Challacombe Scale
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Challacombe Scale
The Challacombe scale is a widely used diagnostic medical tool designed to produce a clinical oral dryness score (CODS) which quantifies the extent of dryness of the mouth, with the aim of making a decision of whether to treat or not, and to monitor its progression or regression. It can be used to assess salivary flow and therefore calculate a risk of dental caries. In addition, it has a particular use in the assessment of dry mouth in Sjögren syndrome. Based on a 10-point scale of clinical physical findings, a score of one is least severe and ten most severe. Medical use Dry mouth (xerostomia) is frequently caused by medication and to a lesser extent, by anxiety or Sjögren's syndrome. It can be useful to have the extent of dryness recorded. That is, if a person has a complaint of a dry mouth, the clinician can apply the Challacombe scale to determine its severity and whether treatment is required. The scale also provides a common reference point, allowing progress or deter ...
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Medicine
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, o ...
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Fissured Tongue
Fissured tongue is a benign condition characterized by deep grooves (fissures) in the dorsum of the tongue. Although these grooves may look unsettling, the condition is usually painless. Some individuals may complain of an associated burning sensation. It is a relatively common condition, with a prevalence of between 6.8%FREQUENCY OF TONGUE ANOMALIES AMONG YEMENI CHILDREN IN DENTAL CLINICS
Yemeni Journal for Medical Sciences
and 11%Frequency of Tongue Anomalies in Primary School Of Lahidjan
Rabiei M, Mohtashame Amiri Z, Masoodi Ra ...
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Medical Assessment And Evaluation Instruments
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an anci ...
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Dehydration
In physiology, dehydration is a lack of total body water, with an accompanying disruption of metabolic processes. It occurs when free water loss exceeds free water intake, usually due to exercise, disease, or high environmental temperature. Mild dehydration can also be caused by immersion diuresis, which may increase risk of decompression sickness in divers. Most people can tolerate a 3-4% decrease in total body water without difficulty or adverse health effects. A 5-8% decrease can cause fatigue and dizziness. Loss of over ten percent of total body water can cause physical and mental deterioration, accompanied by severe thirst. Death occurs at a loss of between fifteen and twenty-five percent of the body water.Ashcroft F, Life Without Water in Life at the Extremes. Berkeley and Los Angeles, 2000, 134-138. Mild dehydration is characterized by thirst and general discomfort and is usually resolved with oral rehydration. Dehydration can cause hypernatremia (high levels of sodium ...
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Stephen Challacombe
Stephen James Challacombe FRC(Path), FDSRCS, FMedSci, (born April 1946) is professor of oral medicine at King's College in London, best known for research in oromucosal immunology and for developing the Challacombe scale for measuring the extent of dryness of the mouth. He led the team that laid out research challenges of global health inequalities and oral health, particularly relating to the oral manifestations of HIV. Challacombe was the Martin Rushton Professor of Oral Medicine at King's College, London and the University of London, a consultant in diagnostic microbiology and immunology to Guys & St Thomas Hospitals, and Dean for external affairs at King's College London Health Schools. He has been an author, co-author, editor and co-editor of a number of publications and a recipient of several awards and fellowships. Medical societies of which he has been president include the International Association for Dental Research, British Society for Oral and Dental Research, ...
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King's College London GKT School Of Medical Education
GKT School of Medical Education (abbreviated: GKT) is the medical school of King's College London. The school has campuses at three institutions, Guy's Hospital ( Southwark), King's College Hospital ( Denmark Hill) and St Thomas' Hospital ( Lambeth) in London – with the initial of each hospital making up the acronymous name of the school. University Hospital Lewisham and Queen Elizabeth Hospital are also teaching hospitals for GKT School of Medical Education. The school in its current guise was formed following a merger with the United Medical and Dental Schools of Guy's and St Thomas' Hospitals on 1 August 1998. The medical school has an annual intake of around 400 places on the standard MBBS Programme, 50 places on the Extended Medical Degree Programme (EMDP) and 23 places on the Graduate/Professional Entry Programme (GPEP), and an additional 2 places on the GPEP course for Maxillofacial (MaxFax) Entry. The intake numbers vary year to year. It receives more applications fo ...
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Fluoride
Fluoride (). According to this source, is a possible pronunciation in British English. is an inorganic, monatomic anion of fluorine, with the chemical formula (also written ), whose salts are typically white or colorless. Fluoride salts typically have distinctive bitter tastes, and are odorless. Its salts and minerals are important chemical reagents and industrial chemicals, mainly used in the production of hydrogen fluoride for fluorocarbons. Fluoride is classified as a weak base since it only partially associates in solution, but concentrated fluoride is corrosive and can attack the skin. Fluoride is the simplest fluorine anion. In terms of charge and size, the fluoride ion resembles the hydroxide ion. Fluoride ions occur on Earth in several minerals, particularly fluorite, but are present only in trace quantities in bodies of water in nature. Nomenclature Fluorides include compounds that contain ionic fluoride and those in which fluoride does not dissociate. The nom ...
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Sialogogue
__NOTOC__ A sialogogue (also spelled sialagogue, ptysmagogue or ptyalagogue) is a drug or substance that increases the flow rate of saliva. Sialogogues can be used in the treatment of xerostomia (the subjective feeling of having a dry mouth), to stimulate any functioning salivary gland tissue to produce more saliva. Saliva has a bactericidal effect, so when low levels of it are secreted, the risk of caries increases. Not only this, but fungal infections such as oral candidosis also can be a consequence of low salivary flow rates. The Buffer solution, buffer effect of saliva is also important, neutralising acids that cause tooth enamel demineralisation. The following are used in dentistry to treat xerostomia: *Parasympathomimetic drugs act on parasympathetic muscarinic receptors to induce an increased saliva flow. The M3 receptor has been identified as the principal target to increase salivary flow rates.Melvin JE, Yule D, Shuttleworth T, Begenisich T. REGULATION OF FLUID AND ELECTRO ...
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Cervical Caries
In anatomy, cervical is an adjective that has two meanings: # of or pertaining to any neck. # of or pertaining to the female cervix: i.e., the ''neck'' of the uterus. *Commonly used medical phrases involving the neck are **cervical collar **cervical disc (intervertebral disc) **cervical lymph nodes **cervical nerves **cervical vertebrae **cervical rib *Phrases that involve the uterine cervix include **cervical cancer **cervical smear or Pap smear The Papanicolaou test (abbreviated as Pap test, also known as Pap smear (AE), cervical smear (BE), cervical screening (BE), or smear test (BE)) is a method of cervical screening used to detect potentially precancerous and cancerous processes in t ...
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Depapillation
Lingual papillae (singular papilla) are small structures on the upper surface of the tongue that give it its characteristic rough texture. The four types of papillae on the human tongue have different structures and are accordingly classified as circumvallate (or vallate), fungiform, filiform, and foliate. All except the filiform papillae are associated with taste buds. Structure In living subjects, lingual papillae are more readily seen when the tongue is dry. There are four types of papillae present on the tongue: Filiform papillae Filiform papillae are the most numerous of the lingual papillae. They are fine, small, cone-shaped papillae covering most of the dorsum of the tongue. They are responsible for giving the tongue its texture and are responsible for the sensation of touch. Unlike the other kinds of papillae, filiform papillae do not contain taste buds. They cover most of the front two-thirds of the tongue's surface. They appear as very small, conical or cylindrical s ...
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Xerostomia
Xerostomia, also known as dry mouth, is dryness in the mouth, which may be associated with a change in the composition of saliva, or reduced salivary flow, or have no identifiable cause. This symptom is very common and is often seen as a side effect of many types of medication. It is more common in older people (mostly because this group tend to take several medications) and in persons who breathe through their mouths. Dehydration, radiotherapy involving the salivary glands, chemotherapy and several diseases can cause reduced salivation (hyposalivation), or a change in saliva consistency and hence a complaint of xerostomia. Sometimes there is no identifiable cause, and there may sometimes be a psychogenic reason for the complaint. Definition Xerostomia is the subjective sensation of dry mouth, which is often (but not always) associated with hypofunction of the salivary glands. The term is derived from the Greek words ξηρός (''xeros'') meaning "dry" and στόμα (''stoma' ...
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Buccal Mucosa
The oral mucosa is the mucous membrane lining the inside of the mouth. It comprises stratified squamous epithelium, termed "oral epithelium", and an underlying connective tissue termed ''lamina propria''. The oral cavity has sometimes been described as a mirror that reflects the health of the individual. Changes indicative of disease are seen as alterations in the oral mucosa lining the mouth, which can reveal systemic conditions, such as diabetes or vitamin deficiency, or the local effects of chronic tobacco or alcohol use. The oral mucosa tends to heal faster and with less scar formation compared to the skin. The underlying mechanism remains unknown, but research suggests that extracellular vesicles might be involved. Classification Oral mucosa can be divided into three main categories based on function and histology: *Lining mucosa, nonkeratinized stratified squamous epithelium, found almost everywhere else in the oral cavity, including the: **Alveolar mucosa, the lining between ...
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