Cat & Tom - stress and perio

Hey I can't seem to post comments on the blog, but i think i can reply here..
So about stress and perio.. I totally agree with Cat :)
Chronic stress is related to perio due to the decreased immune function and increased risk of suceptibiltiy to perio.
Also, not too sure if you've read the perio and stress articles yet, but some also suggest that people who are chronically stressed also have a poorer quality of life (due to social determinants- lifestyle choices, diet, income, etc)
Eg. they may choose to smoke to cope with their stress --> nicotine (smoking) has an effect on oral health --> increased risk of perio

Lets make a list of some imporatnt facts!

Great work so far team ..... on all the posts. Its been a pleasure reading them and watching your learning.

We are approaching the last 24 hours of our study period. It's time we made a list of some very important facts.

1. List all the most significant histological changes that are caused by:
a. diabetes - (please refer to the articles we used for the last tutorial. )
b. stress - (please refer to the articles we used for the earlier tutorial. )
(these are changes that would have a direct affect on the periodontium)

2. Using diabetes as an example, relate these histological changes to the pathogenesis of periodontal disease. What role do the periodontal pathogens play here? !!!

3. Lastly, if you had 10 minutes to make a diagnosis, what would be the important issues that you would need to consider to come to an accurate diagnosis!

Please try and do this is a summary format/dot points to help you with your last minute revision.

Sophie

Stress and Perio

Hey gang,

we all know that stress plays a huge roll in perio. We went through it in one of the revision sessions, does anyone have a simple/perfect answer to the process that occurs with stress making someone more sucseptible to infection/perio?

Metformin, Norvasc and Crestor

Lets look at the above medications. Tell me what you know about them.
What are the pharmacological properties of each of these?
How do they interact with one another?
Why are they given to patients with diabetes?
Why are patients with diabetes prone to CVD?
Do any of these exert any oral effects? If so, how does an OHT manage these?
Lets get some serious discussion happening around these key questions.

Periodontitis & systemic release of endotoxins

How does this relationship influence the metabolic control of diabetes?

How does inflammation of the gingival tissues spread to the underlying periodontal structures?

Response to posts so far

Maria, brilliant work!! Cath, you are right in classifying Type I diabetes as autoimmune. There is some debate/discussion of reclassifying Type II as an autoimmune disorder.

Is anyone interested in researching this further on this blog?  Will definitley help with the OSCA prep!