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Gastro Exam

The Teeth

November 26th, 2019

Poor Dentition

  • Look For

  • The number and overall health of the teeth, and the presence of any carious or erosive lesions.
  • Causes of Poor Dentition

  • Poor oral hygiene
  • High-sugar diet
  • Malnutrition
  • Lack of fluoride
  • Diabetes
  • Alcoholism
  • Smoking
  • Significance

  • Poor dentition is associated with worse overall physical and mental wellbeing. Dental infection can spread systemically, most notably as a cause of infective endocarditis.

Dental Caries

  • Look For

  • Opaque, white to brown areas with central cavitation.
  • Significance

  • Bacterial infection, predisposed by poor dentition as above.

Dental Erosions

  • Look For

  • Loss of enamel resulting in yellow, indented lesions.
  • Causes of Dental Erosions

  • Exogenous acid - dietary
  • Endogenous acid - reflux, bulimia, rumination

Dental Trauma

  • Look For

  • Visible fracture
  • Mobility / luxation - loose teeth
  • Avulsion - missing tooth with base still in situ
  • Significance

  • Signs of dental trauma due to acute or repeated mechanical stress.
Avulsed teeth should be placed in milk or saliva until retransplantation is possible.
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