Acute Perio Diseases (Lecture 2) Flashcards
What is the decreasing order that you will see the clinical symptoms of acute perio disease?
- Pain 2.Swelling 3.Lymphadenopathy 4.Fever
What is the most common treatment of Acute PeriCoronitis? What are 3 other tx?
take out the 3rd molar! (1.irregate-h2o2/CHX 2.Systemic Ab’s 3.Surgical removal of the pericoronal tissue)
What are 3 alternate names for ANUG?
1.Vincent’s Stomatitis 2.Trench Mouth 3.Fetid Oralis
Is ANUG Contageous?
hell NAW
With ANUG there is a STRONG relationship between onset of disease and level of _______ & _______.
stress & anxiety
When is the general age of onset for ANUG? Which sin is commonly associated with ANUG?
15-30 years of age…smoking…sinnners
Can ANUG occur in a clean mouth? Which way in the does the disease progress?
Yes! but its less severe…Anterior to Posterior progression
What two general cell types will migrate to the site in ANUG?
NeutroPhils & Macrophages
Which two antibiotics are most commonly Rx’d for ANUG?????
1.Amox-icillin 2.METRO-N-eye-DA-ZOL
What mechanical Tx am I going to give for ANUG?
Debridment
Do you get a Pseudomembrane formation in ANUG?
you bet your bottom dollar!
What are the 4 Microscopic zones of ANUG from the lesion surface to the Lamina propria???
1.Bacterial Zone 2.neutrophil rich zone 3.Zone of necrosis 4.Zone of SPIROCHETE infiltration
Would you treat ANUG with surgery?
Yes, as a last resort if there are residual soft tissue deformities that inhibit proper oral hygiene
What are the 2 most common systemic causes for MULTIPLE abscess formation?
- Diabetes 2.AIDS
How much of a perio practice is emergency pt? what about tx and maintenance?
emergency: 10-15%…tx:14%…37% maintenance
Which comes first with a dead pulp? Perio or Endo?
Endo
In an ACUTE PERIODONTAL ABSCESS- 65% of the microbial flora is Gram ______ and ______.
GRAM NEGATIVE and ANAEROBIC
What are the two main BUGS associated with an ACUTE PERIODONTAL ABSCESS? What virulence factor do they produce?
P. Gingivalis and P. Intermedia…Proteinases
What type of Spirochete is associated with Acute Perio Abscess and ANUG?
Treponema Denticola
List of microbiota assoc with acute perio abscess: what was the only non bacterium? What was the bug I have never seen before?
Candida-only non bacterium, Parvimonas Micra- one I’ve never seen before
These are required for _______: Periodontal pocket, Blockage of periodontal pocket, Presence of sub gingival plaque,Presence of plaque microbes that exhibit
multiple virulence factors
acute perio abscess
What are the two main virulence factors assoc with acute perio abscess?
Endotoxin and Collagenase
What are the 4 steps to acute perio abscess Tx?
1.Drain 2.Antibiotics (systemic OR local) 3.Scale/Root Planing 4.Surgery (if indicated)
Switch gears for a sec: acute GINGIVAL abscess…Main etiology? (2)
1.impaction of a foreign body 2.assoc bacteria carried into the tissue
How do thou treatest acute gingival abscess?
SAME AS PERIO ABSCESS!!!! 1.drain 2.antibiotics (systemic/local) 3.SRP 4. Surgery
