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IMF-057-01-0001-en	Why can dental disorders and oral lesions matter far beyond the mouth?	Dental disorders can progress to deep-neck infection, sepsis, airway compromise, or tooth loss, and oral lesions can reveal haematological, immune, endocrine, nutritional, infectious, gastrointestinal, or malignant disease.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0002-en	How do parasympathetic and sympathetic stimulation differ in their effect on saliva?	Parasympathetic stimulation drives abundant watery saliva, whereas sympathetic activity changes its protein composition.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0003-en	Why does reduced salivary flow lead to caries, candidiasis, and periodontal disease?	Saliva normally buffers acid, supports remineralisation, clears food, and restrains microbes, so reduced flow removes these protections.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0004-en	Why does caries risk reflect how often fermentable carbohydrate is eaten, not just how much sugar?	Each exposure lets biofilm acid demineralise enamel; salivary buffering, mineral exchange, and fluoride can reverse early injury, but repeated low pH produces cavitation.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0005-en	Which findings must be determined immediately when taking a history for oral or dental symptoms, and why?	Airway symptoms, drooling, voice change, neck swelling, eye symptoms, neurological change, and systemic toxicity, because spreading odontogenic infection with such features needs emergency assessment.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0006-en	How does the pain of reversible pulpitis differ from that of irreversible pulpitis, and what does the difference mean for treatment?	Reversible pulpitis causes brief stimulus-provoked pain, whereas irreversible pulpitis causes spontaneous or lingering pain and needs root-canal treatment or extraction.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0007-en	How does pulp necrosis lead to a periapical abscess, and how does the abscess present?	Necrotic pulp permits apical infection; the resulting periapical abscess causes local tenderness and swelling and may drain through a sinus.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0008-en	Why are repeated antibiotic courses the wrong answer to contained pulp disease?	Antibiotics do not cure it; without drainage or extraction they delay cure and select resistance, so they are reserved for spreading infection, systemic involvement, immune risk, or guideline-defined situations.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0009-en	Which analgesic approach often controls dental pain better than opioids, and what must be checked before using it?	Non-steroidal anti-inflammatory drugs, paracetamol, or their appropriate combination; contraindications and total dose must be checked.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0010-en	How does Ludwig angina threaten the airway?	Mandibular molar infection spreads as bilateral submandibular and sublingual cellulitis, producing firm floor-of-mouth swelling and tongue elevation with dysphagia and drooling.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0011-en	In a deteriorating patient with spreading odontogenic infection, what must come before supine imaging, and why?	Airway planning, because floor-of-mouth swelling threatens the airway and the patient needs emergency airway, maxillofacial, and surgical assessment.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0012-en	What distinguishes gingivitis from periodontitis?	Gingivitis is superficial plaque-induced inflammation without attachment loss and is reversible, whereas periodontitis involves dysregulated host inflammation, pocket formation, attachment loss, and alveolar-bone destruction.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0013-en	Why should gum bleeding during brushing usually not stop cleaning, and when does it need further review?	It usually signals plaque-driven inflammation that cleaning addresses; unexplained or disproportionate bleeding warrants review for platelet, coagulation, liver, or marrow disease.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0014-en	Which factors increase periodontitis risk, and how does diabetes relate to periodontal health?	Smoking, diabetes, immune dysfunction, poor access, and genetic susceptibility increase risk, and glycaemic control and periodontal health influence one another.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0015-en	What distinguishes aphthous ulcers from recurrent herpes simplex, and when do aphthae prompt a systemic search?	Aphthae are shallow painful ulcers without preceding vesicles; recurrent herpes gives clustered vesicles and ulcers on keratinised mucosa. Frequent, severe, or atypical aphthae suggest deficiency, bowel, or immune disease.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0016-en	Why must treatment of oral candidiasis address predisposing factors as well as the infection?	Candidiasis is promoted by antibiotics, inhaled steroids, diabetes, dry mouth, dentures, and immune suppression, which keep driving it if left uncorrected.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0017-en	Which oral findings persisting beyond a short healing interval require urgent review, and why?	An ulcer, red or white patch, lump, induration, unexplained bleeding, numbness, loose tooth, unilateral ear pain, or swallowing change, because it may be cancer and often needs biopsy.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0018-en	How does acute bacterial sialadenitis present, what usually predisposes to it, and how is it treated?	A painful swollen gland with fever and pus from the duct, often with dehydration or obstruction; treat with hydration, flow stimulation when safe, massage, antibiotics, and abscess drainage.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0019-en	Why does Sjogren syndrome need intensive dental prevention and systemic evaluation?	Immune destruction of salivary and lacrimal glands causes dry mouth and eyes that raise caries risk, and the disease also carries systemic involvement and lymphoma risk.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0020-en	Which features of a parotid mass suggest malignancy, and why should it not be casually biopsied?	Pain, rapid growth, fixation, skin involvement, lymph nodes, or facial weakness suggest malignancy; imaging and specialist tissue sampling preserve surgical planning.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0021-en	How is an avulsed permanent tooth handled, and how does management differ for a primary tooth?	Hold the permanent tooth by its crown, rinse without scrubbing, and replant when safe or store appropriately for emergency dental care; primary teeth are not replanted.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0022-en	What distinguishes dry socket from spreading infection after extraction, and how does this shape treatment?	Dry socket is painful clot loss days after extraction without spreading infection, so it is treated with local care and analgesia rather than routine antibiotics.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0023-en	Which features point to trigeminal neuralgia rather than giant-cell arteritis as a cause of facial pain?	Trigeminal neuralgia causes brief triggerable electric attacks, whereas jaw claudication with visual symptoms suggests giant-cell arteritis.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending
IMF-057-01-0024-en	Why is active oral disease treated before potent antiresorptive therapy where feasible?	Jaw osteonecrosis, though uncommon, becomes more likely with oncology-dose antiresorptive or antiangiogenic therapy combined with extraction.	Integrated Medical Foundations; chapter 57, TTS module 1; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: c7a2ed52518f9f8230d174a85edae3d8edaf80156a2bdcf7fcb49eaf3e5913da; editorial review pending	imf lang::en chapter::057 module::057-01 review::pending