Abstract

Including teeth and supporting structures and oral tissues in the physical examination provides an opportunity for physicians to play an important role in preventive dentistry. Recommendations should include plaque control, fluoride supplementation, reduced sugar intake and dietary counseling. Examination for precancerous and cancerous lesions as well as oral manifestations of systemic diseases is part of physician responsibility. Measurement of salivary flow rate and salivary composition furnishes useful indicators in a variety of salivary gland and systemic diseases that affect salivary gland function. Physicians treating dentists should be aware of problems that may arise from occupational hazards; these include hearing loss from high noise levels, mercury intoxication (amalgam fillings), and hepatitis B. Hepatitis B transmission by the dentist should also be of concern.

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