Factors Influencing Periodontal Disease
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Questions and Answers

What type of relationship exists between diabetes and periodontal disease?

  • No significant relationship
  • A reciprocal relationship (correct)
  • A one-way relationship
  • A linear relationship
  • Which condition has been associated with increased risk of periodontal disease during pregnancy?

  • Hypertension
  • Obesity
  • Pregnancy complications (correct)
  • Diabetes
  • Which group is specifically discussed regarding periodontal health in the context of depot medroxyprogesterone acetate use?

  • Postmenopausal women
  • U.S. females aged 15 to 44 (correct)
  • Women with diabetes
  • Teenage girls
  • Which viral infection is mentioned in connection with periodontal disease?

    <p>HIV</p> Signup and view all the answers

    What is one of the primary health concerns related to periodontal disease in the context of diabetes?

    <p>Tooth loss</p> Signup and view all the answers

    What is a non-microbial factor that may contribute to periodontal disease?

    <p>Genetic factors</p> Signup and view all the answers

    Which of the following systemic conditions is known to modify the host response to periodontal pathogens?

    <p>Diabetes Mellitus</p> Signup and view all the answers

    How might hormonal changes contribute to periodontal disease?

    <p>They can alter the composition of saliva.</p> Signup and view all the answers

    Which of the following factors is considered a modifiable factor in relation to periodontal disease?

    <p>Smoking</p> Signup and view all the answers

    Stress is known to potentially amplify which aspect of periodontal disease?

    <p>Gum tissue inflammation</p> Signup and view all the answers

    Which condition could be an example of a systemic disorder that impacts periodontal disease?

    <p>Osteoporosis</p> Signup and view all the answers

    Which of the following medications has the potential to affect periodontal health?

    <p>All of the above</p> Signup and view all the answers

    What kind of response does stress typically induce that may affect periodontal health?

    <p>Increased inflammation</p> Signup and view all the answers

    What percentage of people have diagnosed or undiagnosed diabetes?

    <p>10%</p> Signup and view all the answers

    What is a major oral implication of poorly controlled diabetes?

    <p>Gum disease</p> Signup and view all the answers

    According to the content, what is a key risk factor associated with diabetes?

    <p>Inadequate dental hygiene</p> Signup and view all the answers

    What reference is provided for diabetes-related data?

    <p>Public Health England</p> Signup and view all the answers

    What aspect of health can diabetes control influence according to the content?

    <p>Oral health</p> Signup and view all the answers

    What is a characteristic of a medical emergency associated with diabetes?

    <p>Severe hypoglycemia</p> Signup and view all the answers

    Which publication discusses the relationship between diabetes and periodontal disease?

    <p>British Dental Journal</p> Signup and view all the answers

    What might be considered a motivational factor in managing diabetes?

    <p>Control of oral health</p> Signup and view all the answers

    What is a consequence of poor control of diabetes in patients?

    <p>Reduced wound healing</p> Signup and view all the answers

    Which of the following is a type of immune disorder mentioned?

    <p>Leucocyte adhesion deficiency (LAD)</p> Signup and view all the answers

    What is a common factor that can lead to differential diagnosis of immune disorders?

    <p>Stress and immuno-suppression</p> Signup and view all the answers

    Which risk is associated with having diabetes and not maintaining good oral hygiene?

    <p>Higher risks of oral infections</p> Signup and view all the answers

    Which condition is associated with diabetes as an immune disorder?

    <p>Diabetes associated</p> Signup and view all the answers

    Which of the following factors may not influence osteoporosis risk?

    <p>Height</p> Signup and view all the answers

    What does the acronym MECC stand for in the context of health?

    <p>Making Every Contact Count</p> Signup and view all the answers

    Which of the following disorders is specifically known as HIV associated?

    <p>DIGO</p> Signup and view all the answers

    What does the process of monitoring and coaching in health aim to achieve?

    <p>Sustained behavioral changes</p> Signup and view all the answers

    Which of the following is not listed as part of the communication/education process in health?

    <p>Detrimental feedback</p> Signup and view all the answers

    Which of the following conditions is not mentioned in relation to immune disorders?

    <p>Hypertension</p> Signup and view all the answers

    What aspect is crucial when delivering support in health according to the content?

    <p>Communication and education</p> Signup and view all the answers

    Which factor is NOT associated with hormonal changes affecting periodontal health?

    <p>Sedentary Lifestyle</p> Signup and view all the answers

    What term describes the inflammation related to pregnancy that can affect periodontal health?

    <p>Pregnancy gingivitis</p> Signup and view all the answers

    Which hormone is linked to the management of periodontal health in women of reproductive age?

    <p>Progesterone</p> Signup and view all the answers

    Which of the following is a common consequence of hormonal changes during puberty?

    <p>Increased plaque accumulation</p> Signup and view all the answers

    What is a significant risk factor for periodontal disease during pregnancy?

    <p>Hormonal fluctuations</p> Signup and view all the answers

    Which demographic group is specifically addressed in relation to depot medroxyprogesterone acetate use and periodontal health?

    <p>Females aged 15-44</p> Signup and view all the answers

    What common oral condition is associated with HIV infection?

    <p>Periodontal disease</p> Signup and view all the answers

    During which life stage is hormone replacement therapy (HRT) mainly utilized?

    <p>Menopause</p> Signup and view all the answers

    What is a key factor in managing periodontal outcomes during pregnancy?

    <p>Addressing inflammatory mediators</p> Signup and view all the answers

    What is one potential complication related to periodontal disease during pregnancy?

    <p>Low birth weight</p> Signup and view all the answers

    Study Notes

    Intended Learning Outcomes

    • By the end of the session, students should be able to define a non-microbial factor 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 give brief explanations of why these factors contribute to periodontal disease or disorders.

    Videos

    • https://youtu.be/bHMTgMKPFG8
    • https://youtu.be/RhrLOVN5_8E
    • https://youtu.be/br-iMGi6fYI

    Useful Websites

    • https://www.efp.org/gum-disease-general-health/perio-diabetes/
    • https://www.efp.org/gum-disease-general-health/oral-health-pregnancy/

    Non-microbial Factors

    • Genetic factors
    • Systemic disorders
    • Sex hormones
    • Smoking
    • Medications
    • Stress

    Sheilman and Watt 2000

    • Diet
    • Stress
    • Control
    • Hygiene
    • Obesity
    • Cancers
    • Heart disease
    • Respiratory disease
    • Dental caries
    • Periodontal disease
    • Trauma
    • Smoking
    • Alcohol
    • Exercise
    • Injury

    Bidirectional Factors

    • Stress
    • Down Syndrome (06)
    • Diabetes Mellitus (01)
    • Pregnancy (02)
    • Leukemias/Neutropenia (01)
    • Osteoporosis (04)
    • HIV/AIDS (03)

    Diabetes Prevalence

    • Out of 100 people, 8.5 have diagnosed or undiagnosed diabetes.
    • Data from PHE (Public Health England)
    • https://fingertips.phe.org.uk/profile/diabetes-ft/data

    Pregnancy & Hormone Factors

    • Medical emergencies risk
    • Poor control of diabetes
    • Control of oral and general health
    • Predicting risk now and in the future

    Sex Hormones

    • Puberty
    • Contraception
    • Pregnancy
    • Menopause
    • HRT (Hormone Replacement Therapy)

    Immune Disorders

    • Leucocyte adhesion deficiency (LAD)
    • Diabetes associated
    • HIV associated

    Stress

    • Clenching
    • Diet
    • Immuno-suppression
    • Motivation

    Osteoporosis & Hyperlipidaemia

    • Age
    • Gender
    • Diet

    In both oral and general health

    • Detection
    • Assessing
    • Communication/Education
    • Motivation & Coaching
    • Delivery
    • Re-assessment
    • Support
    • Monitor

    Supporting Material

    • Delivering better oral health: an evidence-based toolkit for prevention
    • Making Every Contact Count (MECC)
    • Casanova, L., Hughes, F., & Preshaw, P. (2014). Diabetes and periodontal disease: a two-way relationship. Br Dent J, 217, 433–437. https://doi.org/10.1038/sj.bdj.2014.907
    • Bobetsis YA, Barros SP, Offenbacher S. Exploring the relationship between periodontal disease and pregnancy complications. J Am Dent Assoc. 2006 Oct;137 https://doi.org/10.14219/jada.archive.2006.0403
    • Winkler JR, Robertson PB. Periodontal disease associated with HIV infection. Oral Surg Oral Med Oral Pathol. 1992 Feb;73(2):145-50. doi: 10.1016/0030-4220(92)90186-t. PMID: 1532235.
    • Taichman LS, Sohn W, Kolenic G, Sowers M. Depot medroxyprogesterone acetate use and periodontal health in 15- to 44-year-old U.S. females. J Periodontal. 2012;83:1008-1017.

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    Description

    This quiz focuses on the non-microbial factors that contribute to periodontal disease. It covers various genetic, systemic, and lifestyle factors influencing the host response to periodontal pathogens. Prepare to explore how conditions like diabetes, stress, and smoking can exacerbate oral health issues.

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