12 - Acute Periodontal Conditions Flashcards

1
Q

Organisms present in abscesses

A

66% gram negative

PG
PI

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2
Q

Periodontal abscess ____ most common dental emergency

____% of emergencies

Source

A

3rd

14%

Herrera

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3
Q

Most common tooth for periodontal abscess? %?

A

Maxillary 2M

17%

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4
Q

McLeod abscess study

A

37% maintenance patient had periodontal abscess

55% treated successfully

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5
Q

Abscesses seen in ____% of untreated patients and ____% in treated patients

Source

A

59%
13.5%

Herrera

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6
Q

Triad for NUG

A

Pain
Interproximal necrosis
Spontaneous bleeding

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7
Q

NUG associated w/ PMN defects ___% of the time

Source

A

91%

Claffey

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8
Q

Bacteria associated with NUG

A

Treponema

PI

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9
Q

4 zones in NUG

Source

A

Bacterial
Neutrophil
Necrotic
Spirochete

Listgarten

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10
Q

Incidence of NUG

  • Normal population
  • College
  • Stressed
A

0.01%
3%
7%

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11
Q

ABC of choice for NUG

A

Metronidazole 250mg, 1 tab tid for 7 days

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12
Q

Herpetic gingivostomatitis is found where?

A

Attached and movable mucosa

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13
Q

Herpetic gingivostomatitis has latency where?

Recurrence where?

A

Semilunar/trigeminal ganglion

Attached tissue

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14
Q

Treatment for recurrent herpes

A

Acyclovir topical cream
Valacyclovir
Abreva

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15
Q

4 possible ABC options for periodontal abscess

A

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

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16
Q

Benefits of Clindamycin

A

Concentrates in abscess

Used for more severe infections

17
Q

NUG associated w/ poor OH ____% of the time

A

87%

18
Q

Symptoms for primary herpetic gingivostomatitis

A

Cervical LAD
Chills/lethargy/nausea/anorexia
Fever

19
Q

Antibiotics for herpes zoster

A

Acyclovir 800mg q4h 7-10 days

Famciclovir 500mg tid for 7 days

20
Q

Minor aphthous stomatitis

  • Size of ulcers
  • Length of time
  • Location
A

3-10mm
7-14 days
Nonkeratinized mucosa

21
Q

Major aphthous stomatitis

  • Size of ulcers
  • Length of time
A

1-3cm

2-6 weeks

22
Q

Herpetiform aphthous stomatitis

  • Size of ulcers
  • Number of ulcers
  • Sex predilection
A

1-3mm
Clusters of up to 100
F > M