Manifestations of gastrointestinal diseases in the oral cavity

Faculty of Dentistry, USMF „Nicolae Testemitanu”, Republic of MoldovaIntroduction: Oral health is integral to overall health and can not be separated. Impact of conditions and systemic diseases on oral health is already recognized therefore, we can say that certain conditions which commonly affect various organs in our body may influence the buccal mucosa. Thus, patients with gastrointestinal disorders require special attention regarding dental treatment, not only because of the specific conditions of the disease and its many oral manifestations but also due to side effects and peculiarity of treatment administered. Risk assessment and oro-dental care involves a detailed examination of intra-and extraoral soft tissue, a radiographic examination and consultation with a hepatologist or other specialists. Purpose and Objectives: The goal of study is to highlight the importance differentiation of gastrointestinal disease manifestations in the oral cavity , evaluation of clinical symptom s in order to perform a professional and effective treatment. Materials and methods: The study was performed on an example of 50 patients diagnosed with various gastrointestinal diseases. Rigorous research involved examination of these patients, a questionnaire containing questions about buccal disorderes, their evolution, their jugular during the treatment, as well as laboratory indices for every single condition. Simultaneously, we analyzed 150 patients' observation cards both in Republican Hospital, as well as in municipial hospital ,,Sf. Arhanghel Mihail” in 2013-2014, out from the amount that is 22 gastro-duodenum ulcer, 40 chronic gastritis, 25 chronic colitis flare, 23 gastro-duodenal, 5 Crohn's disease, 35 chronic hepatitis cases. Results: Evaluation of the oral health of the group of patients with gastrointestinal disorders reveals the presence of the following types of pathologies of the bucal mucosa: language sabur, recurrent thrush. Along with mouth diseases there were detected other stomatognathic system disorders like: dental caries, gum disease, ulcers, disturbances in mastication and ingestion of liquids, edentulous, dental malocclusions, halitosis, tooth discoloration and pain. Conclusion: 1. Our findings suggest that oral mucosa disorders are more severe in patients with chronic gastro-intestinal tract and induce a systemic inflammatory response. 2. The basic treatment of gastrointestinal diseases, as well as buccal reduces the inflammatory burden and diminishes the serum levels of the marker prooving the importance of interventive therapy in pateients with chronic gastrointestinal disorders. 3. The need for knowledge and differentiation of gastrointestinal disease manifestations in the oral cavity is an important preventive measure in everyday clinical practice