4 Periodontal Diseases

Question 1

This disease is localized to the interdental papillae.

Answer 1

Necrotizing ulcerative gingivitis (NUG)

Question 2

The papillae are “punched-out” and the person is under extreme stress. Diagnose.

Answer 2

Necrotizing ulcerative gingivitis (NUG)

Question 3

If NUG advances and begins affecting the mucosa, what is the diagnosis called?

Answer 3

necrotizing ulcerative mucositis

Question 4

Pt reports they recently switched brand of mouth rinse that they use. What could this gingival irritation be termed?

Answer 4

Plasma cell gingivitis

Question 5

AKA plasma cell gingivitis, what else is this called?

Answer 5

Allergic gingivostomatitis

Question 6

This young patient breathes through their mouth most of the day. What is the probable diagnosis?

Answer 6

Localized juvenile spongiotic gingival hyperplasia

Question 7

The mucosa easily peels off when you rub your gloved finger over it. What could this be?

Answer 7

Desquamative gingivitis

Question 8

Give a differential diagnosis. (hint: 6 things)

Answer 8

1. Desquamative Gingivitis
2. Lichen planus
3. Mucous membrane pemphigoid
4. Pemphigus vulgaris
5. Systemic lupus erythematous
6. Hypersensitivity

Question 9

This patient is in pain and mucosa is removed when you take an impression.

Answer 9

Desquamative gingivitis

Question 10

This patient says they take Nifedipine.

Answer 10

Drug-related gingival hyperplasia

Question 11

What three systemic medications could cause gingival enlargement?

Answer 11

1. Cyclosporin (transplant therapy)
2. Phenytoin (anticonvulsant)
3. Nifedipine (Ca channel blocker)

Question 12

This is hereditary and caused by slow overgrowth of connective tissue.

Answer 12

Gingival fibromatosis

Question 13

What are five other possible manifestations of this gingival condition?

Answer 13

condition: gingival fibromatosis

1. hypertrichosis
2. generalized aggressive periodontitis
3. epilepsy
4. mental retardation
5. growth hormone deficiency