Acute Disease Flashcards

1
Q

T/F: ANUG is very rare.

A

True

Seen in HIV population, developing countries

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2
Q

What are the three early clinical signs of ANUG?

A

Punched out papilla, spontaneous bleeding, pain

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3
Q

T/F: Deep pockets will be seen in an advanced ANUG lesion.

A

False

May have crater

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4
Q

What are some typical bacteria seen in ANUG?

A

P. intermedia

Treponema, Selenomona, Fusobacterium

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5
Q

What are some factors that can help lead to ANUG?

A

Stress, no sleep, smoking, alcohol, young and white

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6
Q

T/F: Treatment of ANUG is done by alleviating the symptoms.

A

True

No antibiotics unless for systemic conditions

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7
Q

When would you perform scaling on a patient with ANUG?

A

On second visit

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8
Q

A _______ abscess involves the marginal gingiva or interdental papilla.

A

gingival

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9
Q

A ________ abscess involves the tissue surrounding the crown of a partially erupted tooth.

A

pericoronal

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10
Q

A ________ abscess involve the tissues adjacent to the periodontal pocket and may lead to destruction of the PDL and alveolar bone.

A

periodontal

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11
Q

Where will a periapical abscess be found?

A

Surrounding the apex of the tooth

Involves pulp remnants

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12
Q

The tooth would be nonvital in which type of abscess?

A

Periapical

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13
Q

Which two types of abscesses may involve mobility?

A

Periodontal and periapical

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14
Q

What is the odds of bleeding with the various abscesses?

A

Periodontal +

Gingival and periapical +/-

Pericoronal -

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15
Q

Which two types of abscesses can be caused by trauma?

A

Gingival and pericoronal

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16
Q

T/F: Antibiotics are indicated for a gingival abscess.

A

False

Remove noxious agents, salt rinse

17
Q

What are the treatments for a periapical abscess?

A

Extraction or root canal

18
Q

Where are periodontal abscesses most common?

A

Molars with 5 mm or larger probe depths

19
Q

What are the treatment options for periodontal abscesses?

A

Drainage through pocket or incision, SRP, surgery, extraction

20
Q

When do we typically prescribe systemic antibiotics for periodontal problems?

A

Aggressive perio or worried about spreading systemically

21
Q

What types of antibiotics would we prescribe for perio?

A

Amoxicillin (500mg TID) and metronidazole (250 mg TID) for 8 days

22
Q

What is the alternative for penicillin-allergic patients?

A

Azithromycin (500mg start, than 250mg/day for 4 days) and metronidazole (500mg TID for 7 days)

23
Q

T/F: Mechanical treatment should be done prior to antibiotics.

A

True