Acute Perio Diseases (Lecture 2)

Question 1

What is the decreasing order that you will see the clinical symptoms of acute perio disease?

Answer 1

1. Pain 2.Swelling 3.Lymphadenopathy 4.Fever

Question 2

What is the most common treatment of Acute PeriCoronitis? What are 3 other tx?

Answer 2

take out the 3rd molar! (1.irregate-h2o2/CHX 2.Systemic Ab’s 3.Surgical removal of the pericoronal tissue)

Question 3

What are 3 alternate names for ANUG?

Answer 3

1.Vincent’s Stomatitis 2.Trench Mouth 3.Fetid Oralis

Question 4

Is ANUG Contageous?

Answer 4

hell NAW

Question 5

With ANUG there is a STRONG relationship between onset of disease and level of _______ & _______.

Answer 5

stress & anxiety

Question 6

When is the general age of onset for ANUG? Which sin is commonly associated with ANUG?

Answer 6

15-30 years of age…smoking…sinnners

Question 7

Can ANUG occur in a clean mouth? Which way in the does the disease progress?

Answer 7

Yes! but its less severe…Anterior to Posterior progression

Question 8

What two general cell types will migrate to the site in ANUG?

Answer 8

NeutroPhils & Macrophages

Question 9

Which two antibiotics are most commonly Rx’d for ANUG?????

Answer 9

1.Amox-icillin 2.METRO-N-eye-DA-ZOL

Question 10

What mechanical Tx am I going to give for ANUG?

Answer 10

Debridment

Question 11

Do you get a Pseudomembrane formation in ANUG?

Answer 11

you bet your bottom dollar!

Question 12

What are the 4 Microscopic zones of ANUG from the lesion surface to the Lamina propria???

Answer 12

1.Bacterial Zone 2.neutrophil rich zone 3.Zone of necrosis 4.Zone of SPIROCHETE infiltration

Question 13

Would you treat ANUG with surgery?

Answer 13

Yes, as a last resort if there are residual soft tissue deformities that inhibit proper oral hygiene

Question 14

What are the 2 most common systemic causes for MULTIPLE abscess formation?

Answer 14

1. Diabetes 2.AIDS

Question 15

How much of a perio practice is emergency pt? what about tx and maintenance?

Answer 15

emergency: 10-15%…tx:14%…37% maintenance

Question 16

Which comes first with a dead pulp? Perio or Endo?

Answer 16

Endo

Question 17

In an ACUTE PERIODONTAL ABSCESS- 65% of the microbial flora is Gram ______ and ______.

Answer 17

GRAM NEGATIVE and ANAEROBIC

Question 18

What are the two main BUGS associated with an ACUTE PERIODONTAL ABSCESS? What virulence factor do they produce?

Answer 18

P. Gingivalis and P. Intermedia…Proteinases

Question 19

What type of Spirochete is associated with Acute Perio Abscess and ANUG?

Answer 19

Treponema Denticola

Question 20

List of microbiota assoc with acute perio abscess: what was the only non bacterium? What was the bug I have never seen before?

Answer 20

Candida-only non bacterium, Parvimonas Micra- one I’ve never seen before

Question 21

These are required for _______: Periodontal pocket, Blockage of periodontal pocket, Presence of sub gingival plaque,Presence of plaque microbes that exhibit
multiple virulence factors

Answer 21

acute perio abscess

Question 22

What are the two main virulence factors assoc with acute perio abscess?

Answer 22

Endotoxin and Collagenase

Question 23

What are the 4 steps to acute perio abscess Tx?

Answer 23

1.Drain 2.Antibiotics (systemic OR local) 3.Scale/Root Planing 4.Surgery (if indicated)

Question 24

Switch gears for a sec: acute GINGIVAL abscess…Main etiology? (2)

Answer 24

1.impaction of a foreign body 2.assoc bacteria carried into the tissue

Question 25

How do thou treatest acute gingival abscess?

Answer 25

SAME AS PERIO ABSCESS!!!! 1.drain 2.antibiotics (systemic/local) 3.SRP 4. Surgery