Acute gingival conditions Flashcards

1
Q

Acute defintion

A

Sharp or severe
Rapid onset
Brief duration

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2
Q

Chronic definition

A

Long duration, gradual change

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3
Q

Is plaque induced gingivitis usually chronic or acute?

A

Chronic

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4
Q

How can acute gingival conditions be classified?

A

Infective
Traumatic
Systemic

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5
Q

What can cause infective gingival conditions

A

Bacteria
Viral
Fungal

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6
Q

What can cause traumatic gingival conditions?

A

Chemical
Thermal
Physical

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7
Q

What can cause systemic gingival conditions?

A

Allergy
Endocrine
Mucocutaneous
Blood dyscrasias

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8
Q

List 3 bacterial gingival infections

A

Plaque-induced gingivitis
Necrotising gingivitis
Gingival/periodontal abscess

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9
Q

When should you prescribe antimicrobials for periodontal abscess

A

Severe cases of spreading infections

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10
Q

What is an endo-perio lesion?

A

Deep pocket surrounding a non-vital tooth

Tender to palpation

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11
Q

Management of endo-perio lesion?

A

Drainage
Debride periodontal pocket, extirpate the pulp

RCT
extraction

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12
Q

What viruses can cause acute gingival disease?

A

HSV - primary herpetic gingivo stomatitis
VZV
Hand, foot mouth disease - cocksackie virus

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13
Q

How is primary herpetic gingivostomatitis transmitted?

A

Direct contact with infected lesions or saliva

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14
Q

How does herpetic gingivo-stomatitis manifest?

A

Oral lesions on lip or around mouth. Blisters or vesicles erupt and ooze with clear/yellowish fluid

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15
Q

Treatment of herpetic gingivo-stomatitis?

A

Treat symptoms - anti-pyretic medication, bedrest, soft diet, maintain fluid intake

Paracetamol for pyrexia

Plaque control - chlorhexidine

Severe cases/immunocompromised = aciclovir

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16
Q

Symptoms of hand, foot and mouth disease?

A

Headache, malaise, sore throat

Lesions on hand, foot and mouth

17
Q

What can cause chemical acute gingival trauma?

A

Aspirin

Acid etch gel

Sodium hypochlorite

18
Q

What can cause thermal acute gingival trauma

A

Hot food and drink

Dental treatment

Cavitron with poor water coolant

19
Q

What can cause allergic reaction causing acute gingival trauma

A

Diet - food, toothpastes, medications, nutritional deficiency

Dental materials - mercury, nickel, acrylic

20
Q

List endocrine causes of acute gingival disease

A

Puberty-associated gingivitis
Pregnancy associated gingivitis
Pregnancy-associated pyogenic granuloma

21
Q

List mucocutaneous causes of acute gingival disease

A

Lichen planus
Pemphigoid
Pemphigus vulgaris

22
Q

What blood dyscrasias can cause acute gingival disease

A

Leukaemia associated gingivitis

Neutropenia