acute periodontal disease

Question 1

acute periodontal diseases

Answer 1

1) periodontal emergencies!
2) pain and infection
3) local or general with possible systemic manifestations

Question 2

examples of acurte

Answer 2

1) necrotizing
2) herpetic gingivostomatitis
3) abscesses of the periodontium

Question 3

necrotizing periodontal diseases

Answer 3

1) acute infection
2) nec gingivitis to nec periodontitis with bone and attachment loss
3) sudden onset
4) extreme pain

Question 4

necrotizing gingivitis

Answer 4

1) ulceration and necrosis of papilla
2) erythema
3) fetor oris
4) pseudomembrane
5) lymphadenopathy
6) fever and malaise
—
1) aka necrotizing ulcerative gingivitis
2) or ANUG
3) vincents infection, trench mouth, ulcerative stomatitis of soldiers

Question 5

necrotizing periodontitis

Answer 5

1) same as ANUG but bone loss

Question 6

etiology

Answer 6

1) spirochetes
2) fusiform bacilli
3) prevotella intermedia

*can invade the tissue

Question 7

predisposing factors

Answer 7

1) poor oral hygiene
2) emotional or physical stress
3) lowered systemic resistance
4) heavy smoking
5) poor nutrition

Question 8

treatment

Answer 8

1) debridement and irrigation
2) oral hygiene instruction
3) antimicrobial rinses - eg. 0.12% chlorohexidine gluconate
4) pain control
5) antibiotics prn - metronidazole
- 500 mg tid x 7 days
6) patient counseling (HIV+)
7) comprehensive periodontal exam

Question 9

necrotizing periodontitis after healing

Answer 9

1) definite attachment loss and loss of papillae

Question 10

herpetic gingivostomatitis

Answer 10

1) primary or acute
2) due to herpes simplex virus
3) encrusts lips and gingiva

Question 11

herpetic gingivostomatitis etiology

Answer 11

1) herpes simplex 1 or 2
2) 7-14 days
3) primary infection may be asymptomatic
4) usually occurs in children
5) diagnosis based on med hx and on characteristic clinical features

Question 12

signs of HG

Answer 12

1) generalized oral pain
2) lymphadenopathy
3) etc

Question 13

HG treatment

Answer 13

1) palliative
2) copious fluid
3) removal of plaque and food debris
4) pain relief
- acetaminophen for children
- viscous lidocaine gel
5 )fever control
5 )acyclovir and other systemic antiviral medications

Question 14

herpetic whitlow

Answer 14

1) HIGHLY infectious
2) on fingers
3) others are ocular herpes, herpes genitalis, herpes labialis, herpetic encephalitis

Question 15

latency of HG

Answer 15

1) recurrent lesions (secondary outbreaks) type 1 or 2
2) triggers: stress, trauma, sunlight, fever, food
3) trigeminal ganglion

Question 16

magic mouthwash recipe

Answer 16

1) lidocaine
2) maaloox
3) benadryl
4) swish, gargle, expectorate

Question 17

erythema multiforme or PHG

Answer 17

1) ask if they have taken medication before 24 hours
- EM can be due to allergy
- DO NOT TREAT WITH acyclovir or else they can get stevens johnsons syndrome

Question 18

gingival abcess

Answer 18

1 )emergency and acute infection of gingiva and interdental papilla in previously disease free areas
2) once treated, no harm

Question 19

gingival abcess clinical features

Answer 19

1) drain it and get rid of causative factor
2) purulent exudate
3) results from bacteria carried deep into the tissues
4) debridgement, irrigation, follow up

Question 20

periodontal abcess

Answer 20

1) loss of bone and attachment loss
2) originating in periodontal tissues other than marginal gingiva

Question 21

periodontal abscess clinical features

Answer 21

1 )can use GP to see where it goes
2)swelling with a smooth, shiny surface
3) pain, tenderness

Question 22

periodontal abcess etiology

Answer 22

1) lateral extension of a perio pocket
2) pocket with tortuous course
3) incomplete removal of calculus

Question 23

periapical vs periodontal abscess

Answer 23

1) sever, spont pain
2) lg swelling, cellulitis, neg pulp test
4) sinus tract - apex
5) no perio pocket

1) dull pain
2) local swelling
3) vital pulp test
4) sinus tract - crown of tooth
6) perio pocket

Question 24

treatment for perio abcess

Answer 24

1) LA administration
2) incision and drain
3) debridment
4) irrigation
5) occlusal adjustment
6) follow up

Question 25

periocoronal abcess

Answer 25

1) pericoronitis
2) commonly mandibular 3rd molars
3) infection of pericoronal flap that covers partially erupted tooth

Question 26

treatment of pericoronal abcess

Answer 26

1 )debridement, irrigation
2) pain relief, antibiotics prn
3)OHI
4 )removal of operculum or extraction of tooth after severe symptoms resolve