oral cavity mirror of child's body
TRANSCRIPT
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Oral Cavity Is Mirror Image Of Body
Dr Sunny PurohitDepartment of Pedodontia
SDCH
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Introduction• It is an easily accessible window to the body• The health status of our oral cavity can give us strong
indication of health of our bodies. It acts as an early warning system.
• 1.Systemic diseases have oral manifestations. • 2.Oral diseases can affect treatment for systemic disease. • 3.Treatment for systemic disease can affect oral health. • 4.Oral disease can increase risk for systemic disease.
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Endocrinal Disease Diabetes MellitusThyroid DisordersCushing’s DiseaseAddison’s Disease
Nutritional Deficiency
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Congenital Syphilis
Early: first 3 months of life, manifest as
snuffles nasal discharge purulent
• Oral lesions: high-arched palate, short mandible, Hutchinson’s teeth, and Moon’s or mulberry molars
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Endocrine Diseases
1. Diabetes Mellitus2. Thyroid Disorders3. Cushing’s Disease4. Addison’s Disease
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Diabetes Mellitus
• Oral manifestations- variable & nonspecific
• Fungal & bacterial infection
• Gingivitis, periodontitis, xerostomia, glossodynia, taste change
• Rx: Control of DM Antiobiotic/Antifungal
• Oral hygiene
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Thyroid Diseases
• Hypothyroidism: Macroglossia
• Congenital Hypothyroidism: Macroglossia, pronounced lips, & delayed tooth eruption with malocclusion
• Hyperthyroidism: Facial & skin manifestations: upper eyelid
retraction, exophthalmous, hyperpigmentation, & skin erythema
Oral manifestations: early loss of primary teeth with subsequent rapid eruption of permanent teeth(young children)
)
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Cushing’s Syndrome
• Long term, high dose corticosteroid administration
• Moon or round face, buffalo humps, central obesity, osteoporosis, DM, HTN
• Oral symptoms: -Increased susceptibility to oral infections (candidiasis) -Muscle weakness difficulty with speaking, & swallowing
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Addison’s Disease
• Primary adrenal insufficiency• Destruction of adrenal cortex eg.
autoimmune, metastasis, infection, haemorrhage
• Oral manifestations: diffuse or patchy pigmentation of the skin & mucous membranes (due to increased ACTH-cross reacts with melanin receptors)
• Buccal mucosa, palate, lips, & gingiva
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Nutritional Deficiency
• Vitamins & trace elements
1. Inadequate intake2. Impaired digestion & absorption
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• Vitamin A deficiency: -Dyskeratotic changes of the skin & mucous
membranes -Angular cheilitis -Defects in the dentin & enamel of developing
teeth
• Vitamin B2 (Riboflavin) deficiency: -Angular cheilitis -Burning pain in the lips, mouth, & tongue
• Vitamin B3 (Niacin) deficiency (Pellagra): -Dermatitis, dementia,& diarrhoea -Oral manifestations: glossitis (red, swollen) &
stomatitis, burning tongue
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• Vitamin B6 deficiency: -Peripheral neuropathy -Oral lesions-similar to pellagra (i.e. glossitis & stomatitis)
• Vitamin C deficiency (Scurvy): -Cofactor for collagen synthesis -Weakened vessels are responsible for
petechiae, ecchymoses, delayed wound healing
• Deficiency of Vitamin B12 & Folic acid: -Megaloblastic anemia -Oral findings: angular cheilitis, recurrent
aphthous ulcers, & glossitis
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• Vitamin D deficiency & Calcium deficiency: -Calcium metabolism -Mandibular osteopenia/osteoporosis, enamel
hypoplasia • Vitamin k deficiency: -Haemorrhagic diathesis -Oral haemorrhagic bullae
• Zinc deficiency: -Taste changes -Acrodermatitis Enteropathica: angular cheilitis, ulcers,
glossitis, crusting, scaling of the lips as well as ulcers, erosions & fissures
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