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Questions and Answers
In terms of safety, which trimester is considered safest for administering local anesthesia during pregnancy?
In terms of safety, which trimester is considered safest for administering local anesthesia during pregnancy?
What effect does the immune response have during pregnancy according to the content?
What effect does the immune response have during pregnancy according to the content?
What demographic was the focus of the study regarding depot medroxyprogesterone acetate use and periodontal health?
What demographic was the focus of the study regarding depot medroxyprogesterone acetate use and periodontal health?
What is a potential complication associated with periodontal disease mentioned in relation to HIV infection?
What is a potential complication associated with periodontal disease mentioned in relation to HIV infection?
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Which of the following hormonal stages has implications for periodontal health?
Which of the following hormonal stages has implications for periodontal health?
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What is one consequence of diabetes in relation to dental health?
What is one consequence of diabetes in relation to dental health?
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What is gestational diabetes?
What is gestational diabetes?
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Which hormone-related factor is linked to an increased risk of periodontal disease?
Which hormone-related factor is linked to an increased risk of periodontal disease?
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When is it essential to communicate with a GP or dietitian regarding diabetes?
When is it essential to communicate with a GP or dietitian regarding diabetes?
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What are the effects of hormonal changes on dental health during life stages?
What are the effects of hormonal changes on dental health during life stages?
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What significant problem does diabetes cause in the endocrine system?
What significant problem does diabetes cause in the endocrine system?
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Which of the following is associated with a high sugar diet in individuals with diabetes?
Which of the following is associated with a high sugar diet in individuals with diabetes?
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What is a common oral implication of poorly controlled diabetes?
What is a common oral implication of poorly controlled diabetes?
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What defines poor control in diabetes management?
What defines poor control in diabetes management?
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What is the link between diabetes and periodontal disease?
What is the link between diabetes and periodontal disease?
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Which factor is NOT a risk when managing appointments for diabetic patients?
Which factor is NOT a risk when managing appointments for diabetic patients?
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What might increase the risk of medical emergencies in diabetic patients?
What might increase the risk of medical emergencies in diabetic patients?
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How does diabetes affect the healing process in the body?
How does diabetes affect the healing process in the body?
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What factors contribute to the increased prevalence of bisphosphonate use in younger patients?
What factors contribute to the increased prevalence of bisphosphonate use in younger patients?
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Which of the following is a potential consequence of hyperlipidaemia?
Which of the following is a potential consequence of hyperlipidaemia?
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What is a primary complication associated with Leucocyte Adhesion Deficiency (LAD)?
What is a primary complication associated with Leucocyte Adhesion Deficiency (LAD)?
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Which of the following is a common cause of immunosuppression in patients?
Which of the following is a common cause of immunosuppression in patients?
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Which method is NOT commonly associated with the assessment and re-assessment in oral health?
Which method is NOT commonly associated with the assessment and re-assessment in oral health?
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What does the MECC initiative aim to achieve?
What does the MECC initiative aim to achieve?
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What triggers an increase in cortisol as part of the immune response?
What triggers an increase in cortisol as part of the immune response?
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What characterizes diabetes associated immune dysfunction?
What characterizes diabetes associated immune dysfunction?
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Which of the following reflects the relationship between diabetes and periodontal disease?
Which of the following reflects the relationship between diabetes and periodontal disease?
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What role do periodontal pathogens play in cardiovascular health?
What role do periodontal pathogens play in cardiovascular health?
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Which of the following conditions is NOT typically categorized under immune disorders?
Which of the following conditions is NOT typically categorized under immune disorders?
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Which is an important aspect to consider when delivering oral health care?
Which is an important aspect to consider when delivering oral health care?
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The inability of leukocytes to migrate effectively primarily results in which of the following problems?
The inability of leukocytes to migrate effectively primarily results in which of the following problems?
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What is one of the effects of drug-induced gingival overgrowth (DIGO)?
What is one of the effects of drug-induced gingival overgrowth (DIGO)?
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What is a significant dietary factor affecting bisphosphonate users?
What is a significant dietary factor affecting bisphosphonate users?
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Which factor is suggested to significantly influence the immune response in patients?
Which factor is suggested to significantly influence the immune response in patients?
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Which of the following is classified as a non-microbial factor influencing periodontal disease?
Which of the following is classified as a non-microbial factor influencing periodontal disease?
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Which systemic condition is known to modify the host response to periodontal pathogens?
Which systemic condition is known to modify the host response to periodontal pathogens?
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What role does stress play in relation to periodontal disease?
What role does stress play in relation to periodontal disease?
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Which factor is noted for higher rates of progression in females concerning periodontal disease?
Which factor is noted for higher rates of progression in females concerning periodontal disease?
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Which of the following is NOT a non-microbial factor linked to periodontal disease?
Which of the following is NOT a non-microbial factor linked to periodontal disease?
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What type of relationships exist among non-microbial factors influencing periodontal disease?
What type of relationships exist among non-microbial factors influencing periodontal disease?
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Which of these factors can lead to drug-induced gingival overgrowth?
Which of these factors can lead to drug-induced gingival overgrowth?
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Which condition is often exacerbated by poor nutrition in the context of periodontal disease?
Which condition is often exacerbated by poor nutrition in the context of periodontal disease?
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Which of the following factors can potentially impact the immune system related to periodontal health?
Which of the following factors can potentially impact the immune system related to periodontal health?
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How does family history contribute to the risk of developing periodontal disease?
How does family history contribute to the risk of developing periodontal disease?
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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 etiology.
- Students should be able to name several systemic diseases/conditions that can modify the host response to periodontal pathogens.
- Students should be able to explain why these factors contribute to periodontal disease or disorders.
Useful Websites
- https://www.efp.org/gum-disease-general-health/perio-diabetes/
- https://www.efp.org/gum-disease-general-health/oral-health-pregnancy/
- Additional websites are listed, but specific URLs are not provided.
Risk Factors - Modifiable vs Nonmodifiable
- Non-modifiable: Ethnicity, Age, and Family History
- Modifiable: Smoking, Abdominal Obesity, High Blood Pressure, Diabetes, Psychosocial Factors, and High Cholesterol
- Females have a higher rate of disease progression in some cases, but it is not a risk factor for diagnosis.
Non-microbial Factors
- Non-microbial factors causing periodontal disease include:
- Family history, Genetic Factors, Sex hormones, Systemic disorders, Stress
- Smoking, Medications
- These factors can impact the immune system or cause drug-induced gingival overgrowth.
- These are not single factors, but interconnected factors with directional or multidirectional relationships.
- A diagram (Sheilman and Watt 2000) illustrating these interconnections (risk factors to oral health) is included.
Other Factors in Periodontal Disease
- Diabetes: Out of 100 people, 8.5 have diagnosed or undiagnosed diabetes.
- Pregnancy & Hormone Factors: Hormonal factors (puberty, contraception, pregnancy, menopause, HRT) influence the immune response, hard tissues, and inflammatory mediators. Pregnancy complications are also linked to periodontal disease.
- Immunosuppressed Patients: Immunosuppressed patients are more susceptible to periodontal disease.
- Immune Disorders: Several immune disorders (LAD, HIV associated) are frequently linked to periodontal disease. One example is drug-induced gingival overgrowth.
- Osteoporosis: Calcium depletion, bone disease, age, gender, and diet can cause osteoporosis, a disease related to periodontal disease.
Additional Information
- High blood pressure medications, differential diagnosis (phenylephrine and epilepsy), and stress are included.
- A flowchart for periodontal diagnosis is provided.
- Multiple diagrams, videos, charts, and images demonstrating different aspects of the disease's impact on oral health.
- Suggested additional reading lists include links to scientific articles for a deeper understanding of the subject.
- Recommended websites provide information related to periodontal disease or oral health in specific conditions.
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Description
This quiz explores non-microbial factors related to periodontal disease etiology. Students will learn to identify various systemic diseases that influence the host response to periodontal pathogens and understand the impact of modifiable and non-modifiable risk factors. Enhance your knowledge of periodontal health and its connections to overall systemic conditions.