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Oral Medicine Journal Reading: Supervisor: Riani Setiadhi, DRG, SP - PM Presenter: Low Tee Eng
Oral Medicine Journal Reading: Supervisor: Riani Setiadhi, DRG, SP - PM Presenter: Low Tee Eng
Oral Medicine Journal Reading: Supervisor: Riani Setiadhi, DRG, SP - PM Presenter: Low Tee Eng
Reading
Oral Health and Liver Function in Children
and Adolescents with Cirrhosis of the Liver
Introduction
Oral cavity is an important indicator
Manifestation of liver disease
include:
Malnutrition
Edema
Esophageal varices
Coagulation disorder
Literature Review
Oral candidiasis
Petechia and
Oral
gingival
manifestati bleeding
on of liver Angular cheilitis
diseases Membrane
jaundice
Atrophic
glossitis
Oral candidiasis
Candida albican
White patches known as plaques
Bleeding/edematous surface is
observed when removed
mechanically
Patients with liver disease are
immunocompromised
Oral candidiasis
Topical antifungal
Nystatin (4X daily for 2 weeks) and amphotericin
Miconazole (imidazole)
Clotrimazole
Ketoconazole
Systemic antifungal
Triazole (1X daily)
Ketoconazole (hepatoxicity)
Fluconazole
Troconazole
Angular Cheilitis
Inflammation affecting the oral
commissures
Etiology:
Nutritional deficiency of folate, iron or
B12
Poor oral hygiene
Fungal infection (staphylococcus aureus)
Poorly maintained dentures
Immunosuppressant drugs
Treatment:
Petroleum jelly
Topical treatment with combination of
mupirocin or fusidic acid and 1%
hydrocrotisone cream
Antifungal ketoconazole
Correcting nutritional deficiencies
Membrane Jaundice
Yellow pigmentation observed in the
oral mucosa
Excess bilirubin in the blood
Yellowish or greenish pigmentation
occurs in teeth of children
Atrophic Glossitis
Inflammation of the filiform and
fungiform papilla
Normally due to nutritional deficiency
Replacement therapy
Discussion
Common causes of liver disease:
Viral infection
Alcohol abuse
Lipid and carbohydrates metabolic
disorder
febricula
jaundice
Leukocytosis
liver enzyme elevations
Obesity
Diabetes
Hyperlipidemia
Insulin resistance
Excessive triglyceride accumulation within
the liver cells
Liver cirrhosis
Destruction of the liver parenchyma
Irreversible
Formation of fibrous scarring
formation of regeneration nodules
resistance to blood flow
Conclusion