scholarly journals Perawatan Periodontal pada Pasien Lupus Eritematosus Sistemik

2012 ◽  
Vol 19 (1) ◽  
pp. 72
Author(s):  
Nur Rahma Prihantini ◽  
Sri Lelyati C Masulili
Keyword(s):  
Periodontal Disease ◽  
Lupus Erythematosus ◽  
Dental Treatment ◽  
Systemic Disease ◽  
Oral Manifestations ◽  
Systemic Diseases ◽  
The Public ◽  
Public Purpose ◽  
Appropriate Treatment ◽  
Easy Bleeding

Background: Systematic disease is a risk factor in periodontal disease. In contrast, severe generalize periodontal disease may also contribute to the development of certain systemic diseases and has and adverse affect in controlling the systemic disease. The majority of systemic diseases manifest in the oral cavity, one of which is systemic Lupus Erythematosus (SLE)., anautoimmune chronic systemic diseases. To date, the etiology of Lupus Erythematosus is still not clear, but the prognosis can become good if the adequate theraphy is given. SLE have a fairly high incidence, but the dangers of this disease is still not widely understood by the public. Purpose: To demonstrate how to manage the oral manifestations of SLE, as it must be done carefully so that patients ca get appropriate treatment to be successful, and the patients with oral manifestations similar to SLE can have a more thorough axamination. Cases: Two patients with SLE and symptoms of easy bleeding gums, frequent stomatitis, dry mouth, and mobile teeth. In both cases, there is gingival hyperemia, edema, pockets of 3-6 mm (case 1) and 3-4 mm (case 2). Prior to dental treatment, both patients are consulted to an internist. Treatment: Periodontal initial treatment such as DHE, scaling, and tooth restorations. Gradual scaling done in multiple visits, followed by gingival curettage. Conclusion: A good periodontal treatment can reduce gingival inflammation, and relatively improve oral hygiene, so it can be expected to increase body immunity.

Systemic Diseases Associated with Nasal Symptoms

1987 ◽  
Vol 1 (1) ◽  
pp. 33-44 ◽  
Author(s):  
Guy A. Settipane
Keyword(s):  
Differential Diagnosis ◽  
Fungal Infections ◽  
Systemic Disease ◽  
Systemic Diseases ◽  
Proper Treatment ◽  
Csf Rhinorrhea ◽  
Nasal Symptoms ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Careful History

Many systemic diseases are associated with nasal symptoms, Rhinitis associated with asthma is probably the most common with leprosy and fungal infections being the rarest. A careful history and nasal examination in a patient with rhinitis may lead to the discovery of more significant systemic diseases. Proper treatment of systemic disease will often cure or improve the associated rhinitis. Similarly, appropriate treatment of the rhinitis/sinusitis may reduce systemic complaints such as asthma. At times, identification of the cause of rhinitis as in CSF rhinorrhea, Wegeners’ syndrome, etc., alerts one to a life-threatening entity. Thus, it is apparent that the nose is an excellent mirror of some systemic diseases and identifying and understanding the differential diagnosis of nasal symptoms may be a tremendous help in diagnosing the disease and treating the whole patient.

scholarly journals A Review of the Factors Associated with Periodontal Disease in the Elderly

2020 ◽  
Vol 3 (1) ◽  
pp. 47
Author(s):  
Abdul Gani Soulissa
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Oral Health ◽  
Periodontal Disease ◽  
Chronic Diseases ◽  
Elderly Population ◽  
Systemic Disease ◽  
The Elderly ◽  
Oral Health Care ◽  
Systemic Diseases

The world’s elderly population is growing faster than other age groups. The World Health Organization states that in 2020, Indonesia’s elderly population will reach 11.34% of the total population, or around 28.8 million people. The increasing number of elderly people can be a challenge for clinicians due to the degenerative changes caused by chronic diseases, treatment of chronic diseases, systemic conditions, and oral health care accessibility. The purpose of this study was to analyze the factors that increase the risk of periodontal disease in the elderly. Over the last few years, a lot of research has focused on identifying the relationship between periodontal disease and systemic disease as well as the link between periodontal disease and aging. Increased age relates directly and proportionally with increased prevalence and severity of periodontal disease. Furthermore, an increase in age causes a decrease in motoric function and an increase in comorbidities and their treatments in the elderly. The aging process causes cementum surface irregularities, inhibition of osteoblast activity, and reduction in the number of fibroblasts. Loss of attachment and alveolar bone resorption was affected by frequent exposure to other risk factors. The risk factors that influence the development of periodontal disease in the elderly include systemic diseases, such as diabetes mellitus and osteoporosis, systemic conditions, such as obesity, metabolic syndrome, and stress, treatment of systemic diseases, and limited access to oral health care. Although the potential link between periodontal disease and systemic disease has been established, the extent of this relationship has not yet been clearly explained. Understanding the factors that influence periodontal disease in the elderly is important because it may provide a better understanding of the treatment. The multiple risk factors that cause periodontal disease in elderly patients require special attention involving multidisciplinary teams.

Skin and systemic diseases

2010 ◽  
pp. 4715-4723
Author(s):  
Clive B. Archer
Keyword(s):  
Internal Medicine ◽  
Diabetes Mellitus ◽  
Lupus Erythematosus ◽  
Older Patients ◽  
Systemic Disease ◽  
Skin Lesions ◽  
Underlying Disease ◽  
Systemic Diseases ◽  
Systemic Lupus ◽  
General Internal

Dermatology is most interesting where it overlaps with general internal medicine. Skin lesions may be part of a systemic disease (e.g. in sarcoidosis or systemic lupus erythematosus), or they may be a manifestation of an underlying disease or process as in the case of acanthosis nigricans, which can be associated with either an underlying adenocarcinoma in older patients, or with insulin resistance and sometimes overt diabetes mellitus in younger obese patients....

scholarly journals Systemic conditions, oral findings and dental management of chronic renal failure patients: general considerations and case report

2006 ◽  
Vol 17 (2) ◽  
pp. 166-170 ◽  
Author(s):  
Mahmud Juma Abdalla Abdel Hamid ◽  
Claus Dieter Dummer ◽  
Lourenço Schmidt Pinto
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Periodontal Disease ◽  
Renal Disease ◽  
Chronic Renal Disease ◽  
Systemic Disease ◽  
Frequent Occurrence ◽  
Oral Manifestations ◽  
Dental Management

Chronic renal failure is a relatively common systemic disease. Systemic abnormalities such as anemia, platelet disorders and hypertension as well as oral manifestations including xerostomia, uremic stomatitis, periodontal disease and maxillary and mandibular radiographic alterations can be observed in individuals with chronic renal disease. In view of its frequent occurrence and the need of knowledge by dentists dealing with this condition, this paper discusses the most important issues regarding chronic renal failure, addressing its systemic and oral manifestations and the dental management of chronic renal patients. A case report is presented.

scholarly journals PERIODONTAL DISEASE;

2013 ◽  
Vol 20 (02) ◽  
pp. 290-295
Author(s):  
ZAHRA M. HABIB ◽  
J. MOSHY
Keyword(s):  
Periodontal Disease ◽  
Medical Curriculum ◽  
Systemic Disease ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Systemic Diseases ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Inadequate Information ◽  
Bidirectional Relationship

Background: Periodontal disease and systemic diseases are inter-related, each influencing one another. Adequateknowledge on periodontal disease among medical doctors will enable them to refer their patients to dentists for timely management. Thisstudy aimed to assess knowledge, awareness and attitudes of medical doctors towards periodontal disease in Dar-es-Salaam, Tanzania.Settings and design: Cross sectional study on medical doctors working at Muhimbili National Hospital in Dar-es-Salaam, Tanzania.Materials and methods: The study involved 151 medical doctors drawn randomly and who are practicing at Muhimbili National Hospitalin Dar-es-Salaam, Tanzania. Data were obtained via a structured questionnaire and included demographic information’s, knowledgeregarding periodontal disease, their awareness and their attitude towards periodontal disease. They were entered into the SPSS statisticalsoftware for analysis. Frequencies and percentages were calculated and association between variables was done using the chi-squaretest. Results: Of the 151 questionnaires administered, 124 were returned (response rate of 82.12%). One hundred and eleven (89.5%)medical doctors believed poor oral hygiene was the main cause of periodontal disease, only 49(39.5%) told their patients to brushproperly, 47(37.9%) believed that there was a bidirectional relationship between periodontal disease and systemic disease and only35(28.2%) referred all patients with systemic diseases to dentists. 34(27.4%) believed that medical doctors have adequate knowledgeregarding periodontal disease and 18(14.5%) believed that the medical curriculum provides enough knowledge regarding periodontaldisease. Conclusions: Medical doctors had inadequate information about periodontal disease and this should be addressed in themedical curriculum so as to enable proper patient management.

scholarly journals Oral Manifestations of Systemic Lupus Erythematosus Patients in Qatar: A Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Mohammed Hammoudeh ◽  
Ahmed Al-Momani ◽  
Husam Sarakbi ◽  
Prem Chandra ◽  
Samer Hammoudeh
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Pilot Study ◽  
Periodontal Disease ◽  
Lupus Erythematosus ◽  
Healthcare Providers ◽  
Oral Manifestations ◽  
Missing Teeth ◽  
Systemic Lupus ◽  
American College Of Rheumatology ◽  
Prospective Longitudinal

Objective. The purpose of this pilot study was to assess the prevalence of oral manifestations among systemic lupus erythematosus (SLE) patients in Qatar, in order to warrant future studies that would investigate each one of these manifestations with detail and further scrutiny. Methods. Study procedures took place between November 2014 and April 2016. All patients visiting the outpatient rheumatology clinics at Hamad General Hospital, Doha, Qatar, were asked to join. The American College of Rheumatology (ACR) 1997 criteria of SLE were used. The patients were examined initially by a rheumatologist and were later scheduled for an appointment with a dentist at the same institution. A total of 77 patients were recruited for the study. Results. Prevalence rates for the different oral manifestations ranged from 2.4% for soft palate ulcers, cheilitis, and oral candida to 88.1% for the presence of cavitation. Gingivitis, periodontal disease, cavities, and missing teeth were observed in more than 50% of the sample. The prevalence of periodontal disease and missing teeth was higher among those with an SLE duration > 8 years. On the contrary, the prevalence of gingivitis and cavities was higher among those with an SLE duration ≤ 8 years. Conclusion. This study found high rates of gingivitis, periodontal disease, cavities, and missing teeth among SLE patients in Qatar. It is recommended that healthcare providers of such patients monitor the presence of any oral manifestations in order to arrange for early treatment and prevention efforts. Future prospective longitudinal studies with adequate sample size and power are needed in order to ascertain any causation factors or common etiology pathways.

scholarly journals Characteristics of Systemic Diseases in the Breast: Clinical, Imaging and Pathologic Features

2012 ◽  
Vol 8 (5) ◽  
pp. 593-599
Author(s):  
Shahla Masood
Keyword(s):  
Systemic Disease ◽  
Evaluation Process ◽  
Breast Disease ◽  
Breast Diseases ◽  
Systemic Diseases ◽  
Benign Condition ◽  
Condition Versus ◽  
Appropriate Treatment ◽  
Pathologic Features ◽  
The Impact

Despite tremendous efforts placed on advances in diagnosis and treatment of the spectrum of breast disease, the impact of systemic diseases on the breast has remained under recognized. Distinction between a variety of benign breast diseases versus those that are manifestations of a systemic disease is critically important for appropriate treatment planning and follow-up of patients. This article is designed to provide an overview of different systemic diseases that can present as a breast lesion. Attempts are made to highlight the significance of the distinction between benign breast disease versus benign conditions that present as the result of a systemic disease. Naturally, distinction between any benign condition versus breast carcinoma is a part of the evaluation process.

scholarly journals Main Oral Manifestations in Immune-Mediated and Inflammatory Rheumatic Diseases

2018 ◽  
Vol 8 (1) ◽  
pp. 21 ◽  
Author(s):  
Roberta Gualtierotti ◽  
Angelo Marzano ◽  
Francesco Spadari ◽  
Massimo Cugno
Keyword(s):  
Rheumatic Diseases ◽  
Lupus Erythematosus ◽  
Adverse Reactions ◽  
Systemic Disease ◽  
Signs And Symptoms ◽  
Temporomandibular Joint Disorders ◽  
Inflammatory Rheumatic Diseases ◽  
Oral Manifestations ◽  
Dental Clinics ◽  
Immune Mediated

Oral manifestations are frequent in patients with rheumatic diseases. The aim of this review is to offer readers practical advice concerning the onset, diagnosis and treatment of the main oral manifestations encountered in rheumatological and dental clinics. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, periodontal disease, and dysphagia may be the first expression of a number of rheumatic diseases. Some of these manifestations are aspecific and very frequent, such as oral aphthosis, which can be the first manifestation in patients with systemic lupus erythematosus; some are potentially dangerous, such as jaw claudication during the course of giant cell arteritis; and some are very rare but peculiar, such as strawberry-like gingivitis in patients with granulomatosis with polyangiitis. Other oral manifestations are due to adverse reactions to disease-modifying anti-rheumatic drugs. Oral alterations in rheumatic diseases are frequently overlooked in clinical practice, but their prompt recognition not only allows the local lesions to be appropriately treated, but also makes it possible to identify an underlying systemic disease.

scholarly journals Prevalence of Oral Manifestations in Systemic Lupus Erythematosus Patients Referred to Shahid Mohammadi Hospital in 2018 - 2019

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Raziyehsadat Rezvaninejad ◽  
Majid Dadmehr ◽  
Rayehehossadat Rezvaninejad
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Systemic Disease ◽  
Clinical Manifestations ◽  
Dorsal Surface ◽  
Oral Manifestations ◽  
Systemic Lupus ◽  
Cross Sectional ◽  
Local Skin ◽  
Bandar Abbas

Background: The oral mucosa is damaged in a significant percentage of patients with lupus, with the main oral lesions being ulcers, erythematous lesions, and discoid lesions. The prevalence of these lesions is estimated to vary from 9% to 45% in systemic disease and 3% to 20% in local skin disease. Objectives: One of the symptoms of lupus is its oral manifestations. Therefore, we decided to conduct a study to investigate the prevalence of oral manifestations in lupus patients referred to Shahid Mohammadi Hospital in Bandar Abbas. Methods: In this descriptive cross-sectional study, the recorded information of patients with lupus referred to Shahid Mohammadi Hospital in Bandar Abbas from 2018 to 2019 was reviewed. All enrolled patients met the American College of Rheumatology criteria for classifying lupus. Recorded information, including demographic characteristics and various clinical manifestations, was recorded after examining the patients. Data were analyzed using SPSS-22 software. Results: A total of 76 patients were studied. Of them, 23 (30.2%) were males, and 53 (69.8%) were females. The mean age of the participants was 6.1 ± 42.9. The most common site of oral lesion in the participants was the lip area (36 patients), followed by buccal mucosa (22 patients), hard palate (14 patients), and dorsal surface of the tongue (four patients). The majority of the clinical manifestations of the lesion were wounds (36 individuals), followed by white and red lesions (20 patients), non-cleansing white lesions (12 patients), and red lesions (eight individuals). Conclusions: Oral symptoms are usually the first signs of this disease. For this reason, dentists have an important role to play in diagnosing emerging autoimmune diseases. Ulcers are the most prevalent clinical manifestations, according to this study, and the lips are the most prevalent location. As a result, in patients with systemic lupus erythematosus, these two findings should be given greater importance than others.

scholarly journals THE UVEITIS – PERIODONTAL DISEASE CONNECTION IN PREGNANCY: CONTROVERSY BETWEEN MYTH AND REALITY

2015 ◽  
Vol 3 (1) ◽  
pp. 30 ◽  
Author(s):  
Widyawati Sutedjo ◽  
Chiquita Prahasanthi ◽  
Daniel Haryono Utomo
Keyword(s):  
Periodontal Disease ◽  
Pregnant Women ◽  
Dental Treatment ◽  
Neural System ◽  
Cerebrovascular Diseases ◽  
Oral Infection ◽  
Simple Explanation ◽  
Systemic Diseases ◽  
Contributing Factors ◽  
In Pregnancy

Background: Recently, It had been recognized that oral infection, especially periodontal disease are potential contributing factors to a variety of systemic diseases, such as cardiovascular and cerebrovascular diseases, pregnancy problem, diabetes mellitus type 2, etc. However, the adverse effect of periodontal disease toward uveitis still not clearly understood especially if happens during pregnancy. Interestingly, in Indonesia, there is still a myth that pregnant women should not get any dental treatment, therefore, it may deteriorate periodontal disease during pregnancy. Purpose: to explain the possible connection between periodontal disease and uveitis and increasethe awareness of these problems during pregnancy that could be understood by doctor and laymen. Reviews: literatures revealed that dental infection can caused uveitis via metastatic spread of toxin and inflammatory mediators. Additionaly, more recent investigation reported that the neural system may also stimulated by oral infection. In the orofacial regions there's trigeminal nerve complex that also related to the orbital region, thus may also involved in the uveitis pathogenesis. The effects of periodonto pathogens toxins towardimmunocompetent cell and nerves had also been reported by researcher. Moreover, pregnant women are more susceptible to periodontal disease, therefore maintaining oral hygiene and dental monitoring is a mandatory.Conclusion: in woman who susceptible to uveitis, periodontal disease may exacerbate the symptoms especially in pregnancy. Therefore simple explanation about connection of oral infection-systemic diseases especially in pregnancy should be widespread among Indonesian people.

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