Acute gingival conditions Flashcards
Acute defintion
Sharp or severe
Rapid onset
Brief duration
Chronic definition
Long duration, gradual change
Is plaque induced gingivitis usually chronic or acute?
Chronic
How can acute gingival conditions be classified?
Infective
Traumatic
Systemic
What can cause infective gingival conditions
Bacteria
Viral
Fungal
What can cause traumatic gingival conditions?
Chemical
Thermal
Physical
What can cause systemic gingival conditions?
Allergy
Endocrine
Mucocutaneous
Blood dyscrasias
List 3 bacterial gingival infections
Plaque-induced gingivitis
Necrotising gingivitis
Gingival/periodontal abscess
When should you prescribe antimicrobials for periodontal abscess
Severe cases of spreading infections
What is an endo-perio lesion?
Deep pocket surrounding a non-vital tooth
Tender to palpation
Management of endo-perio lesion?
Drainage
Debride periodontal pocket, extirpate the pulp
RCT
extraction
What viruses can cause acute gingival disease?
HSV - primary herpetic gingivo stomatitis
VZV
Hand, foot mouth disease - cocksackie virus
How is primary herpetic gingivostomatitis transmitted?
Direct contact with infected lesions or saliva
How does herpetic gingivo-stomatitis manifest?
Oral lesions on lip or around mouth. Blisters or vesicles erupt and ooze with clear/yellowish fluid
Treatment of herpetic gingivo-stomatitis?
Treat symptoms - anti-pyretic medication, bedrest, soft diet, maintain fluid intake
Paracetamol for pyrexia
Plaque control - chlorhexidine
Severe cases/immunocompromised = aciclovir