Oral Medicine | Steroids & Adrenal Insufficiency | INBDE

In this video, we discuss the different categories of steroids, the manifestations of high and low cortisol in Cushing's Syndrome and Addison's Disease, and management of these patients in the dental setting. Thanks for watching!
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[@mentaldental]

Thanks for watching! For more high yield dental content, subscribe to Mental Dental today: kzbin.info

[@olaimad1640]

1. dentist does treatment for 2 crowns but the insurance company pays the money for one crown what is it ? A. Down coding B. Bundling 2. dentist does 2 2surface composites and insurance made it 1 1 surface what is it? A. Downcoding B. Bundling Please help me with these questions

[@randomtoothguy]

Dr Ryan I passed my INBDE and it was with the help of GOD my parents prayers and your KZbin videos. I thank you from the bottom of my heart.

[@trafficjon400]

Why does the Scriptures Condone Genocide and slavery? Why did God reward Mosses to Slay million Breastfeeding mothers.

[@neveentaimor6552]

Big. Big Thank you so much Rayan. You are the best. DR. 14/6/2024

[@user-we7go7ed3l]

Thank you dr Ryan !!! Kid here feeling confident for dental college after your vids :)

[@harpreetrandhawa8958]

Thank you!!! Thank you!!!! Couldn’t ask for more !!!

[@arlenysrodriguezbarrueta2410]

Great videos as always dr. Thank you so much!

[@lora7677]

Thank you so much doctor!!! I learned a lot from you!

[@fatimakhalid1991]

Right before my oral med. Exam Thanks 💕

[@Dr.melissa_seibert]

Nice new intro video. Seriously thank you for making these!

[@ci9062]

You are a blessing! Thank you..God bless you

[@chinonsonwachukwu6840]

Thank you so much Dr Ryan, your videos are so helpful 💜

[@mentaldental]

Glad you like them!

[@nononono5857]

Very informative, thank you.

[@zwivhuyamuntswu3245]

Thank you so much Dr Ryan, your work is so appreciated

[@mentaldental]

My pleasure! 👍🏼

[@neveentaimor6552]

You are the best of best Dr Rayan .one more time thank you so much 14/6/2024

[@revalidandonacalifornia]

The way I had to remember Addison disease was: “ ADD SUN” to the skin (= bronzing)

[@mentaldental]

Love this!

[@hollydaugherty2620]

This symptom is only present in SOME Addisonians and only occurs before diagnosis because it is caused by high ACTH levels stimulating melanin. It also doesn’t cause an all-over tan but can cause darkened skin over joints. This symptom disappears after steroid treatment is initiated.

[@trafficjon400]

@@hollydaugherty2620 yes your right

[@trafficjon400]

John F kennedy diden't have nothing but light Skin and he had Full blown Addison's being on Adderall high doses just to make to a Speach? strange how that works. He must have been very depressed emotional like i when put on high doese of Adderall. Don't want to become tolerant a few years after adderall? its not pleasant at the least.

[@arefwahb7771]

Thank you.

[@ahmadbataineh6329]

hi , if you can make video about dealing with patient who abuse marijuana and other drugs because it appears so much in the exam I had multiple questions about marijuana only. thank you so much

[@januacharya7475]

Hi Dr. Ryan. Great videos. My question is the medications mentioned in the dental management section needs to be stopped prior to any dental surgery is what you mentioned. Do we need to stop them even for elective dental treatments as well or just surgeries?

[@revalidandonacalifornia]

Thank you for your great lectures

[@healthyamerican]

hello mental dental. i have read and heard that a person who has trouble recovering from adrenal fatigue may have an underlying dental or respiratory infection. if a person doesnt have any noticable dental issues and nothing showing on x-rays, would you know anything about deep internal dental infections that you could discuss? ty

[@wannabeevangelist8481]

nice intro dr ryan ....

[@stomatologistdiary8916]

Hello 👋 Rayan.. Very wonderful and informative videos,, would you please post videos on oral and maxillofacial surgery soon,, will be great,, coz we're studying for board exam,, thanks a lot,, waiting for your respond

[@mentaldental]

I already have an entire series on Oral Surgery on this channel!

[@swetapatel6754]

if cortisol causes immune suppression then why is the immune system compromised in addisons disease (which is a low production of cortisol)?

[@maheephoenix4398]

I have a personal question I was on budesonide 3mg for 6 weeks (42 days) 3 capsules per day (9mg). Total of 126 capsules. I have been scheduled for all 4 wisdom teeth (impacted) extraction under sedation next week. Would I be at risk of Cushing's syndrome? I should have discussed it with my Dr. but I totally forgot after hearing about four impacted molars ( I went to extract just one).

[@trafficjon400]

Yes? 1 injection of Dexamethasone 6 years ago and started out with Depression easy bruising like an Elderely patient with ostioporosis. 8 months about of horrifying PTSD induced with Cushings like Syndrome . the easy bruising went away after a coupl,e months ? but, the Mental and Vertico Cushings like drags on with eventually lost friends and family understanding. Wouldn't wish this on my worse Enemy. a lot or some don't go through what i did as Sevier but a chance is a Gamble. if you have any emotional problems or any type of mental illnes then be expected to Double it including Fear ,Depression and even psychoses. its some thing to do with Spike Protien SSRI SSAD of the Brain and Adrenal cortisol but can't explain it but hope this gives some what a better idea by my experience. Still waking depression shaking but lesser and does not last as long . also having Vigil symtoms and goes away and comes back but happening less often but i can't kid my self for it gets very frustrating with confusion at times.

[@sallyel-shafey3515]

Hi Thank you for your time. I want to ask you what is the difference between Cushing exogenous and Addison"s adrenal insufficiency please?

[@mentaldental]

The difference is what causes the adrenal insufficiency, either taking too many chronic glucocorticoids (exogenous Cushing) or an immune-mediated destruction of tissue that produces natural glucocorticoids (endogenous Addison).

[@trafficjon400]

@@mentaldental I should have listened to the FDA when they did not aprove metabolic steroids. but i did not . Poison ivy swelling 4 years ago or longer injection high dose dexamethisone . 2 years of phsychosses grave death like depression and only eat if family came to force me paranoid worse than ptsd . some broozing for a month Vertigo suicidal ideation roid rage loss of friends family understanding life change and doctors let me suffer and put me on amphetamines but nothing to do with what caused it. my doc said induced cushings but has no treatment. some recovery but still waking shaing deppresion fog 2 hours to feel a little better. coffee helps amphetamines only last 4 hours . i guess its the rest of me for life. may be they dont know how to level don't know for sure.

[@sherifelfeel1495]

❤️❤️❤️❤️

[@olaimad1640]

1. dentist does treatment for 2 crowns but the insurance company pays the money for one crown what is it ? A. Down coding B. Bundling 2. dentist does 2 2surface composites and insurance made it 1 1 surface what is it? A. Downcoding B. Bundling Please help me with these

[@beastley808]

Check out slide #10 on Patient Management (Dental Care Delivery Systems). You will find the answers there. Hope that helps.

[@shujahamiid984]

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