Laoxiao recent brushing white sooner or later the bubble is always a pink and finally out of the bubble is almost blood, and started Lao Xiao Mei Lihui, that some may be Shanghuo periodontal inflammation, may be a mistake to hand Qiecai All broken, Kou Zi can be little more than blood, and this aroused the attention of Laoxiao, after the hospital examination, that he has developed to the hepatitis B liver cirrhosis. Their bleeding gums, bleeding liver function are caused by the destruction. A few days ago, in Beijing Ditan Hospital to the health of the classroom, the Beijing Tongren Hospital Dental Officer Professor Liu Jingming physicians and patients on issues related to the exchange.
Patient: hepatitis B combined oral diseases?
Professor Liu: China’s disease patients with oral disease in patients with high levels of morbidity, while patients suffering from infectious diseases with oral diseases a considerable number of patients. Suffering from infectious diseases in particular, chronic hepatitis patients most often associated with oral diseases, such as dental caries, periodontitis, oral ulcers, and so on. In particular, hepatitis B and periodontitis these two diseases, is a high incidence of the two diseases, while simultaneously in a patient, but also can affect each other.
Patients: Why hepatitis B patients are often combined oral diseases »
Professor Liu:because hepatitis B is a liver virus caused the disease, can spread through a variety of ways, the most important thing is spread through body fluids or blood, do oral therapy is one way, and many people were infected Not obvious symptoms, often is a chronic process. Timely treatment will not follow such a process, namely: chronic hepatitis Jiuzhibuyu ? cirrhosis ? multiple organ damage, portal hypertension, ascites, spleen, severe bleeding can be a life-threatening. During this stage of cirrhosis in patients with a variety of performance, such as liver and spleen dysfunction of hyperthyroidism can lead to clotting factor and the lack of thrombocytopenia. Patients directly systemic multi-site performance is easy bleeding. In the mouth often patients will show periodontal, such as bleeding gums, it is difficult at this time and ordinary differential periodontitis.
Patient: hepatitis B patients how to identify the cause of periodontitis bleeding or liver disease itself bleeding »
Professor Liu: liver disease in addition to the bleeding mouth of bleeding gums, often also appear in other parts of the body and abnormal bleeding. If bleeding swollen joints, skin break after difficult to stop bleeding and systemic bleeding can occur, such as. Also testing to identify the clotting time extension, thrombocytopenia, bleeding gums and often do not have these systemic performance. Periodontitis lead to the performance of bleeding is the poor state of periodontal, gum and periodontal under calculus, debris or plaque retention, congestive stimulate gum inflammation, bleeding in turn, coupled with the foregoing will have teeth loose, and so it is not difficult in general Diagnosis. Patients: how can we get timely and correct diagnosis and treatment »
Professor Liu: Once patients with liver diseases in the oral diseases, especially chronic hepatitis B patients to bleeding gums, to timely treatment. So simple oral disease after timely treatment of periodontal sequence: subgingival scaling ? deep scratch ? regional flap surgery, can be quickly brought under control and recovered. At the same time may also arise for the early diagnosis of cirrhosis is to provide help.