Oral complications of diabetes dr shabeel pn
Oral Candidiasis( pseudomembranous in toung,buccal,gingiva ) Periodontal diseases Tooth Loss Dental Caries Xerostomia Oral Candidiasis( pseudomembranous in toung,buccal,gingiva ) Oral Lichen Planus Burning Mouth Syndrome Oral dysthesia Delay in wound repair Increased infections Bilat . Parotid sialadenitis Small mucosal wounds
Periodontal dis. In diabetic patient Altered subgingival microflora Response to plaque (function cells,TNF,IL,glycation end p) Glocose in gingival fluid & saliva Wound healing (fibroblast,mmp) Microangiopathy
Studies: Diabetes increased prevalence, extent & severity of gingivitis & periodontitis Inflammation ( periodontiitis) is a major component in the pathogenesis of diabetes & its complications Periodontal dis.can adversely affect the metabolic control of DM S & Rp can decrease HbA1C
Healthy gums are characterized by the following features: pink or coral pink color, (normal variations in color depend on race) firm, resilient tissues 'orange-peel' texture (known as stippling) shape that follows the contour of the teeth and forms a scalloped edge no areas of redness, swelling or inflammation no bleeding during daily plaque removal no discomfort dr shabeel pn
WHAT IS GINGIVITIS ? Gingivitis is inflammation of the gum tissue. The gums are irritated and swollen due to a plaque or calculus (tartar) buildup along the gum line. The gums may be sore, bleed easily and appear puffy, soft and swollen. dr shabeel pn
WHAT IS GINGIVITIS ? No bone structure is lost around the teeth at this stage of gum disease. Blood on the toothbrush or dental floss is one of the earliest and most common signs of gingivitis. preventable and reversible through good brushing and flossing techniques On the other hand, if oral hygiene habits are poor, gingivitis may progress to periodontitis. dr shabeel pn
Gingivitis: Notice the gums are red and swollen abeel pn
WHAT IS PERIODONTAL DISEASE? Periodontal disease is destruction of bone and the structures supporting the teeth. irreversible, but can stop its progression through good oral hygiene and visiting dental professional. dr shabeel pn
Eight Warning Signs of Periodontal Disease: gums that bleed when you brush or floss your teeth gums that are red, swollen or tender gums that have pulled away from teeth infection including purulence (pus) between the teeth and gums when the gums are pressed permanent teeth that are loose or separating any changes in the way teeth fit together when bite bad breath itchy sensation dr shabeel pn
EARLY AND MODERATE PERIODONTITIS: dr shabeel pn
Advanced Periodontal Disease dr shabeel pn
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Treatment of Periodontal Disease Scaling, debridement, root surface planing + AB sys Periodontal surgery+AB+nutritional consultation+Altering in medication dr shabeel pn
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