Oral manifestations of Crohn's disease

Crohn's disease is a chronic granulomatous inflammatory bowel disease of unknown cause. Segments of the whole gastrointestinal tract may be involved, including the oral cavity. The most common oral manifestations of Crohn's disease are edema, ulcerative and hyperplastic lesions. They appear most commonly on the lips, gingival tissue and buccal mucosa. Oral manifestations of Crohn's disease may precede intestinal symptoms. Recognition of these oral manifestations may lead to quicker diagnosis and earlier adequate treatment. If Crohn's disease is diagnosed, the dentist must make a detailed oral cavity examination and implement treatment of the existing oral lesions. Also, the dentist must provide prevention against caries and periodontal disease in these patients. Considering the frequency of oral manifestations of Crohn's disease, cooperation between gastroenterologist and dentist is very important. Kronova bolest je hronicno granulomatozno inflamatorno oboljenje creva nepoznate etiologije, koje moze zahvatiti bilo koji segment gastrointestinalnog trakta, ukljucujuci i usnu duplju. Najcesce oralne manifestacije Kronove bolesti su : edem,ulcerativne i hiperplasticne lezije. Ove oralne lezije najcesce su lokalizovane na usnama, gingivi i bukalnoj sluzokozi. Oralne lezije u sklopu Kronove bolesti mogu predhoditi intestinalnim simptomima. Prepoznavanje oralnih manifestacija ove bolesti omogucava ranu dijagnozu i blagovremeni pocetak terapije Kronove bolesti. Ako je Kronova bolest dijagnostikovana, stomatolog mora preduzeti detaljno ispitivanje usne duplje i sprovesti terapiju postojecih oralnih lezija. Stomatolog mora sprovesti i preventivne mere u cilju sprecavanja pojave karijesa i parodontopatije. S obzirom na ucestalost oralnih manifestacija Kronove bolesti, veoma je vazna saradnja izmedju gastroenterologa i stomatologa.