Role of Systemic Factors

Question 1

define ‘primary aetiological factor’

Answer 1

primary cause of disease

Question 2

define ‘systemic factors’

Answer 2

underlying conditions

Question 3

give 3 things that can be defined as environmental & metabolic factors of gingival overgrowth/gingival diseases

Answer 3

• drugs
  - cyclosporin
  - Ca channel blockers
• hormones
  - contraception
• pregnancy
  - no attachment/bone loss

Question 4

what’re some possible symptoms of a diabetic

Answer 4

• hyperglycemia
• increased susceptibility to periodontal disease

Question 5

where some ways in which Down syndrome effect perio

Answer 5

• increased susceptibility to aggressive periodontal disease
• mouth breathing (xerostomia)

Question 6

what’re the effects of smoking on perio health

Answer 6

• deeper gingival pockets
• bone loss
• calculus
• vasoconstriction
• reduced gingival bleeding (less BOP)

Question 7

what’re the effects of leukaemia on perio health

Answer 7

acute leukaemia (under 20s)
- gingival swelling & ulcerations
- excessive bleeding
chronic leukaemia (over 20)
- gingival swelling is less common

Question 8

What effect can papillon lefevre syndrome have on a patients oral health.

Answer 8

• increased keratinisation
• rapid periodontal distruction

Question 9

Which type of ehlers-Danilo’s syndrome can cause severe periodontal destruction
+ what else does it effect

Answer 9

Type VIII
- disorder of collagen formation

Question 10

What can Chediak-Higashi Syndrome cause
+what does it directly effect

Answer 10

Severe gingivitis
Eventual loss of adult dentition
+ phagocyte chemotaxis