19. Obesity. Cushing syndrome. Addison’s disease. Dental management of the patients.

Question 1

Definition of cushing syndrome

Answer 1

• Hypersecretion of hormones from adrenal cortex

Question 2

Clinical features of Cushing syndrome

Answer 2

• Obesity of trunk and face
• Headaches
• Hypertension
• Osteoporosis, especially of the skull
• Glycosuria, hyperglycaemia and thirst

Question 3

Treatment of Cushing syndrome

Answer 3

• The surgical procedure should be performed in a
  hospital with the cooperation of the patient’s physician
• Sedative medication must be administered
• In the case of a tooth extraction, manipulations
  must be performed carefully, because there is risk
  of fracture due to severe osteoporosis of the jaw