Relationship Between Oral Health And Systemic Disease

Relationship Between Oral Health And Systemic Disease

Write the oral manifestations of systemic disease.

Answer.

Oral Manifestations Of Systemic Disease

Systemic disease Syphilis

The oral manifestations of syphilis are given in the folowing table.

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Systemic disease Tuberculosis

Oral Manifestations Of Tuberculosis

• Tuberculous infection in oral cavity may produce nodules,vesicles, fisures, plaque, granulomas or verrucal papillary lesions.
• The tuberculous lesions oforal cavity are tuberculous ulcers,tuberculous gingivitis and tuberculosis of salivary gland.
• Tongue is most common location for the occurrence,besides this palate, gingiva, lips, buccal mucosa, alveolar ridge and vestibules may also be affcted.
• Tongue lesions: Tuberculous lesion of tongue develops on the lateral borders and appears as single ormultiple ulcers which are well defied, painful, fim and yellowish gray in color.
• Lip lesions: The lesions produce small, non-tender, granulating ulcer at the mucocutaneous junction.
• Gingival lesions: These lesions produce small granulating ulcers with concomitant gingival hyperplasia.
• Tuberculous lesion of jaw bone: Chronic osteomyelitis of maxilla and mandible may occur and infection reaches to bone via blood or root canal or extraction socket.
  Tuberculous osteomyelitis of jaw bone produces pain, swelling, sinus or fitula formation.

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Systemic disease Leprosy

• Oral manifestations of leprosy
• In oral cavity, the disease produces tumor like lesions called as “lepromas” which are found on lips, gingiva,tongue and hard palate.
• Oral lesion appears as yellowish soft or hard sessile growth which have tendency to breakdown and ulcerate.
• Ulceration, necrosis and perforation of palate.
• Fixation of palate with loss of uvula.
• Diffilty in swallowing and regurgitation.
• Cobblestone appearance of tongue with loss of taste sensation.
• Chronic gingivitis, periodontitis and candidiasis are present.
• The enamel hypoplasia of teeth, pinkish discoloration of teeth and tapering of teeth is present.

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Systemic disease Herpes Zoster

Oral Manifestations of Herpes Zoster

• Herpes zoster may involve the face by infection of trigeminal nerve, mainly fist branch.
• There is usually involvement of skin and oral mucosa supplied by trigeminal nerve.
• Lesions of the oral mucosa are extremely painful vesicles which may be found on the buccal mucosa, tongue,
• pharynx and larynx and uvula.
• This vesicle generally ruptures and leaves the area of erosion.
• The erosive ulcers heal up in a few days without scar formation.
• In herpes zoster, neuralgic pain in oral cavity stimulates tooth ache.
• The pain may persist long after the lesion heals up and the condition is known as post-herpetic neuralgia.

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