musculoskeletal disease 1

what are the dental implications of musculoskeletal disease

• Mobility may be affected by pain and disability
• Manual dexterity may be affected by joint disease in hands: reducing ability to maintain oral hygiene
• Potential TMJ disease and poor opening
• Dry mouth affects some people with connective tissue dis

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what are the symptoms and signs of joint disease

Inflammation: hot, red, swollen, painful
Destruction: immobility, deformity, instability

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what is osteoarthritis and what is the pathophysiology

degenerative joint disease
pathophysiology: cartilage in the joint degenerates and break down which can lead to inflammation and swelling in the joint. Articular cartilage acts as a shock absorber also allows to slide smoothly. Damage- friction- pain

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what are the dental considerations with osteoarthritis

 Reduced dexterity for oral hygiene
 Reduced mobility- getting up on couch
 C-spine mobility (relevant to GA)
 Associated medication (analgesics)

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what is gout and how does it present
acute and chronic presentation

accumulation of urate crystals in joints. More common in older men. If you have high levels of circulating urine
Acute presentation: extremely painful joints. Precipitants (starvation, alcohol excess, certain foods, operations, drugs)
Chronic presentatio

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give examples of two other crystal deposition joint diseases

1. Pseudogout- calcium pyrophosphate crystals
2. Hydroxyapatite crystal deposition disease

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what is psoriatic arthritis

destructive arthritis associated with psoriasis, can rarely affect TMJ

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musculoskeletal disease 1

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