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Alcoholic disease as the interdisciplinary problem - implications in the oral cavity Choroba alkoholowa jako problem interdyscyplinarny - implikacje w jamie ustnej

Author(s): Hanna Hüpsch-Marzec | Beata Wierucka-Młynarczyk | Magdalena Kubicka-Musiał

Journal: Polish Gastroenterology
ISSN 1232-9886

Volume: 18;
Issue: 1;
Start page: 45;
Date: 2011;
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Keywords: nadużywanie alkoholu | choroba alkoholowa wątroby | jama ustna

Alcoholism is a chronic, devastating disease. It causes psychic and somatic changes. If not treated it becomes a terminal disease. In most cases the ill do not admit to their addiction, which makes diagnosis and treatment difficult. The organ which is mostly exposed to the harmful influence of alcohol is the liver. Changes within the oral cavity result both from direct exposition of soft and hard tissue to alcohol and secondary ones which are consequences of liver damage. Alcoholic liver disease (ALD) is a pathological process in which, as the consequence of addiction, the successive stages of liver damage develop. These are: liver fattening, inflammation and cirrhosis. Depending on the stage of the disease and also on many variable factors we are able to observe numerous displays within the oral cavity, which together with a thorough interview may be helpful in diagnosis. In the study, among others, the influence of malnutrition (characteristic for this group of patients) as well as liver metabolism disorders, which accompany ALD, on the condition of the oral cavity was described. The following issue were presented: alcohol as a risk factor of oral cancer, clinical picture of the hard tissues of the teeth exposed to big amounts of alcohol, influence of alcohol on the paradontium tissues and also on the development of the facial skeleton of the foetus.

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