Podcast
Questions and Answers
What is considered a significant risk in the management of dental care for patients with diabetes?
What is considered a significant risk in the management of dental care for patients with diabetes?
What is one indicator of poor diabetes control?
What is one indicator of poor diabetes control?
In which way does diabetes influence oral health?
In which way does diabetes influence oral health?
What should dental professionals focus on to optimize care for patients with diabetes?
What should dental professionals focus on to optimize care for patients with diabetes?
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What factor is commonly linked to periodontal disease in females of reproductive age?
What factor is commonly linked to periodontal disease in females of reproductive age?
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During which life stage do hormonal changes most notably influence periodontal outcomes?
During which life stage do hormonal changes most notably influence periodontal outcomes?
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Which of the following is considered a risk factor for periodontal disease linked to hormones?
Which of the following is considered a risk factor for periodontal disease linked to hormones?
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What role do inflammatory mediators play in pregnancy complications?
What role do inflammatory mediators play in pregnancy complications?
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Which contraceptive method has been investigated for its effect on periodontal health?
Which contraceptive method has been investigated for its effect on periodontal health?
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How can pregnancy impact future periodontal risk for family members?
How can pregnancy impact future periodontal risk for family members?
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What hormonal change is associated with an increase in periodontal disease risk during puberty?
What hormonal change is associated with an increase in periodontal disease risk during puberty?
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What health outcome is associated with periodontal disease during pregnancy?
What health outcome is associated with periodontal disease during pregnancy?
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What is the relationship between diabetes and periodontal disease?
What is the relationship between diabetes and periodontal disease?
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How does periodontal disease relate to pregnancy complications?
How does periodontal disease relate to pregnancy complications?
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Which demographic is primarily discussed in relation to depot medroxyprogesterone acetate and periodontal health?
Which demographic is primarily discussed in relation to depot medroxyprogesterone acetate and periodontal health?
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What is a potential complication of periodontal disease associated with HIV infection?
What is a potential complication of periodontal disease associated with HIV infection?
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Which of the following is NOT a source of information related to periodontal disease?
Which of the following is NOT a source of information related to periodontal disease?
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What factor is explored in relation to periodontal health in younger women?
What factor is explored in relation to periodontal health in younger women?
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Which of the following is a potential impact of periodontal disease on systemic health?
Which of the following is a potential impact of periodontal disease on systemic health?
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When assessing periodontal disease and its complications, what should health professionals consider?
When assessing periodontal disease and its complications, what should health professionals consider?
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Which of the following is a non-microbial factor that can influence periodontal disease?
Which of the following is a non-microbial factor that can influence periodontal disease?
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Which systemic condition is associated with a modified host response to periodontal pathogens?
Which systemic condition is associated with a modified host response to periodontal pathogens?
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How does stress potentially contribute to periodontal disease?
How does stress potentially contribute to periodontal disease?
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What is an example of an immune disorder mentioned?
What is an example of an immune disorder mentioned?
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Which of the following factors is considered modifiable in the context of periodontal disease?
Which of the following factors is considered modifiable in the context of periodontal disease?
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Which of the following is NOT a factor in the differential diagnosis for immune disorders?
Which of the following is NOT a factor in the differential diagnosis for immune disorders?
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What role do hormones play in periodontal disease?
What role do hormones play in periodontal disease?
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What are the key components of assessing immune disorders according to the content?
What are the key components of assessing immune disorders according to the content?
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What type of health condition is associated with HIV?
What type of health condition is associated with HIV?
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Which of the following systemic conditions is NOT explicitly mentioned as influencing periodontal disease?
Which of the following systemic conditions is NOT explicitly mentioned as influencing periodontal disease?
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Which factor is mentioned as being possibly linked to osteoporosis?
Which factor is mentioned as being possibly linked to osteoporosis?
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Which of the following factors is considered a nonmodifiable risk factor for periodontal disease?
Which of the following factors is considered a nonmodifiable risk factor for periodontal disease?
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What does the acronym MECC stand for in relation to health practices?
What does the acronym MECC stand for in relation to health practices?
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What is the primary way systemic diseases contribute to periodontal disease?
What is the primary way systemic diseases contribute to periodontal disease?
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Which components are crucial for communication and education in immune disorder management?
Which components are crucial for communication and education in immune disorder management?
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Which of the following conditions may lead to increased susceptibility to periodontal disease?
Which of the following conditions may lead to increased susceptibility to periodontal disease?
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Which hormonal change is likely to impact periodontal health?
Which hormonal change is likely to impact periodontal health?
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What can be concluded about 'DIGO' in the context of immune disorders?
What can be concluded about 'DIGO' in the context of immune disorders?
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Study Notes
Intended Learning Outcomes
- By the end of the session, students should be able to define non-microbial factors related to periodontal disease.
- Students should be able to name several systemic diseases/conditions that modify the host response to periodontal pathogens.
- Students should be able to explain why these factors contribute to periodontal disease or disorders.
Videos/Useful Websites
- List of YouTube video links for viewing are provided
- Links to websites related to gum disease, general health, periodontitis, diabetes, and oral health during pregnancy are provided.
BSP Periodontal Diagnosis Flowchart
- Staging and grading of periodontal diseases using a flowchart
- Includes radiographic assessment, assessment of current periodontitis status, and risk factor assessment.
- Specific details concerning bone loss, and other relevant factors such as patient age, are included in the flowchart.
Modifiable vs Non-Modifiable Risk Factors
- Risk factors are categorized as modifiable or non-modifiable
- Non-modifiable factors include ethnicity, age, gender, and family history Modifiable factors include smoking, abdominal obesity, high blood pressure, diabetes, and high cholesterol.
- Psychological factors are also included in the modifiable risk factor category.
Non-Microbial Factors
- Non-microbial factors impacting periodontal disease include genetic factors, systemic disorders, sex hormones, smoking, medications, and stress.
- A diagram presenting the interrelation of these factors with other factors such as diet, stress, obesity, heart disease, respiratory disease, dental caries, periodontal and injury trauma.
Bidirectional Factors
- A diagram illustrating bidirectional factors influencing periodontal disease, such as stress, down syndrome, diabetes mellitus, pregnancy, leukemias, neutropenia, HIV, and osteoporosis.
Diabetes Prevalence
- Out of 100 people have diagnosed or undiagnosed diabetes—this statistic was obtained from Public Health England.
Diabetes, Oral Cavity, Dental Professional
- Discusses diabetes control, risk factors, oral implications, appointment management, and motivation.
- Provides a two-way relationship between diabetes and periodontal disease.
Pregnancy and Hormone-Related Factors
- Explores the link between pregnancy and hormone-related factors affecting oral health.
- The role of hormones, inflammatory mediators, puberty, contraception, pregnancy, menopause, and HRT are covered.
Sex Hormones/Contraception/Menopause
- Discusses the effects of sex hormones, contraception, and menopause on oral health.
- The effects of puberty, contraception, pregnancy, menopause and HRT on oral health
- Relevant details are highlighted concerning hormone fluctuations, bone loss, vaginal dryness, hot flushes, weight gain, and mood swings.
HIV and Immune Disorders
- The connection between HIV, immune disorders, and oral health is detailed
- Include oral manifestations associated with HIV/AIDS using HAART, and medical referral for HAART failure or disease progression, including oral pathologies.
- Specific mention of Leucocyte adhesion deficiency (LAD) and diabetes-associated immune disorders is provided.
Stress
- Stress, clenching, diet, and motivation are interrelated factors concerning oral health as stated in the illustrative diagram.
Osteoporosis and Hyperlipidaemia
- Mention of osteoporosis and hyperlipidemia as conditions connected to oral health considerations.
In Both Oral and General Health
- Discusses detection, assessment, communication/education, motivation/coaching, delivery, re-assessment, support, and monitoring in oral and general health.
Making Every Contact Count (MECC)
- Description of the MECC approach, which uses routine interactions to promote positive health and well-being.
- Information about different types of interventions, including high-intensity, extended brief, and brief interventions.
Recommended Reading
- List of articles related to diabetes and periodontal disease, periodontal disease and pregnancy complications, HIV infection and periodontal disease, and the use of depot medroxyprogesterone acetate in oral health for females aged 15-44.
Image References
- List of internet links to images used through the lecture.
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