Hypertension55555555555555555555555.pptx

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1. Hypertension

2. 2 OCCUPATION: Patients job and social standings often determine the value he or she places on oral health, as well as the esthetics and other qualities desired in denture. Tooth position is very important for a musician who plays a wind instrument .

3. 3 Some occupational habits like nail biting of cobblers may cause attrition of anterior teeth. Occupations like public speakers , teachers and singers are more particular about the phonetics with their new dentures.

4. 4 PATIENTS HABITS: Tobacco chewing, smoking, drinking Reveals patients attitude towards oral health

5. 5 DIET / NUTRITIONAL STATUS Type, frequency and quantity of food. Patients who eat </= 2 meals per day are at risk of undernutrition.

6. Nutritional disturbances: Older patients have decreased appetite – defeciency of vitamins. Avitaminosis –lowers defence of mucosa to infectious diseases. Vit A def – hyper parakeratosis Vit B def - angular cheilitis Vit D def – marked alveolar atrophy. Vit k def – purpura of oral mucosa. 6

7. MEDICAL HISTORY Debilitating diseases : Diabetes mellitus, candidiasis, blood dyscrasias, tuberculosis Diseases of the joints : Rheumatoid arthritis and Osteoarthritis Cardiovascular diseases Diseases of the skin : Pemphigus Neurological disorders : Bell’s Palsy, Parkinson’s disease