disease,Epilepsy, ,Bladder Cancer,Colorectal Cancer,Breast Cancer,Kidney Cancer,Leukemia,Lung Cancer,Non Hodgkin Lymphoma,Skin Cancer,Lupus,Uterine Cancer,Prostate Cancer, fibromyalgia ,ALS,Hepatitis,Copd,Parkinson disease.Genetic disease,Fibrodysplasia disease,Fibrodysplasia Ossificans Progressiva,Fluoroquinolone Toxicity Syndrome,Liver/Kidney Inflammatory,Men/Woman infertility, bowel disease ,Huntington's disease ,Diabetes,Fibroid...

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  6. I am 29 years old and I was diagnosis of Breast cancer, easy well and have a similar story except my first acceptance as a Herbal medicine denials. I wasn’t into the movement Perseid and didn’t establish connections with any of them really, just had faith in believing how they work. I say this because it was during using Dr Itua herbal medicine i now then testify herbal medicine is real, Dr Itua herbal medicine cure my breast cancer I was suffering from for 2 years. Dr Itua herbal medicine is made of natural herbs which has no side effect and is easy to drink as well. Contact Dr Itua herbal Center if you are suffering from the same Breast Cancer or any kind of human Diseases including....HIV/AIDS, HERPES COLORECTAL CANCER, BLADDER CANCER, PROSTATE CANCER, KIDNEY CANCER, LUNG CANCER, SKIN CANCER, UTERINE CANCER, LEUKEMIA, VIRUS, HEPATITIS, WOMEN/MEN INFERTILITY, LOVE SPELL,LOTTERY SPELL. HIS CONTACT EMAIL/WHATSAPP: drituaherbalcenter@gmail.com/+2348149277967

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  7. I am very happy today to share this amazing testimony on how Dr. idahosa the herbal doctor was able to cure me from my HIV Virus with his herbal medicine. I have been a HIV patient for almost 8 months now and have tried different methods of treatment to ensure that I am cured of this terrible disease, but none worked for me, so I had to leave everything to God to handle as I was a Christian who had faith that one day God would intervene in my life, yet I felt so sad and desperate as I was losing almost everything due to my illness, A few months ago while I was surfing the internet I saw different recommendation about Dr idahosa on how he have been using his herbal Medicine to treat and cure people, these people advice we contact Dr. idahosa for any problem that would help immediately, I contacted Dr idahosa and I told him how I got his contact and also about my disease, after some time Dr. idahosa told me to have faith that he would prepare for me a medication of herbal herbs, he told me I would take this medicine for a few weeks and also asked my home for home address so as possible for him to submit the drug for me, so my good friends after all the process and everything Dr idahosa actually sent me the medicine, I took it as I was directed by Dr. idahosa, after a few weeks passed, while on Dr.idahosa medication I began to experience changes in my body, I had to call my doctor at the hospital for some blood test after test my hospital doctor told me that I was no longer with the Hiv virus and my blood is pretty good, I can not even believe this, Friends well today i am Hiv Free and i want everyone to know that there is a cure for Hiv for those who will contact Dr idahosa after reading my testimony, you can kindly contact Dr. idahosa in (dridahosasolutioncenter@gmail.com) or call him +2348134261542, God bless you all ...

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  8. My symptoms started at the age of 47. My fingers on my left hand were stiff and were difficult to move. People noticed that my walk was not normal. I was often asked did I hurt. I noticed nothing different about my walk. It was difficult getting up from` a chair and getting out of a car. I was diagnosed a year later ,it was the onset of tremors starting in my right hand that caused my other symptoms to be recognized as Parkinson's.. I am now 59. With the new herbal medicine i purchase from totalcureherbsfoundation .c om  was my only way to get rid of my PD,the herbal formula effectively reverse my condition and alleviate all symptoms. 

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  9. Thanks For sharing Great information.
    If you are searching for Best Dentist in Punjab for the treatment of oral diseases in a effective way then visit Ludhiana Dental Centre.

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  10. I am not sure of the cause of COPD emphysema in my case. I smoked pack a day for 12 or 13 years, but quit 40 years ago. I have been an outdoor person all my adult life. Coughing started last summer producing thick mucus, greenish tint to clear. I tried prednisone and antibiotics, but no change. X-rays are negative, heart lungs and blood and serum chemistries all are normal. I have lung calcification from childhood bout with histoplasmosis. I am 75 years old and retired.My current doctor directed me to totalcureherbsfoundation .c om which I purchase the COPD herbal remedies from them ,they are located in Johannesburg, the herbal treatment has effectively reduce all my symptoms totally, am waiting to complete the 15 weeks usage because they guaranteed me total cure.

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  11. Nice Blog...
    Thanks for sharing with us.
    If you want best treatment for your oral disease then you consult with Dentist in Bangalore at Smile Zone Dental Speciality Centre

    ReplyDelete
  12. Here is a great herbal doctor who cured me of Hepatitis B. his name is Dr. Imoloa. I suffered Hepatitis B for 11 years, I was very weak with pains all over my body my stomach was swollen and I could hardly eat. And one day my brother came with a herbal medicine from doctor Imoloa and asked me to drink and I drank hence there was no hope, and behold after 2 week of taking the medicine, I started feeling relief, my swollen stomach started shrinking down and the pains was gone. I became normal after the completion of the medication, I went to the hospital and I was tested negative which means I’m cured. He can also cure the following diseases with his herbal medicine...lupus, hay fever, measles, dry cough, diabetics hepatitis A.B.C, mouth ulcer, mouth cancer, bile salt disease, fol ate deficinecy, diarrhoea, liver/kidney inflammatory, eye cancer, skin cancer disease, malaria, chronic kidney disease, high blood pressure, food poisoning, parkinson disease, bowel cancer, bone cancer, brain tumours, asthma, arthritis, epilepsy, cystic fibrosis, lyme disease, muscle aches, fatigue, muscle aches, shortness of breath, alzhemer's disease, acute myeloid leukaemia, acute pancreatitis, chronic inflammatory joint disease, Addison's disease back acne, breast cancer, allergic bronchitis, Celia disease, bulimia, congenital heart disease, cirrhosis, constipation, fungal nail infection, fabromyalgia, (love spell) and many more. he is a great herbalist man. Contact him on email; drimolaherbalmademedicine@gmail.com. You can also reach him on whatssap- +2347081986098.

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  13. Nice Blog. If You want to Know more about oral-manifestations Book an Appointment with Best Dentists in Whitefield.

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  14. HERPES is a serious and recurring disease which can't be cured through drugs or injections by the American doctors but the best way to deal with Herpes is by taking natural herbs medicine for it,  I have read about DR JAMES the great herbalist doctor who cured me from Herpes  with his powerful herbal medicine.  I contacted him to know how he can help me and he told me never to worry that he will help me with the natural herbal mix after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via UPS SPEED POST and it got to me after 3 days! I used the medicine as he instructed me (MORNING and EVENING) and I was cured.It's really like a dream but I am so happy!   for the people suffering from the following diseases, Ovarian disease,  Cancer, hypothyroidism, Herpes, COPD, HIV, Arthritis, Hpv, Infections,Liver Disease, Autoimmune Diseases, Parkinson's disease,Lupus,Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women's Health, Oncology, Pediatrics, Pulmonary, ACUTE MYELOFIBROSIS, ALZHEIMER's symptoms, BREAST CANCER, DIABETES, HAIR LOSS AND HAIR TREATMENT, KIDNEY DISEASES, LEUKEMIA, MYELOID LEUKEMIA, STEM CELL TREATMENTand more should contact him for his herbal medicine because I am a living testimony and i was cured of herpes and his medicine is legit.  I sent him what he requested and he sent me his medicine which I took for 3 good weeks and today am out here with negative result. when I went for test I was so happy after going through his medication. you can reach him through   E-mail  drjamesherbalmix@gmail.com     Whatsapp:+2348152855846

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  15. Nice information. Now acquire the best pancreatitis treatment in Ludhiana from the best hospital named Girn Hospital, Visit now for proper consultation with a doctor.

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  16. good day everyone. I am Sarah Wilson from France, i have been totally cured from a deadly disease called Fibrodysplasia Ossificans Progressiva {FOP} from a great herbalist, Sakura, he has brought happiness to my life.
    i came to know about him on internet when taking a research on {FOP} cure,i found a post of David Clara testifying about the great work of this herbalist Doctor, that was when i got to know about the Herbalist Doctor ,i make contact with him and i told him my problem, we made a little conversation and send me his herbal medicine through {EMS DELIVERY SERVICE} few weeks i receive the medicine from the (EMS) at my doorstep.
    I used the herbs as the herbalist Doctor instructed me to, after some days of taking the herbal treatment all the pain was gone and my back bone became normal.
    herbalist sakura has restored my life .
    if any of you out there leaving with (FOP) please contact herbalist via mail drsakuraspellalter@gmail.com or Whats-app +2348110114739
    You can also mail me for more information    good day everyone. I am Sarah Wilson from France, i have been totally cured from a deadly disease called Fibrodysplasia Ossificans Progressiva {FOP} from a great herbalist, Sakura, he has brought happiness to my life.
    i came to know about him on internet when taking a research on {FOP} cure,i found a post of David Clara testifying about the great work of this herbalist Doctor, that was when i got to know about the Herbalist Doctor ,i make contact with him and i told him my problem, we made a little conversation and send me his herbal medicine through {EMS DELIVERY SERVICE} few weeks i receive the medicine from the (EMS) at my doorstep.
    I used the herbs as the herbalist Doctor instructed me to, after some days of taking the herbal treatment all the pain was gone and my back bone became normal.
    herbalist sakura has restored my life .
    if any of you out there leaving with (FOP) please contact herbalist via mail drsakuraspellalter@gmail.com or Whats-app +2348110114739
    You can also mail me for more information sarahwilson33312@gmail.com

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