acute periodontal disease Flashcards
acute periodontal diseases
1) periodontal emergencies!
2) pain and infection
3) local or general with possible systemic manifestations
examples of acurte
1) necrotizing
2) herpetic gingivostomatitis
3) abscesses of the periodontium
necrotizing periodontal diseases
1) acute infection
2) nec gingivitis to nec periodontitis with bone and attachment loss
3) sudden onset
4) extreme pain
necrotizing gingivitis
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
necrotizing periodontitis
1) same as ANUG but bone loss
etiology
1) spirochetes
2) fusiform bacilli
3) prevotella intermedia
*can invade the tissue
predisposing factors
1) poor oral hygiene
2) emotional or physical stress
3) lowered systemic resistance
4) heavy smoking
5) poor nutrition
treatment
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
necrotizing periodontitis after healing
1) definite attachment loss and loss of papillae
herpetic gingivostomatitis
1) primary or acute
2) due to herpes simplex virus
3) encrusts lips and gingiva
herpetic gingivostomatitis etiology
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
signs of HG
1) generalized oral pain
2) lymphadenopathy
3) etc
HG treatment
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
herpetic whitlow
1) HIGHLY infectious
2) on fingers
3) others are ocular herpes, herpes genitalis, herpes labialis, herpetic encephalitis
latency of HG
1) recurrent lesions (secondary outbreaks) type 1 or 2
2) triggers: stress, trauma, sunlight, fever, food
3) trigeminal ganglion
magic mouthwash recipe
1) lidocaine
2) maaloox
3) benadryl
4) swish, gargle, expectorate
erythema multiforme or PHG
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
gingival abcess
1 )emergency and acute infection of gingiva and interdental papilla in previously disease free areas
2) once treated, no harm
gingival abcess clinical features
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
periodontal abcess
1) loss of bone and attachment loss
2) originating in periodontal tissues other than marginal gingiva
periodontal abscess clinical features
1 )can use GP to see where it goes
2)swelling with a smooth, shiny surface
3) pain, tenderness
periodontal abcess etiology
1) lateral extension of a perio pocket
2) pocket with tortuous course
3) incomplete removal of calculus
periapical vs periodontal abscess
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
treatment for perio abcess
1) LA administration
2) incision and drain
3) debridment
4) irrigation
5) occlusal adjustment
6) follow up
