12 - Acute Periodontal Conditions Flashcards
Organisms present in abscesses
66% gram negative
PG
PI
Periodontal abscess ____ most common dental emergency
____% of emergencies
Source
3rd
14%
Herrera
Most common tooth for periodontal abscess? %?
Maxillary 2M
17%
McLeod abscess study
37% maintenance patient had periodontal abscess
55% treated successfully
Abscesses seen in ____% of untreated patients and ____% in treated patients
Source
59%
13.5%
Herrera
Triad for NUG
Pain
Interproximal necrosis
Spontaneous bleeding
NUG associated w/ PMN defects ___% of the time
Source
91%
Claffey
Bacteria associated with NUG
Treponema
PI
4 zones in NUG
Source
Bacterial
Neutrophil
Necrotic
Spirochete
Listgarten
Incidence of NUG
- Normal population
- College
- Stressed
0.01%
3%
7%
ABC of choice for NUG
Metronidazole 250mg, 1 tab tid for 7 days
Herpetic gingivostomatitis is found where?
Attached and movable mucosa
Herpetic gingivostomatitis has latency where?
Recurrence where?
Semilunar/trigeminal ganglion
Attached tissue
Treatment for recurrent herpes
Acyclovir topical cream
Valacyclovir
Abreva
4 possible ABC options for periodontal abscess
1) Amoxicillin 1g then 500mg tid for 3 days
2) Azithromycin 1g then 500mg qid for 3 days
3) Clindamycin 600mg then 300mg qid for 3 days
4) Penicillin 1g then 500mg qid for 3 days
Benefits of Clindamycin
Concentrates in abscess
Used for more severe infections
NUG associated w/ poor OH ____% of the time
87%
Symptoms for primary herpetic gingivostomatitis
Cervical LAD
Chills/lethargy/nausea/anorexia
Fever
Antibiotics for herpes zoster
Acyclovir 800mg q4h 7-10 days
Famciclovir 500mg tid for 7 days
Minor aphthous stomatitis
- Size of ulcers
- Length of time
- Location
3-10mm
7-14 days
Nonkeratinized mucosa
Major aphthous stomatitis
- Size of ulcers
- Length of time
1-3cm
2-6 weeks
Herpetiform aphthous stomatitis
- Size of ulcers
- Number of ulcers
- Sex predilection
1-3mm
Clusters of up to 100
F > M
