5. ADDISONâS DISEASE
⢠LACK OF FUNCTION OF ADRENAL CORTEX USUALLY THE RESULT OF
AUTOIMMUNE DISORDER
⢠DISTURBANCES IN FEEDBACK MECHANISM BETWEEN ADRENALS AND PITUITARY
⢠MELANOTIC PIGMENTATION OF ORAL MUCOSA
⢠ORAL CANDIDIASIS SECONDARY TO ADDISONâS DISEASE
6. CUSINGâS SYNDROME
⢠HYPER FUNCTION OF ADRENAL CORTEX
⢠ACTH-SECRETORY PITUITARY ADENOMA
⢠PROLONGED CORTICOSTEROID THERAPY MAY HAVE THE SAME EFFECTS
7. PHEOCHROMOCYTOMA AND ADRENAL MEDULLA
⢠TUMOR OF ADRENAL MEDULLA WHICH SECRETS CATECHOLAMINE
⢠CAN BE ASSOCIATED WITH NEUROFIBROMATOSIS
⢠MULTIPLE ENDOCRINE ADENOMA SYNDROME
8. INVESTIGATIONS IN MELANOTIC PIGMENTATION
⢠IMPAIRED ADRENAL RESPONSE TO SYNTHETIC ANALOGUE OF ACTH
⢠MEASUREMENT OF SERUM ELECTROLYTES (NA â, K â)
⢠MEASUREMENT OF PLASMA CORTISOL â AND ACTH â
⢠BLOOD PRESSURE MEASUREMENT
9. HYPERTHYROIDISM
⢠NOT PRIMARILY ASSOCIATED WITH ORAL MUCOSAL CHANGES BUT EFFECTS
PATIENT MANAGEMENT
⢠PATIENT WITH EXOPHTHALMOS MY REPORT WITH WEIGHT LOSS AND
TACHYCARDIA
⢠TREATMENT
⢠DRUGS (CARBIMAZOLE)
⢠RADIOACTIVE IODINE
⢠PARTIAL THYROIDECTOMY
10. HYPORTHYROIDISM
⢠USUALLY AUTOIMMUNE BUT MAY BE DUE TO EXCESSIVE REMOVAL OF THYROID
GLAND
⢠ACQUIRED HYPOTHYROIDISM MANIFEST AS WEIGHT GAIN, INABILITY TO
TOLERATE, DRY SKIN, LOSS OF HAIR AND SLOWING DOWN OF MENTAL
PROCESS
⢠ORAL CANDIDIASIS
⢠ENLARGEMENT OF TONGUE
⢠DELAYED ERUPTION OF TEETH
11. DIABETES MELLITUS
⢠COMMON ENDOCRINE DISORDER AS A RESULT OF DEFICIENCY OF INSULIN OR
RESISTANCE TO INSULIN
⢠SYMPTOMS ARE POSSIBLY BECAUSE OF GENERAL LACK OF RESISTANCE TO THE
INFECTIONS
⢠INCREASED SUSCEPTIBILITY TO INFECTIONS
12. DIABETES MELLITUS
⢠DRY MOUTH
⢠COMPROMISED PERIODONTAL HEALTH
⢠ORAL CANDIDIASIS
⢠BMS
⢠LICHENOID DRUG REACTIONS
14. CHRONIC RENAL FAILURE (CRF)
⢠IRREVERSIBLE DETERIORATION IN RENAL FUNCTION
⢠WHEN PLASMA CREATININE EXCEEDS 300 UMOL/L THEN THERE IS PROGRESSIVE
DETERIORATION IN RENAL FUNCTION
⢠AT 100 UMOL/L HEMODIALYSIS IS REQUIRED TO MAINTAIN PROPER
FUNCTIONING
15. ORAL MANIFESTATIONS
⢠DRY MOUTH
⢠MUCOSAL ULCERATION
⢠BACTERIAL AND FUNGAL PLAQUES
⢠PALLOR OF THE MUCOSA
⢠ORAL PURPURA
⢠WHITE PLAQUES
⢠GIANT CELL LESIONS
16. DENTAL MANAGEMENT OF HEMODIALYSIS
PATIENTS
⢠IMPAIRED REACTION TO DRUGS BY KIDNEY
⢠BLEEDING TENDENCY
⢠HEPARINIZATION PRIOR TO DIALYSIS
⢠AV SHUNTS SUSCEPTIBLE TO INFECTIONS
⢠ANEMIA
⢠INCREASED CARRIAGE OF HEPATITIS B & C
⢠HYPERTENSION
17. RENAL TRANSPLANT PATIENTS
⢠MAIN PROBLEM IS SIDE EFFECT OF IMMUNOSUPPRESSIVE THERAPY
TO AVOID TRANSPLANT REJECTION
⢠CICLOSPORIN IS NEPHROTOXIC DRUG AND GINGIVAL
OVERGROWTH IS WELL KNOWN ABNORMALITY
18. ORAL COMPLICATIONS OF TRANSPLANT PATIENTS
⢠DRUG INDUCED GINGIVAL HYPERPLASIA
⢠BACTERIAL AND FUNGAL PLAQUES
⢠INCREASED INCIDENCE OF ORAL MALIGNANCY
⢠ORAL CANDIDIASIS
⢠HERPES SIMPLEX INFECTION