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Document 0583
DOCN M9480583
TI Oral medicine.
DT 9410
AU Bissell TA; Doppalapudi VA; Department of Periodontology, Harvard School
of Dental Medicine,; Boston, MA 02115.
SO Curr Opin Periodontol. 1994;:54-63. Unique Identifier : AIDSLINE
MED/94305644
AB The practice of dentistry requires an understanding of medical illnesses
and the implications of treatment on the oral environment. Periodic
review enables the practitioner to anticipate patient needs and to
interact competently with other medical care providers. Presented in
this review are recent advances in understanding the relationship
between medical and oral diseases. Where appropriate, therapeutic
regimens for the treatment of oral manifestations are suggested.
Diabetes remains equivocally associated with periodontal disease. The
dynamic nature of the immune system and the exhaustive list of oral
microbial flora have led to immense and promising research in
understanding the pathogenesis of periodontal diseases. It is
anticipated that this would lead to methodologies that could modulate
the mechanisms of host response and thereby regulate, for example, bone
resorption in inflammatory periodontal diseases. HIV-associated
periodontal and other oral manifestations have provoked challenging
goals in efficient treatment of these patients. The survival time of
cancer patients continues to lengthen, resulting in significant numbers
of affected individuals. Treatment modalities, chiefly radiation and
chemotherapy, produce marked effects on the oral tissues. The
detrimental oral consequences of oncologic therapy can be reduced with
proper patient education and attention to prophylactic measures.
Neoplasia occurs within the oral environment often mimicking
inflammatory disease. Systemic diseases may manifest orally and may be
subtle in presentation. The dentist is compelled to evaluate all lesions
of the oral tissues with the expectation that they may be a lesser sign
of a more severe condition.
DE Antineoplastic Agents/ADVERSE EFFECTS Cranial Irradiation/ADVERSE
EFFECTS Diabetes Mellitus/COMPLICATIONS Gingival Neoplasms Head and
Neck Neoplasms/RADIOTHERAPY Human HIV Infections/COMPLICATIONS
*Periodontal Diseases/ETIOLOGY/IMMUNOLOGY Periodontium/DRUG
EFFECTS/RADIATION EFFECTS Virus Diseases/COMPLICATIONS JOURNAL ARTICLE
REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).