The Influence of Systemic Diseases on the Diagnosis of Oral Diseases: A Problem-Based Approach - 11/08/11

Doi : 10.1016/j.cden.2010.08.003

Peter B. Lockhart, DDS ^a,^⁎ , Catherine H.L. Hong, BDS, MS ^a, Denise E. van Diermen, MD ^b
^a Department of Oral Medicine, Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, USA
^b Clinic for Medical-Dental Interaction, Department of Oral and Maxillofacial Surgery, Academic Center for Dentistry Amsterdam (ACTA), Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands

Corresponding author.

Résumé

Although all dentists are taught about the importance of oral health to general health and that systemic disease can manifest in the oral cavity, the 4-year dental school curriculum does not allow time to gain competency in these relationships. Nevertheless, all dentists must have skills in taking a medical history and an appreciation of oral findings that might have a systemic origin. This article focuses on the identification of abnormal signs and symptoms in the oral cavity and the determination of those that have a systemic origin. It is imperative that clinicians are mindful of the possible oral-systemic associations, because these could potentially have a huge impact on patient care.

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Keywords : Stomatognathic diseases, Systemic disease, Oral manifestations, Oral pain, Oral hemorrhage, Medical history-taking