Acute Disease Flashcards
T/F: ANUG is very rare.
True
Seen in HIV population, developing countries
What are the three early clinical signs of ANUG?
Punched out papilla, spontaneous bleeding, pain
T/F: Deep pockets will be seen in an advanced ANUG lesion.
False
May have crater
What are some typical bacteria seen in ANUG?
P. intermedia
Treponema, Selenomona, Fusobacterium
What are some factors that can help lead to ANUG?
Stress, no sleep, smoking, alcohol, young and white
T/F: Treatment of ANUG is done by alleviating the symptoms.
True
No antibiotics unless for systemic conditions
When would you perform scaling on a patient with ANUG?
On second visit
A _______ abscess involves the marginal gingiva or interdental papilla.
gingival
A ________ abscess involves the tissue surrounding the crown of a partially erupted tooth.
pericoronal
A ________ abscess involve the tissues adjacent to the periodontal pocket and may lead to destruction of the PDL and alveolar bone.
periodontal
Where will a periapical abscess be found?
Surrounding the apex of the tooth
Involves pulp remnants
The tooth would be nonvital in which type of abscess?
Periapical
Which two types of abscesses may involve mobility?
Periodontal and periapical
What is the odds of bleeding with the various abscesses?
Periodontal +
Gingival and periapical +/-
Pericoronal -
Which two types of abscesses can be caused by trauma?
Gingival and pericoronal
T/F: Antibiotics are indicated for a gingival abscess.
False
Remove noxious agents, salt rinse
What are the treatments for a periapical abscess?
Extraction or root canal
Where are periodontal abscesses most common?
Molars with 5 mm or larger probe depths
What are the treatment options for periodontal abscesses?
Drainage through pocket or incision, SRP, surgery, extraction
When do we typically prescribe systemic antibiotics for periodontal problems?
Aggressive perio or worried about spreading systemically
What types of antibiotics would we prescribe for perio?
Amoxicillin (500mg TID) and metronidazole (250 mg TID) for 8 days
What is the alternative for penicillin-allergic patients?
Azithromycin (500mg start, than 250mg/day for 4 days) and metronidazole (500mg TID for 7 days)
T/F: Mechanical treatment should be done prior to antibiotics.
True
