Oral Signs of Systemic Disease

The lecture focuses on the oral signs of systemic diseases, addressing the intersection of dermatology and oral health. The speaker outlines the anatomy of the mouth, emphasizing the difference between keratinized and non-keratinized surfaces, which impacts treatment methods. The presentation highlights the number and classification of teeth, the three components of gingiva, and the importance of properly documenting oral lesions using a numbering system based on teeth for referrals to dental specialists. It distinguishes the roles of dentists versus dermatologists in managing oral diseases, noting that while dentists may lack training in oral diseases and biopsies, oral medicine specialists can assist with chronic conditions but may have limited prescription capabilities. There is a strong emphasis on the importance of ENT specialists for biopsy and management of concerning lesions. The speaker discusses topical treatments, including steroid gels with good penetration for keratinized areas, and mentions various treatments for oral diseases such as clotrimazole troches for fungal infections and intralesional corticosteroids for severe inflammatory conditions. Systemic agents such as cyclosporine and hydroxychloroquine are also part of the therapeutic arsenal, and the necessity of balancing antifungal treatments in cases of mucosal inflammation is stressed, with the goal of preventing complications and promoting oral health.