Internal Medicine Correlations in Oral Health
|
|
- Claude Jeffry Eaton
- 5 years ago
- Views:
Transcription
1 Internal Medicine Correlations in Oral Health Mark D. Baldwin D.O., FACOI Chair, Department of Internal Medicine Professor of Medicine LEARN. CARE. COMMUNITY.
2 None, just working for The Man Disclosures
3 Objectives Discuss the roles of chronic oral inflammation in cardiovascular disease Discuss common signs and symptoms in a dental office and their role in systemic illnesses Discuss non-dental causes of halitosis Discuss the role of obesity and diabetes in oral health Discuss the potential oral manifestations of organ transplants Discuss the current antibiotic prophylaxis and who gets it and who does not
4 Why I am qualified to speak on this topic Denison Holmes Baldwin D.D.S., U. of Maryland Class of 1891, gold medal for best crown and bridgework Mark R. Baldwin D.D.S., U. of Illinois Class of 1930
5 Oral and Systemic Health? Unfortunately most physicians forget that the teeth and gingiva are part of the rest of the body Comprehensive oral medicine is lacking from most medical schools curriculums Endocarditis risk factors and thrush are usually the limits of oral/systemic health interface Insurance coverage for dental issues lags behind the rest of the body The oral region can be a barometer of what may be going on in the body Patients may present to the dental office with signs or symptoms of a systemic illness
6 Role of Chronic Inflammation and Cardiovascular Disease Chronic low grade inflammation i.e. gingival disease, is a well know risk factor for cardiovascular disease-with or without coexisting diabetes mellitus
7 Why is This Important? Marked reduction in overall dental problems in the past 50 years In children 8 to 17 years old, 50% had no caries, while 25% accounted for 80% of caries 50% of American adults have some form of gingival disease 35% have periodontitis Periodontal disease highest in poor, African American, Hispanic Americans, less than a high school education-the same groups at highest risk for obesity/diabetes JAMA 2000;284:
8 What s the Big Deal?
9 Role of Endothelium in Cardiovascular Disease Endothelial cells line the inner layer of vessels Susceptible to acute and chronic damage, endogenous or exogenous Inflammatory mediators from chronic inflammatory states damage endothelium and adjacent organs and tissues leading to Myocardial infarction/congestive Heart Failure. Stroke, Peripheral Vascular Disease, Chronic Kidney disease Circulation 2013;127: Postgrad Med J 2017;93:
10 The Role of Gingival Disease and Chronic Inflammation
11 Risk Factors for Periodontal Disease Genetics(?) Smoking Alcohol Methamphetamine use 1 Diabetes Mellitus Obesity Metabolic Syndrome Osteoporosis Low dietary calcium Low vitamin D levels High dietary sugars/high fructose corn syrup 2 (NHANES III) Periodontol ;62: J Am Dent Assoc. 2015;146: Am J Clin Nutr. 2014;100:
12 Common Oral Signs and Symptoms of Systemic Diseases
13 Anosmia and Dysgeusia Anosmia (loss of smell)-an early indicator of dementia, frontal lobe lesions, chronic sinus infections (especially in transplant and immunosuppressed patients), advanced kidney disease Dysgeusia (loss of sense of taste)-side effects of some medications, advanced kidney disease, diabetes, age, smoking, B 12 and Zinc deficiencies, Sjorgren s, but can also be seen with dementia as taste and smell are closely linked.
14 Halitosis-Non Dental Causes Renal failure-urine like odor (uremic fetor) Liver failure- dead mouse odor (fetor hepaticus) Ketosis-acetone/fruity uncontrolled diabetes, keto diet, starvation, anorexia, alcoholic ketosis Sinusitis Eur J Dent. 2016; 10: Pulmonary infection/lung abscess GERD Chronic aspiration of gastric contents Psychological halitosis may be part of OCD or other psychiatric illness
15 Common Medications linked to Halitosis
16 Dry Mouth Xerostomia (dry mouth)-a common side effect of a number of medications, especially those with anticholinergic actions Sicca complex-xerostomia and/or xeropthalmia(dry eyes) may be isolated findings or part of an autoimmune process Sjorgren s Syndrome-systemic autoimmune condition with xerostomia (salivary gland dysfunction), xeropthalmia, dysphagia, polyexocrine glandular dysfunction, fatigue and arthralgias/ myalgias
17 Sjorgren s Syndrome
18 Bechet s Disease Recurrent aphthous ulcers >3 episodes in a 12 month period Anterior or posterior uveitis or retinal vasculitis Genital ulcerations Erythema nodosum (raised painful nodules) anterior lower legs
19 Systemic Lupus Erythematosus Multisystem autoimmune disorder Perioral ulcerations and malar (butterfly) frequently herald an acute flare
20 Malar Rash of Lupus
21 Thrush Common side effect of antibiotics Can be presenting symptom of immune deficiency Chemotherapy or radiation side effect
22 An inflammatory gastrointestinal disease that predominately affect the small bowel but can occur at any segment of the GI tract The inflammatory lesions involve every layer of the GI tract Perioral lesions are common Can present with an ulceration or polypoid nodule of the mucosa Crohn s disease
23 Eating Disorders-Anorexia/Bulimia Better recognized by hygienists than dentists Teenager/young adult F>M Can be seen in wrestlers who are chronically trying to make weight Gingivitis/periodontal disease Caries/ perioral ulcerations Erosion of the inner enamel due to recurrent gastric acid exposure J Dent Educ.2005 Mar;69(3):
24 Oral Manifestations of Obesity Altered oral flora may be linked to obesity by infectious etiology theory of obesity, increased appetite, increase insulin resistance via TNF-a Mountain Dew Mouth Accelerated caries and periodontal disease Obesity is the most common factor in Type 2 Diabetes J Dent Res. 2009;88:519 23
25 Acanthosis nigricans-type 2 Diabetes
26 Oral Manifestations of Diabetes Mellitus Strong association to glucose control in either Type 1 or Type 2 diabetics Impaired immunity, circulatory problems predispose to infections and lead to chronic inflammation and CVD Oral Condition Controlled Type 2 DM % Hyposalivation Halitosis Periodontitis Perioral burning sensation Taste Alteration Uncontrolled Type 2 DM % Clinical Diabetes 2016:34:54-57
27 Organ Transplant Thorough evaluation and correction of oral issues is part of a pre transplant work up Post transplant medications alter the body s immune response Dent Res J (Isfahan) 2015; 12(3):
28 Antibiotic Prophylaxis Who Gets it Who does Not Also antibiotics are not indicated for: Renal Transplant recipient Pacemaker or AICD Joint pins, plates or prosthesis Circulation. 2007; 116:
29 Antibiotic Recommendation
30 Conclusions Oral health is a barometer of the overall health of the body The mouth can be a cause of an effect of systemic illness If something does not look right, there is a reason When in doubt get another opinion Thank you Mbaldwin@pnwu.edu
Diabetes and Periodontal Disease. Brianne Neelis & Katie Torres. Literature Review 1 11/4/08
1 Diabetes and Periodontal Disease Brianne Neelis & Katie Torres Literature Review 1 11/4/08 2 Introduction Diabetes is a cardiovascular condition that effects an estimated 20 million people in the United
More informationHealth and fitness. Diabetes and Oral Care by Ms. Kanchan Naikawadi, Preventive Healthcare Specialist Indus Health
Health and fitness Alll about how to keep one self in good health... Live Life Healthy... Diabetes and Oral Care by Ms. Kanchan Naikawadi, Preventive Healthcare Specialist Indus Health Ms. Kanchan Naikawadi,
More informationDental Care and Health An Update. Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI
Dental Care and Health An Update Dr. Ranjini Pillai, DDS, MPH, FAGD, FICOI WHO s Definition of Health? Health is a state of complete physical, mental, and social wellbeing and not merely the absence of
More informationOther common oral problems DR ANDREW DAVIES FRCP CONSULTANT IN PALLIATIVE MEDICINE ROYAL SURREY COUNTY HOSPITAL, GUILDFORD, UK
Other common oral problems DR ANDREW DAVIES FRCP CONSULTANT IN PALLIATIVE MEDICINE ROYAL SURREY COUNTY HOSPITAL, GUILDFORD, UK Outline Epidemiology OASis study Poor oral hygiene Halitosis Taste disturbance
More informationDIABETES MELLITUS. Definition
Definition DIABETES MELLITUS Diabetes Mellitus is absolute or relative insulin insufficiency, low insulin output from the pancreas or inresponsiveness of peripheral tissues to existing insulin Risk factor
More informationSpecial Considerations for the Dental Professional in Managing Patients with Diabetes
Special Considerations for the Dental Professional in Managing Patients with Diabetes Speaker: Maria Emanuel Ryan, DDS, PhD Course Details: Diabetes Mellitus affects over 20 million Americans. This presentation
More informationINFLAMMATORY DISEASES PART I. Immunopathology Part I
INFLAMMATORY DISEASES PART I Immunopathology Part I Nonspecific & T Cell Mediated Mucosal Inflammatory Lesions Nonspecific and Idiopathic Mucositis Hypersensitivity and Autoimmune T cell mediated Immunoglobulin
More informationDeveloped by: The Inter Tribal Council of Arizona, Inc. Dental Clinical and Prevention Support Center
Inter Tribal Council of Arizona, Inc. Dental Clinical and Prevention Support Center 2214 North Central Avenue, Suite 100 Phoenix, Arizona 85004 602-258-4822 602-258-4825 fax www.itcaonline.com Developed
More informationVitamin D and Inflammation
Vitamin D and Inflammation Susan Harris, D.Sc. Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University Boston, MA Vitamin D Liver 25(OH)D storage form nmol/l=ng/ml x 2.5 Renal 1,25(OH)
More informationExtraintestinalManifestations of IBD
ExtraintestinalManifestations of IBD Hyun Kim, M.D. San Diego Digestive Disease Consultants Associate Professor, UCSD School of Medicine Why Other Organs Involved in IBD? Organ Involvement Bones, Joints
More informationFrom Gums to Guts: Periodontal Medicine KEY SLIDES. UCSF Osher Mini-Medical School October 15, /8/2015. environmental factors (smoking)
From Gums to Guts: Medicine KEY SLIDES UCSF Osher Mini-Medical School October 15, 2015 Tooth Enamel (Crown) Dental Biofilm (Dental Plaque and Calculus) Pocket (with ulcerated wall) Mark I. Ryder DMD Professor
More information13. Behçet s - In Children
Registered Charity No: 326679 Caring for those with a rare, complex and lifelong disease www.behcets.org.uk 13. Behçet s - In Children How are children affected by Behçet s disease? Behçet s disease (also
More informationMODULE 5 IMPACTS OF DRY MOUTH. Welcome to. Module 5. Impacts of Dry Mouth
Welcome to Module Impacts of Dry Mouth IMPACTS OF DRY MOUTH According to Oralieve research, nearly 90% of Dental Professionals believe that the incidence of the cases of dry mouth is on the rise. 1 * Living
More informationA Trip Through the GI Tract: Common GI Diseases and Complaints. Jennifer Curtis, MD
A Trip Through the GI Tract: Common GI Diseases and Complaints Jennifer Curtis, MD Colon Cancer How does it develop? Most cancers arise from polyps Over time these can turn into cancer Combination of genetic
More informationPATIENT HEALTH QUESTIONNAIRE Radiation Oncology
REVIEWED DATE / INITIALS Safety: Yes No Are you at risk for falls? Do you have a Pacemaker? Females; Is there a possibility you may be pregnant? Allergies: Yes No If YES, please list medication allergies:
More informationDental Care in Scleroderma
Dental Care in Scleroderma People living with scleroderma face unique challenges while trying to maintain their oral health. They are more likely to be affected by dental conditions such as small mouth,
More information2/23/18. Disclosures. Rheumatic Diseases of Childhood. Making Room for Rheumatology. I have nothing to disclose. James J.
Making Room for Rheumatology James J. Nocton, MD Disclosures I have nothing to disclose Rheumatic Diseases of Childhood Juvenile Idiopathic Arthritis (JIA) Systemic Lupus Erythematosus (SLE) Juvenile Dermatomyositis
More informationImage: Blend Images/Punchstock Image: Blend Images/Punchstock Image: Ablestock/Punchstock. Copyright STFM
Image: Blend Images/Punchstock Image: Blend Images/Punchstock Image: Ablestock/Punchstock Copyright STFM 2005-2014 Third Edition June 2010 www.smilesforlifeoralhealth.org Last Modified: April, 2014 2 Course
More informationShabib A. Alhadheri, M.D.
Pediatrics in the Red Rocks Sedona, Arizona June 20-22, 2008 Shabib A. Alhadheri, M.D. Pediatric Cardiologist Disclosure I I have no relevant financial relationships with the manufacturer(s) of any commercial
More informationCARE MODIFICATIONS FOR SPECIAL NEEDS D E N T A L E L L E T U T O R I N G
CARE MODIFICATIONS FOR SPECIAL NEEDS D E N T A L E L L E T U T O R I N G WHAT DOES SPECIAL NEEDS PATIENTS MEAN? A patient with special needs can be defined as someone with medical, physical, psychological
More informationSaliva. Introduction. Salivary Flow. Saliva and the Plaque Biofilm. The Minerals in Saliva
Saliva Introduction Saliva is like a bloodstream to the mouth. As does blood, saliva helps build and maintain the health of the soft and hard tissues. Saliva removes waste products and provides disease-fighting
More informationThe Role of Oral Health in Successful Care Transitions: How AAAs Can Address Oral Health Issues to Improve Health Outcomes
The Role of Oral Health in Successful Care Transitions: How AAAs Can Address Oral Health Issues to Improve Health Outcomes 1 ADS Case Management Training June 27, 2012 Mary Pat O Leary, RN To understand
More informationPATIENT HEALTH QUESTIONNAIRE Radiation Oncology
REVIEWED DATE / INITIALS Safety: Are you at risk for falls? Do you have a Pacemaker? Females; Is there a possibility you may be pregnant? Allergies: If YES, please list medication allergies: Do you have
More informationOral Pathology Syllabus for English-Speaking Students
Oral Pathology Syllabus for English-Speaking Students Academic Hours Academic Hours in Years and Semesters I year II year III year IV year V year DISCIPLINE Semester Exam Total Lectures Practicals I II
More informationOral Health: A component of the Patient Centered Medical home
Oral Health: A component of the Patient Centered Medical home Mark Deutchman MD University of Colorado Schools of Medicine, Dental Medicine and Public Health 1 Oral Health is a Fit for PCMH Patient centered
More informationThis Presentation Is Trademarked by Lawrence H. Zager, D.D.S.
This Presentation Is Trademarked by Lawrence H. Zager, D.D.S.! The next presentation is from the private collection of patient s treated in my practice with the use of implants and other prosthetic devices
More informationINFLAMMATORY BOWEL DISEASE. Jean-Paul Achkar, MD Center for Inflammatory Bowel Disease Cleveland Clinic
INFLAMMATORY BOWEL DISEASE Jean-Paul Achkar, MD Center for Inflammatory Bowel Disease Cleveland Clinic WHAT IS INFLAMMATORY BOWEL DISEASE (IBD)? Chronic inflammation of the intestinal tract Two related
More informationENROLLMENT : Line of Business Summary
ENROLLMENT : Line of Business Summary Date Range : JAN 2017 through DEC 2017 COMPREHENSIVE MAJOR MEDICAL Print Date : 1/19/2018 9:43:49AM Page 1 of 1 Month Year Single 2 Person : Emp/Spouse 2 Person :
More informationWhat will we discuss today?
Autoimmune diseases What will we discuss today? Introduction to autoimmune diseases Some examples Introduction to autoimmune diseases Chronic Sometimes relapsing Progressive damage Epitope spreading more
More informationHigh Impact Rheumatology
High Impact Rheumatology Systemic Lupus Erythematosus Bernard Rubin, DO MPH Case 1: History A 45-year-old woman presents with severe dyspnea and cough. She was in excellent health until 4 weeks ago when
More informationOral Health Practices: Across the Lifespan
Oral Health Practices: Across the Lifespan Office of Women's Health Conference Springfield, IL Mona Van Kanegan, DDS, MS, MPH Division of Oral Health, Chief Office of Health Promotion Overview of this
More informationOral Hygiene. Dental hygiene disorders: Dental Caries Gingivitis Halitosis Teething discomfort Aphthous (mouth) ulcer
Oral Hygiene Dental hygiene disorders: Dental Caries Gingivitis Halitosis Teething discomfort Aphthous (mouth) ulcer Anatomy of the tooth Dental caries Incidence: It decreases especially in children
More informationAging and nutrition 03/11/2012. Why do people age? Oxidative stress and damage
Aging and nutrition % of elderly people in Canadian population is increasing more than for other age groups within the elderly age group there is great variability in terms health, metabolism, physical
More information9/25/2013 SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)
SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) 1 Other Types of Lupus Discoid Lupus Erythematosus Lupus Pernio --- Sarcoidosis Lupus Vulgaris --- Tuberculosis of the face Manifestations of SLE Fever Rashes Arthritis
More informationPATIENT REGISTRATION
PATIENT REGISTRATION Patient Information Whom may we thank for referring you to our office? _ Date Preferred Name (Circle) Patient Name Age Birthdate M or F First M.I. Last Residence & Mailing Address
More informationNo destructive changes observed upon radiographic examination; radiographic evidence of osteoporosis is possible
Table 10.1. Progression of Rheumatoid Arthritis Stage 1 (early) Stage 2 (moderate) Stage 3 (severe) No destructive changes observed upon radiographic examination; radiographic evidence of osteoporosis
More informationPLEASE COMPLETE ALL SECTIONS OF THIS FORM
PLEASE COMPLETE ALL SECTIONS OF THIS FORM Patient Name: Date of Birth: Referring Doctor? (Name, telephone number and address) Chief Complaint: Why have you come here? How did it start? What are the symptoms?
More informationMicrobiology - Problem Drill 21: Microbial Diseases of the Digestive System
Microbiology - Problem Drill 21: Microbial Diseases of the Digestive System No. 1 of 10 1. Which of the following organs is not part of the gastrointestinal tract (GI)? (A) Esophagus (B) Small intestine
More informationCase presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients
Case presentations: The pitfalls in diagnosis and management of oral lesions in cancer patients Siri Beier Jensen Associate Professor, DDS, PhD Aarhus University Faculty Disclosure X No, nothing to disclose
More informationDiabetes Mellitus and the Dental Healthcare Professional
Diabetes Mellitus and the Dental Healthcare Professional Jerry A. Brown DMD, CDE University of South Florida Department of Internal Medicine jabrown7@health.usf.edu Learning Objectives Diabetes- The Disease
More informationSorina Ratchford DDS 747 Bernardo Ave. T:(805) Morro Bay Family Dentistry Morro Bay, CA F:(805) Page 1 /4
Morro Bay Family Dentistry 747 Bernardo Ave. Morro Bay, CA 93442 (805) 772-8585 Date: Patient Information Name Birth date SS# Driver's License # Expiration Address City State Zip Home Phone Cell Phone
More information2.08 Understand the functions and disorders of the digestive system Essential questions
2.08 Understand the functions and disorders of the digestive system Essential questions What are the functions of the digestive system? How do the functions of chemical and physical digestion interrelate?
More informationManaging Nutrition and Unintended Weight Loss
Managing Nutrition and Unintended Weight Loss Kathleen Niedert, PhD, RD, CSG, FADA, LNHA 2018 Spring Conference & Exhibitor Show May 2-3, 2018 OBJECTIVES Define the three main categories and three primary
More informationBeyond the Basics. Eating well to live well. By Valerie Goldberg, RD, CD
Goal setting: - smart: Specific, measurable, attainable, realistic, time bound - WHY power: why do I want to make a change. Takes effort to make any change so set yourself up for success by visualizing
More informationMEDICAL HISTORY FULL NAME D.O.B. SEX
MEDICAL HISTORY FULL NAME D.O.B. SEX MEDICAL PHYSICIAN OF LAST MEDICAL VISIT HOW IS YOUR GENERAL HEALTH? HEIGHT WEIGHT PLEASE CHECK THE BOX TO THE LEFT IF YOU HAVE HAD ANY OF THE FOLLOWING: AIDS/HIV EPILEPSY
More informationDIABETES MELLITUS. IAP UG Teaching slides
DIABETES MELLITUS 1 DIABETES MELLITUS IN CHILDREN Introduction, Definition Classification, pathogenesis Clinical features Investigations and diagnosis Therapy and follow up Complications Carry home message
More informationPATIENT INFORMATION. Date: Patient Name: SS#: Address: City: State: Zip: Phone: (Home) (Work) (Cell)
PATIENT INFORMATION Date: Patient Name: SS#: Address: City: State: Zip: Phone: (Home) (Work) (Cell) Email: Gender: Male ( ) Female ( ) Age: Birthdate: Marital Status: Married ( ) Widowed ( ) Single ( )
More informationInfective Endocarditis عبد المهيمن أحمد
Infective Endocarditis إعداد : عبد المهيمن أحمد أحمد علي Infective endocarditis Inflammation of the heart valve or endocardium of the heart. The agents are usually bacterial, but other organisms can also
More informationOral Health & HIV. Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape
Oral Health & HIV Professor Sudeshni Naidoo Department of Community Dentistry University of the Western Cape Importance & relevance of Oral HIV Lesions >70% of HIV+ve patients present with oral manifestations
More informationPERINATAL CARE AND ORAL HEALTH
PERINATAL CARE AND ORAL HEALTH Lakshmi Mallavarapu, DDS Terry Reilly Health Services Boise, Idaho CE objectives Recognize the necessity of Oral Care during Perinatal Period Examine and assess teeth and
More informationWhat your dentist wants to know about scleroderma. David M Leader, DMD, MPH Department of Diagnosis And Health Promotion
What your dentist wants to know about scleroderma. David M Leader, DMD, MPH Department of Diagnosis And Health Promotion MDS: 4600 dentists, 80% of DMDs in MA Council on Access, Prevention and Interprofessional
More informationBest Practices in Oral Health for Older Adults -How to Keep My Bite in My Life!
Best Practices in Oral Health for Older Adults -How to Keep My Bite in My Life! Mr. has most of his natural teeth. Mr. JB Age 78. In for rehab from stroke; will return home. Non-dominant hand/arm paralyzed.
More informationThe Oral Cavity. Image source:
The Oral Cavity Anatomy Image source: http://anatomyforlayla.blogspot.co.za/2007/04/blog-post.html The major structures of the oral cavity are the lips, the teeth, the alveolar ridges (bony areas that
More informationNeoplastic Disease KNH 406
Neoplastic Disease KNH 406 Cancer Carcinogenesis - Etiology Genes may be affected by antioxidants, soy, protein, fat, kcal, alcohol Nutritional genomics study of genetic variations that cause different
More informationAUTOIMMUNE DISORDERS IN THE ACUTE SETTING
AUTOIMMUNE DISORDERS IN THE ACUTE SETTING Diagnosis and Treatment Goals Aimee Borazanci, MD BNI Neuroimmunology Objectives Give an update on the causes for admission, clinical features, and outcomes of
More informationNATIONAL KIDNEY MONTH
NATIONAL KIDNEY MONTH According to the WebMD website, kidneys have several specific roles: Maintain your body s balance of water and concentration of minerals, such as sodium, potassium, magnesium and
More informationIndex. Dent Clin N Am 49 (2005) Note: Page numbers of article titles are in boldface type.
Dent Clin N Am 49 (2005) 485 490 Index Note: Page numbers of article titles are in boldface type. A Advance health care directives, 405 406 Aging, cognitive impairments and, 392 395 memory and, 391 392
More informationPATIENT REGISTRATION INFORMATION DENTAL INSURANCE INFORMATION. Title:! Mr.! Mrs.! Ms.! Miss! Dr. Patient: Last Name: First Name: Middle:
Title:! Mr.! Mrs.! Ms.! Miss! Dr. PATIENT REGISTRATION INFORMATION Patient: Last Name: First Name: Middle: Wish to be called: D.O.B.: / / Age: Sex:!Male! Female SSN: - - Marital Status:! Single!Married!
More informationDental Management of the Organ or Stem Cell Transplant Patient
Dental Management of the Organ or Stem Cell Transplant Patient KEY POINTS Before and after organ or stem cell transplantation, patients require specialized dental management. Optimal dental management
More informationFAVISTAN 20 mg, tablets
PACKAGE LEAFLET: INFORMATION FOR THE USER FAVISTAN 20 mg, tablets TIAMAZOL This leaflet is a copy of the Summary of Product Characteristics and Patient Information Leaflet for a medicine, which outlines
More informationAmmara ismail, Fatima Javed, Memoona Ismail
International Journal of Scientific & Engineering Research Volume 9, Issue 4, April-2018 1542 Oral manifestations of exam/prof induced stress ABSTRACT Ammara ismail, Fatima Javed, Memoona Ismail Stress
More informationGLUCOSE TESTING-BLOOD
648.83 ABNORMAL GLUCOSE TOLERANCE COMPLICATING PREGNANCY, CHILDBIRTH OR THE PUERPERIUM, ANTEPARTUM CONDITION OR 648.84 ABNORMAL GLUCOSE TOLERANCE COMPLICATING PREGNANCY, CHILDBIRTH OR THE PUERPERIUM, POSTPARTUM
More informationElements for a Public Summary
VI.2 Elements for a Public Summary VI.2.1 Overview of disease epidemiology Generalised anxiety disorder Generalised anxiety disorder (GAD) is an umbrella term that covers a wide range of anxiety disorders
More informationCertain genes passed on from parent to child increase the risk of developing Crohn's disease, if the right trigger occurs.
Topic Page: Crohn's disease Definition: Crohn's disease from Benders' Dictionary of Nutrition and Food Technology Chronic inflammatory disease of the bowel, commonly the terminal ileum, of unknown aetiology,
More informationDifferential Diagnosis of Oral Ulcerations
Differential Diagnosis of Oral Ulcerations Dr. Nagamani Narayana Department of Oral Biology University of Nebraska Medical Center College of Dentistry Objectives Differential diagnosis of oral ulcerations
More informationThere is no single IBD diet
Nutrition and IBD There is no single IBD diet Nutrition plays an important role in health, during times of IBD disease activity as well as during remission. Although diet does not cause or cure IBD, the
More informationOral infections. Siri Beier Jensen Associate Professor, DDS, PhD
Oral infections Siri Beier Jensen Associate Professor, DDS, PhD Oral mucosa Covers and protects underlying structures Barrier to bacterial, fungal and viral infection Resistant to: Temperature ph Mechanical
More informationDelta Dental Web Site
Delta Dental Web Site You can find helpful information about your Delta Dental benefits plan 24 hours a day, 7 days a week at www.consumertoolkit.com. Find A Provider (Quickly and Easily!) Create a customized
More informationFor the Patient: USMAVNIV
For the Patient: USMAVNIV Other Names: Treatment of Unresectable or Metastatic Melanoma Using Nivolumab U = Undesignated (requires special approval) SM = Skin and Melanoma AV = AdVanced NIV = NIVolumab
More informationDiabetes. HED\ED:NS-BL 037-3rd
Diabetes HED\ED:NS-BL 037-3rd Diabetes Diabetes mellitus is an epidemic disease and based on a recent study published on 2011, the estimated number of affected people is 366 million worldwide and the number
More informationNORTHWEST PROFESSIONAL OBSTETRICS & GYNECOLOGY, LTD. GYNECOLOGIC INTAKE AND HISTORY FORM
NORTHWEST PROFESSIONAL OBSTETRICS & GYNECOLOGY, LTD. GYNECOLOGIC INTAKE AND HISTORY FORM Today s Date: Name: Date of Birth: Race: American Indian or Alaskan Native Asian Black or African-American More
More informationSafe Breath Rinse. To eliminate and prevent bad breath
Safe Breath Rinse To eliminate and prevent bad breath Bad breath a very common problem Bad breath (halitosis) has been a problem since time immemorial. Home remedies recommended 2,000 years ago are very
More informationMedically Compromised Patients (Part II)
Medically Compromised Patients (Part II) Ra ed Salma BDS, MSc, JBOMFS, MFDRCSI Endocrine Disorders I. Diabetes Mellitus (DM) Definition (WHO): - Chronic disease due to absolute or relative lack of insulin
More informationPast Medical History. Chief Complaint: Patient Name: Appointment Date: Page 1
Appointment Date: Page 1 Chief Complaint: (Please write reason, symptoms, condition or diagnosis that prompts your appointment) Past Medical History PERSONAL SKIN HISTORY YES NO Yes - Details Melanoma
More informationFor the Patient: ULUAVPMB
For the Patient: ULUAVPMB Other Names: Treatment of Advanced Non-Small Cell Lung Cancer Using Pembrolizumab U = Undesignated (requires special approval) LU = LUng AV = AdVanced PMB = PeMBrolizumab ABOUT
More informationPATIENT INFORMATION DIABETES AND ORAL HEALTH
PATIENT INFORMATION DIABETES AND ORAL HEALTH www.dentalcareireland.ie DIABETES AND ORAL HEALTH People with poor diabetes control can be more prone to oral health problems such as gum disease, dry mouth,
More informationORAL MANIFESTATIONS IN LIVER DISEASES
ORAL MANIFESTATIONS IN LIVER DISEASES Rodica Ghiuru, D.Munteanu Department of Internal Medicine Abstract: Chronic hepatitis C infection is a worldwide health problem because it causes chronic hepatitis,
More informationEXTRAESOPHAGEAL MANIFESTATIONS OF GASTROESOPHAGEAL REFLUX DISEASE WITH IMPLICATIONS FOR ORAL CAVITY
EXTRAESOPHAGEAL MANIFESTATIONS OF GASTROESOPHAGEAL REFLUX DISEASE WITH IMPLICATIONS FOR ORAL CAVITY Crînguţa Paraschiv*, Cristina Gavrilescu, Irina Cotea, Manea Paloma, Rodica Ghiuru Gr. T. Popa" U.M.Ph.
More informationOral problems DR ANDREW DAVIES
Oral problems DR ANDREW DAVIES Outline OASis study Oral hygiene End-of-life oral care Conclusion OASis study OASis study Observational study Cancer patients receiving specialist palliative care Oral Symptom
More informationCourse instructors (2 hour lecture) 1. Barbara Caffery OD, PhD, FAAO Diplomate, Cornea, Contact Lenses, and Refractive Technologies
Course instructors (2 hour lecture) 1. Barbara Caffery OD, PhD, FAAO Diplomate, Cornea, Contact Lenses, and Refractive Technologies 2. Danielle Robertson, OD, PhD, FAAO, FBCLA Diplomate, Cornea, Contact
More informationInformation taken directly from the WebMD website:
MOREHOUSE COLLEGE Information taken directly from the WebMD website: www.webmd.com/oralhealth/news/20100527 80 75 76.5 67.1 Table shows Percentage by Age of visits to the Dentists in the past year (2006)
More informationOral Health Matters from Head to Toe
Oral Health Matters from Head to Toe Your Guide to Preventing and Treating Gum Disease for Overall Health Gums and Overall Health We all know that prevention is one of the keys to maintaining overall health.
More informationSTRATEGIES TO MANAGE WEIGHT LOSS AND WEIGHT GAIN
STRATEGIES TO MANAGE WEIGHT LOSS AND WEIGHT GAIN Tena Alonzo, Co-Director Palliative Care for Advanced Dementia & Lori Eddings, RD Clinical Nutrition Manager, Beatitudes Campus Objectives: Identify the
More informationCognitive Impairment and Oral Health
Geriatric Lectures Series: Cognitive Impairment and Oral Health Dr. Leo Marchini, DDS, MSD, PhD Department of Preventive and Community Dentistry University of Iowa College of Dentistry and Dental Clinics
More informationEndocrine system pathology
Endocrine system pathology Central endocrine system peripheral endocrine system: thyroid gland parathyroid gland pancreas adrenal glands Thyroid gland. the weight of normal thyroid gland is about 15 grams.
More informationBacterial Plaque and Its Relation to Dental Diseases. As a hygienist it is important to stress the importance of good oral hygiene and
Melissa Rudzinski Preventive Dentistry Shaunda Clark November 2013 Bacterial Plaque and Its Relation to Dental Diseases As a hygienist it is important to stress the importance of good oral hygiene and
More informationNutrition and Oral Health
Nutrition and Oral Health Ellen Karlin Disclosure Statement Ellen Karlin MMSc, RD, LDN, FADA Nutrition Consultant Comprehensive Asthma and Allergy Center Neither I nor my immediate family has any financial
More informationBeyond the Bowel: Extraintestinal Manifestations of Inflammatory Bowel Disease
Beyond the Bowel: Extraintestinal Manifestations of Inflammatory Bowel Disease Robert Isfort, M.D. TriHealth Digestive Institute IBD Family Education Day 2019 Learning Objectives Review manifestations
More informationAutoimmune diseases. SLIDE 3: Introduction to autoimmune diseases Chronic
SLIDE 3: Introduction to autoimmune diseases Chronic Autoimmune diseases Sometimes relapsing : and remitting. which means that they present as attacks Progressive damage Epitope spreading more and more
More informationEtanercept for Treatment of Hidradenitis
Home Search Browse Resources Help What's New About Purpose Etanercept for Treatment of Hidradenitis This study is currently recruiting patients. Sponsors and Collaborators: University of Pennsylvania Amgen
More informationThe Importance of Glutamine and Antioxidant Vitamin Supplementation in HIV
The Importance of Glutamine and Antioxidant Vitamin Supplementation in HIV An Introduction to Glutamine Glutamine is the most abundant amino acid in the human body, and plays extremely important role in
More information10/25/2018. Autoimmunity and how to treat it. Disclosure. Why do we get autoimmunity? James Verbsky MD/PhD Pediatric Rheumatology/Immunology
Autoimmunity and how to treat it James Verbsky MD/PhD Pediatric Rheumatology/Immunology Disclosure None I will mention drug names and some brand names but I have no financial interest or any other ties
More informationFirefighting: Burning Mouth Syndrome and Burning Vulva (vulvodynia)
Firefighting: Burning Mouth Syndrome and Burning Vulva (vulvodynia) Rochelle Torgerson, MD, PhD Chair of Education Department of Dermatology Mayo Clinic, Rochester, MN DISCLOSURE OF RELEVANT RELATIONSHIPS
More informationMEDICAL HISTORY. Previous Nephrologist. Medication taken Insulin Oral Both. Who manages your diabetes? Blindness Yes No Hearing Problems Yes No
MEDICAL HISTORY Please mark YES or NO and fill in appropriate blanks as needed Chronic Yes No If yes, year diagnosed Previous Nephrologist Transplant Yes No If yes, date Donor type Living Deceased Related
More informationFor the Patient: USMAVFIPI
For the Patient: USMAVFIPI Other Names: First-Line Treatment of Unresectable or Metastatic Melanoma Using Ipilimumab U = Undesignated (requires special request) SM = Skin and Melanoma AV = Advanced F =
More informationDiabetes Mellitus. Disclaimer. Multimedia Health Education
Disclaimer This movie is an educational resource only and should not be used to manage Diabetes or blood sugar control.all decisions about management of diabetes must be made in conjunction with your Physician
More informationDental Treatment Planning Considerations For Complex Patients. Paul Glassman DDS, MA, MBA
Dental Treatment Planning Considerations For Complex Patients Paul Glassman DDS, MA, MBA 1 TREATMENT PLAN WORKSHEET Age I. Medical Information A. What is the disability? B. How severe? C. What is the long
More informationDiabetes and Dental Health
Diabetes and Dental Health Debra Brown Bachelor of Dental Science (Honours) Member of the Royal Australasian College of Dental Surgeons (MRACDS) Board Member of North Queensland Primary Health Network
More informationREGISTRY OF SEVERE CUTANEOUS ADVERSE REACTIONS TO DRUGS AND COLLECTION OF BIOLOGICAL SAMPLES. R e g i S C A R PATIENT'S DATA. Age country of birth
REGISTRY OF SEVERE CUTANEOUS ADVERSE REACTIONS TO DRUGS AND COLLECTION OF BIOLOGICAL SAMPLES R e g i S C A R PATIENT'S DATA Initials of the patient date of birth Age country of birth Gender male female
More information