health

SYSTEM: ie digestive system


Disease Definition, including signs and Dental (medical history) considerations Dental implications and management
/Condition symptoms
ie associated drugs, or disease effects on Ie check INR score before treatment
the oral cavity
Reflux Heartburn When chronic can cause saucerization
oesophagitis around the cuspal area of generally the
Chronic regurgitation. mandibular.
 Normally caused by a
weakening of oesophageal When patients are eating frequent small
sphincter, allowing the meals, they are more at risk for increased
stomach acid to enter the caries.
oesophagus.

Can be exacerbated by excess
weight, diet, cigarettes and alcohol.

Symptoms are relieved by managing
mealtimes (small and frequent
meals), medications to inhibit or
neutralise acid, or other methods
(weight loss, raising bed head).




Dysphagia Difficulty in swallowing. Oral causes
 Stomatitis
Must be taken seriously.  Ulceration

,  Herpetic infection
Oral causes  Xerostomia
 Stomatitis  Tonsillitis
 Ulceration  Oral cancer
 Herpetic infection
 Xerostomia
 Tonsillitis
 Oral cancer

Oesophageal causes
 Oesophagitis
 Oesophageal web
 Pharyngeal pouch
 Oesophageal carcinoma

Neuromuscular causes
 Myasthenia gravis
 Muscular dystrophy
 Stroke

Other causes
 Foreign body
 Scleroderma
 Globus hystericus




Gastrointestinal Lifestyle/ genetic factors lead to Be wary of recommending NSAIDs, these
Ulcers weakening of the drugs can be highly damaging to the stomach
stomach/gastrointestinal tract lining lining and must be avoided in patients with
allowing ulceration to occur. current or past ulcer experience.

Typically causes pain and can lead