Oral manifestations of systemic disease
Oral manifestations of systemic disease refers to the physical changes or symptoms that occur in the oral cavity as a result of a systemic (whole-body) disease. These manifestations can include a wide range of conditions, from oral ulcers and gingivitis to oral cancer, and can often provide important clues to the diagnosis of systemic diseases.
Overview
The oral cavity is a complex system that includes the teeth, gums, tongue, and other structures. It is often the site of various manifestations of systemic diseases, which can affect any of these components. These manifestations can be the first sign of a systemic disease, and thus, a thorough oral examination can be crucial in the early detection and diagnosis of various diseases.
Common Oral Manifestations of Systemic Diseases
Diabetes
Diabetes can lead to several oral manifestations, including periodontal disease, dry mouth, and oral thrush. These conditions occur due to the high blood sugar levels that characterize diabetes, which can affect the health of the oral tissues and the immune response.
HIV/AIDS
HIV/AIDS often leads to various oral manifestations, such as oral thrush, hairy leukoplakia, and Kaposi's sarcoma. These conditions occur due to the immune suppression caused by the virus, which allows opportunistic infections and malignancies to develop.
Autoimmune Diseases
Autoimmune diseases, such as Sjögren's syndrome and lupus, can also lead to various oral manifestations. These can include dry mouth, oral ulcers, and gingivitis, which occur due to the body's immune system attacking its own tissues.
Diagnosis and Management
The diagnosis of oral manifestations of systemic diseases often involves a thorough oral examination, along with medical history and, in some cases, further diagnostic tests. The management of these conditions typically involves treating the underlying systemic disease, along with symptomatic treatment for the oral manifestations.
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Contributors: Prab R. Tumpati, MD