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MUCOSA OF THE DISEASES INTERNAL ORGANS AND SYSTEMS DOC. BUBLIY. T.D. 1. ...

CHANGES OF THE ORAL

MUCOSA OF THE DISEASES

INTERNAL ORGANS AND

SYSTEMS

DOC. BUBLIY. T.D .

1.

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2.

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3.

4.

CHANGES OF THE ORAL MUCOSA OF THE

DISEASES INTERNAL ORGANS AND SYSTEMS

THE RELEVANCE OF THE TOPIC

The mucosa of mouth cavity is always affected by different provocatives-chemical, mechanical, thermal, many microbes and toxic materials. Besides the mouth cavity is a sensitive indicator that shows the functions of internal organs and signals operatively when something is wrong with one of the organs. If one of the defensive factors has weakened, there arises risk of development of inflammatory lesion of mucosa .

COMMUNICATION DISEASES OF THE TEETH AND

INTERNAL ORGANS AND SYSTEMS



COMMUNICATION DISEASES OF THE TEETH AND

INTERNAL ORGANS AND SYSTEMS

COMMUNICATION DISEASES OF THE TEETH AND

INTERNAL ORGANS AND SYSTEMS

gastrointestinal (GI) tract includes the esophagus, stomach, small intestine, large intestine (also known as the colon) and rectum, and ends at the anus. The entire system from mouth to anus is about 9 meters long

A light red tongue (+1) covered with whiteCHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

1. Discoloration of mucous membranes of the oral cavity;

2. Change the integrity of the mucous membranes of the oral cavity;

3. Change sensitivity, taste;

4. Impaired function of salivary glands

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

Change of the tongue:

1. Plaque on tongue;

2. Change papillae;

3. Deskvamation of the tongue

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

ACUTE GASTRITIS

- bright red catarrhal stomatitis,

- thick gray plague on the tongue (except side surfaces ), swelling of the mucous membranes of the oral cavity,

- bitter, sour

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

CHRONIC HIPERACIDI GASTRITIS

-cyanotic areas on the OM whitish-yellow plaque on tongue, hypertrophy filiform papillae, swell on the tongue

CHANGES IN THE MUCOSA OF THE ORAL CAVITY





OF THE GASTROINTESTINAL TRACT

   

the surface is smooth, shiny, bright red spots and stripes "metal" taste, paresthesia in the area of the tip of the tongue

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

Duodenal ulcer disease

- pale of the mucosae membrane of oral cavity,

- grayish color, tightly attached to the tongue area,

- hyperplasia of the fungiform papillae of the tongue,

- hiposalivation,

- swelling,

- tingling and burning of the tongue

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

   

- ,

- dorsal surface of the tongue is covered with dense grayish- yellow coating,

- , ,

- ,

- .

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

CHRONIC COLITIS

- desquamation of the epithelium of the tongue ( 33% )

- violation of the integrity of the mucous membranes of the oral cavity

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

DISEASES OF THE LIVER

Hepatic insufficiency

-dark red "Strawberry" tongue, without plaque Cirrhosis of the liver

- "smooth red tongue,

- cyanosis of the bottom and the side surface of the tongue Hepatitis

- atrophy of filiform papillae,

- Swelling ,

- Discoloration of the mucous membrane yellow color Cholecystitis

- Yellow color on the of the soft palate,

- hepatic smell,

- reduced taste sensitivity

CHANGES IN THE MUCOSA OF THE ORAL CAVITY

OF THE GASTROINTESTINAL TRACT

The treatment of oral mucosa :

1. Elimination of provocative reasons

2. Oral cavity sanation is done

3. The patient is prescribed healthy diet (the patient quits smoking and doesnt eat too hot and spicy food) .

4. Antiseptic means are prescribed

CHANGES OF THE MUCOSAE MEMBRANE OF THE

DISEASES OF CARDIOVASCULAR SYSTEM

CARDIO-VASCULAR INSUFFICIENCY

- cyanotic of the palatine arches, gum, lips

- OM is pale, anemic

- atrophy of filiform papillae of the tongue,

- parestesia mucous membrane,

- trophic disorders lead to ulcerative processes

CHANGES OF THE MUCOSAE MEMBRANE OF THE

DISEASES OF CARDIOVASCULAR SYSTEM

   

- There is no soreness or poorly expressed,

- ulcer with smooth edges without pronounced inflammatory reaction

- localization of ulcers is the soft palate, gums, the bottom of the mouth,

- tongue, lips, covered with a yellowish-grey coating,

- which can be easily removed,

- poorly to medical treatment

CHANGES OF THE MUCOSAE MEMBRANE OF THE

DISEASES OF CARDIOVASCULAR SYSTEM

CHANGES OF THE MUCOSAE MEMBRANE OF THE

DISEASES OF CARDIOVASCULAR SYSTEM

   

-deskvamouse glossitis, crack of the tongue, hyperplasia of the filiform papillae swelling of the mucous membrane of the mouth and tongue, burning sensation in the tongue, pain when eating ! Any dental manipulation of myocardial infarction occur only on strict conditions, controlled by drug therapy and during the most favorable phase of illness .

CHANGES OF THE MUCOSAE MEMBRANE OF THE

DISEASES OF CARDIOVASCULAR SYSTEM

   

Cardiac monitoring is desirable in many instances General anaesthesia for dental care in cardiac patients should be avoided unless essential. Effective painless LA is essential. An aspirating syringe should be used since adrenaline/epinephrine in the anaesthetic may get into the blood and may (theoretically) raise the blood pressure and precipitate arrhythmias .

BP tends to rise during oral surgery under LA, and adrenaline/ epinephrine theoretically can contribute, but this is usually of little practical importance. However, adrenaline/epinephrinecontaining LA should not be given in excessive doses to patients taking beta-blockers, as this may induce hypertension and cardiovascular complications .

Gingival retraction cords containing adrenaline/epinephrine should be avoided wherever possible .

MAJOR ENDOCRINE GLANDS

1. Pineal gland

2. Pituitary gland

3. Thyroid gland

4. Thymus

5. Adrenal gland

6. Pancreas

7. Ovaries

8. Testes

TOP 4 COMMON ENDOCRINE DISEASES

1. Osteoporosis

2. Diabetes mellitus

3. Hyper/Hypothyroidism

4. Hyper/Hypoparathyroidism Osteoporosis Assoc. with alveolar bone loss & increased risk of periodontal disease Weakened bone structure Increased risk of alveolar bone resorption, attachment loss, tooth loss and edentulism

Bisphosphonate therapy increased risk of Osteonecrosis after dental extraction

DIABETES MELLITUS

-Oral manifestations compromised periodontal health/worsen due to DM candidosis (denture wearers) dry mouth and sialosis- increased caries glossitis burning mouth syndrome oral, facial dysasthesia Poor response/healing to periodontal therapy Priority given to dental infections

   

-Enlarged salivary glands and xerostomia

Increase susceptibility to periodontal disease

More severe case of periodontal disease

Poorer wound healing Manifestation of endocrine diseases in oral mucosa

   

- the appearance of brown pigmentation of the OM, without inflammatory, candidias of the OM, before clinical symptoms of this diseases .

   

Enlargement of extraglandular thyroid tissue (mainly in the lateral posterior tongue)

Accelerated dental eruption Burning mouth syndrome Increased susceptibility to caries Periodontal disease Maxillary or mandibular osteoporosis Sjogren's syndrome Thyroid may be enlarged or noticeably palpable (Graves disease) Neurological disorders Neurological disorders and oral cavity

Damage of somatic nerves:

neuralgia

   

Damage of somatic nerves:

neuralgia,

neuritis of the lingual nerve;

neuritis of the glossopharyngeal nerve;

neuritis of the facial nerve and intermediate;

neuralgia and neuropathy hypoglossal nerve;

syndromes if damage occurs to the cervical spine;

Damage of somatic nerves:

neuralgia,

neuritis of the lingual nerve;

neuritis of the glossopharyngeal nerve;

neuritis of the facial nerve and intermediate;

neuralgia and neuropathy hypoglossal nerve;

syndromes if damage occurs to the cervical spine;

Neuritis of the lingual nerve Glossodynia Stomache (SYN.: glossalgia, glossodynia, paresthesia of the tongue) is a chronic disease with persistent orofacial pain, usually not accompanied by lesions of the mucous membranes of the mouth and tongue .

Symptoms:

a burning sensation in the mouth,

dryness of mouth,

thirst,

impaired taste

   

- , (.., 1972) .

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Subjective symptoms:

- Paresthesias, burning, tingling, soreness, numbness ("language sprinkled with pepper", "language annealed" etc.) .

- It is characteristic that while eating these sensations disappear

- strengthening sensations in the evening

-dysgeusia (distortion in sense of taste)

- increased suggestibility kantserofobia

- emotional stress-anxiety, depression (95%)

Objective symptoms:

   

Treatment:

-INDIVIDUALLY-tailored vegetative, psychological, somatic and dental status.) .

-medication Sedatives (bromides, korvaldin, tincture of Peony, persin;

physiotherapy sanitation of the oral cavity .

rational nutrition,

Objective symptoms:

   

-

:

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10% , 0,5% , 50% - ;

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