musculoskeletal disease 2

What is rheumatoid arthritis

a systemic autoimmune inflammatory disease
Autoimmune disease of unknown aetiology: joint destruction due to synovial inflammation, multi system disease

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what are the signs and symptoms

Symmetrical arthritis, joint stiffness. May be systemic features and other organs affected. Sjogren’s syndrome causes dry mouth and eyes
plus can have an effect on other body systems
- skin: thinning/ ulceration
-bone marrow: anaemia, thrombocytosis
- ki

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what are the dental considerations with rheumatoid arthritis

Making the diagnosis:
- TMJ disease
- Sjogren’s syndrome
- Hands
Established disease:
- Reduced manual dexterity
- Managing sjogren’s syndrome
- TMJ disease and difficult intubation
- C-spine vulnerability
- Drug side effects

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what is systemic sclerosis / scleroderma

Pathophysiology= auto-immune disease characterised by fibrosis of connective tissues
- Skin mainly affected (scleroderma)= thickened and bound to underlying structures
- Multi-organ disease (systemic sclerosis)

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what are the facial appearance of systemic sclerosis

- Beaked nose, fixed expression, radial furrowing of lips, limitation of mouth movements

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what are the systemic sclerosis multi system manifestations

- Raynaud’s phenomenon
- Pulmonary hypertension and pulmonary fibrosis
- Renal disease
- Cardiac fibrotic disease
- GI- dysphagia and reflux
- Sjogren’s syndrome

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what are the dental considerations of systemic sclerosis (scleroderma )

• Mouth care may be limited by:
 limitation of mouth opening (skin tightness and TMJ dysfunction)
 thickened, stiffened tongue
 atrophic mucosa
 loss of dexterity for oral hygiene
 side effects of medication
 secondary sjogren’s syndrome and xeros

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what is Systemic lupus erythematous

auto-immune multi-system disease of unknown aetiology
Antibodies against cell nuclear components (anti-nuclear antibodies)
o Mouth: aphthous ulcers and sjogren’s syndrome
o Skin: photosensitivity, butterfly rash 75%
o Joints: small joints arthritis 90%
o

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what are the dental considerations with SLE

Recognition of orofacial features- diagnosis
Diagnosed disease:
 drug side effects
 reduced dexterity
 secondary sjogren’s syndrome

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