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In-Depth Notes on Oral and Digestive Health

Gingivitis and Gum Conditions

  • Gingivitis: Refers to gum inflammation caused by factors like bacterial infections and denture irritation.
    • Also known as acute necrotizing gingivitis (cell death due to severe infection).
    • Symptoms include: ruber (redness), dolar (pain), tumor (swelling).
    • Common causes: Poor dental hygiene, poorly fitting dentures, teeth alignment issues.
    • Accompanies conditions like stomatitis (mouth inflammation) and nutritional deficiencies (e.g., scurvy).
  • Vincent's Infection: Severe form of gingivitis with painful ulcers, swollen lymph nodes, and fever.
  • Pyorrhea (Periodontitis): Inflammation around the tooth, characterized by pus flow and gingival degeneration.
    • Pyuria: Inflammation of tissues around teeth leading to loss of attachment and possible tooth loosening.
    • Can result from untreated gingivitis.
  • Tartar/Calculus: Accumulated calcified material on teeth, can lead to further gum disease.
    • Complications: Often exacerbated by smoking, requires good dental hygiene to prevent.

Dental Caries (Cavities)

  • Caries: Decay of tooth enamel caused by bacteria acting on leftover food.
    • Symptoms: Gradually destroys enamel and dentin, leads to potential tooth loss.
    • Prevention Methods: Good oral hygiene, fluoride treatments, avoiding processed foods.
    • Prevalence: Affects 60-90% of schoolchildren and many adults globally, more severe in some regions like Asia and Latin America.

Dental Conditions Related to Wear

  • Attrition: Wearing away of tissue due to friction (e.g., enamel wear on teeth).
  • Bruxism: Teeth grinding that can lead to dental attrition.
  • Malocclusion: Abnormal contact between upper and lower teeth affecting chewing/speech.
    • Classified by Edward Engel into types based on molar alignment.
    • Overbite and Underbite: Dental alignment issues affecting jaw line and structure.

Early Childhood Cavities

  • Baby Bottle Caries: Cavities in young children from prolonged bottle feeding.
    • Prevention: Eliminate bedtime bottles or use water instead of milk/juice.

Orthodontic Care

  • Orthodontics: Specialty focused on correcting teeth alignment.
    • Uses braces and aligners for teeth repositioning.

Gumboils and Abscesses

  • Gumboil: Abscesses in gums often requiring antibiotics and surgical intervention for relief.

Esophageal and Digestive Disorders

  • Dysphagia: Difficulty swallowing, can result from various abnormalities (e.g., esophageal stenosis).
  • Dysphonia: Difficulty with vocal sounds, may arise from vocal cord issues or inflammation.

Conditions of the Liver and Gallbladder

  • Hepatitis: Inflammation of the liver caused by various agents including viruses and toxins.
    • Types include A, B, C, D, and E, each with different transmission modes.
  • Cholecystitis: Inflammation of the gallbladder often due to gallstones, treated via surgery or lithotripsy.
    • Symptoms include abdominal pain and jaundice.

Diabetes Mellitus

  • Type 1 Diabetes: Insulin-dependent, arising from a reduction in insulin-producing beta cells.
    • Symptoms often appear abruptly during adolescence.
  • Type 2 Diabetes: Non-insulin dependent, associated with obesity and later onset.
    • Includes complications such as skin issues and increased infection risk.
    • Managed through lifestyle changes and monitoring.

Cirrhosis of the Liver

  • Characterized by progressive liver damage leading to portal hypertension, described by blood not processing effectively in the liver.
  • Causes include alcohol, nutritional deficiencies, and infections.

Conclusion

  • Overall, understanding mouth diseases and their associations with systemic health is crucial for effective treatment and prevention. Regular dental check-ups and hygiene practices are pivotal in avoiding serious complications.