Oral and dental systemic diseases - Systemic diseases
15 important questions on Oral and dental systemic diseases - Systemic diseases
Which radiographic findings are associated with the oral and dental manifestations of SCD?
- Decreased radiodensity in bones
- Thin inferior border of mandible
- Loss of alveolar bone height
- Dentin hypomineralization
- Interglobular dentin in periapical region
- Calcifications in pulp chamber
- Hypercementosis
What may occur during a sickling crisis in the microcirculation of facial bones and dental pulps?
- Orofacial pain without odontogenic pathology
- Vaso occlusive episodes near mental nerve foramen
- Persistent paresthesia of the lower lip
Which of the following is a sign of sickle cell disease?
- Episodes of pain occur when sickle-shaped cells block blood flow.
- Frequent infections happen due to spleen damage.
- Vision problems arise from plugged vessels, affecting the retina.
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What does the radiograph show in the mandible's inferior body?
- Increased radiolucency of bone
- Distinct, sparse trabecular pattern
- Coarse trabeculae superiorly
- Related to SCA patients
What causes these radiographic signs in SCA patients?
- Bone marrow hyperplasia
- Bone resorption
- Reorganisation of trabecular architecture
What was the main complaint of the 20-year-old patient referred to the oral surgery clinic?
- Non-specific, generalized pain
- Maxilla and mandible affected bilaterally
- Throbbing ache in teeth, gingivae, bone
How did the patient describe the pain that was ongoing for over a year?
- Throbbing ache
- Affected teeth, gingivae, and bone
- Varied severity and duration
What must be included in the medical history for patients affected by the disease?
- Detailed medical history
- Use of bisphosphonates
- Risk of bisphosphonate-related osteonecrosis of the jaws (BRONJ)
Why should complaints of pain in healthy teeth be taken seriously?
- Possibility of pulpal infarction
- Necrosis risk exists with SCD
When should orthodontic planning and dental care be performed?
- Orthodontic planning included
- Dental care during non-crisis periods
How should SCD patients be managed when using local anesthetics with vasoconstrictors and nitrous oxide?
- Safe with vasoconstrictors
- Avoid hypoxia
What do higher risk individuals need for dental treatment?
What are the clinical hallmarks of Hemophilia A?
- Muscle and joint hemorrhages (hemarthrosis)
- Easy bruising
- Prolonged hemorrhage after trauma or surgery
- Bleeding can occur spontaneously
What can intramuscular hematomas cause in Hemophilia A?
- Compress vital structures
- Cause nerve paralysis
- Vascular or airway obstruction
What is Von Willebrand Disease (vWD)?
- One of the most commonly inherited disorders.
- Blood doesn’t clot well.
- Abnormal quantity or quality of vWF.
- Most common sign is abnormal bleeding.
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