Acute Perio Diseases (Lecture 2) Flashcards

1
Q

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

A
  1. Pain 2.Swelling 3.Lymphadenopathy 4.Fever
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are 3 alternate names for ANUG?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Is ANUG Contageous?

A

hell NAW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A

stress & anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

A

15-30 years of age…smoking…sinnners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A

Yes! but its less severe…Anterior to Posterior progression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

NeutroPhils & Macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What mechanical Tx am I going to give for ANUG?

A

Debridment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Do you get a Pseudomembrane formation in ANUG?

A

you bet your bottom dollar!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Would you treat ANUG with surgery?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A
  1. Diabetes 2.AIDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

A

Endo

17
Q

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

A

GRAM NEGATIVE and ANAEROBIC

18
Q

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

A

P. Gingivalis and P. Intermedia…Proteinases

19
Q

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

A

Treponema Denticola

20
Q

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

A

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

21
Q

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

A

acute perio abscess

22
Q

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

A

Endotoxin and Collagenase

23
Q

What are the 4 steps to acute perio abscess Tx?

A

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

24
Q

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

A

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

25
Q

How do thou treatest acute gingival abscess?

A

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