Acute Periodontal conditions

Question 1

What are the early clinical signs of ANUG?

Answer 1

• Necrotic lesion initially in papilla then progressing to gingival margin.
• Punched out appearance.
• Spontaneous bleeding

Question 2

What are the characteristics of advanced lesions in ANUG?

Answer 2

• Lack of deep pockets
• Merging of papillary and marginal involvement.
• Characteristic foetor
• Crater formation of necrosis.
• White membrane

Question 3

What is the microbiology etiology of ANUG?

Answer 3

• Treponema
• Selenomonas
• Fusobacterium
• Prevetella intermedia

Question 4

What is the treatment of ANUG?

Answer 4

• Remove bacterial load and necrotic tissue
• No anti-biotics!
• Rinse with 3% hydrogen peroxide.

Question 5

What are the characteristics of Gingival abscess? Treatment?

Answer 5

• Involves marginal gingiva or interdental papilla
• Trauma
• Vital pulp
• Pain localized

Treatment= removal of noxious agents, drainage, no antibiotics.

Question 6

What are the characteristics of periocoronal abscess? Treatment?

Answer 6

• Always associated with impacted tooth
• Trauma
• Vital pulp
• Pain localized

Treatment= removal of noxious agents, irrigation under tissue, Systemic complications=antibiotics.

Question 7

What are the characteristics of periodontal abscess? Treatment?

Answer 7

• Infection of tissue adjacent to periodontal pocket.
• Infection
• Vital pulp
• Pain localized

Treatment=Drainage, Scaling root planing, perio surgery, antibiotics if systemic complications, extraction.

Question 8

what are the characteristics of periapical abscess? Treatment?

Answer 8

• Infection of dental pulp remnants and tissue surrounding apex of the tooth.
• Infection
• Pulp NON vital
• Pain Severe and non localized.

Treatment=Removal of tooth, root canal.

Question 9

What is the prevalence of periodontal abscesses?

Answer 9

• Most often in PD > than 5 mm
• More prevalent in diabetes patients.
• Most common in molars.