Acute Periodontal Infections Flashcards
1
Q
Bacteria involved in necrotising gingivitis
A
T. Denticola T. Vincentii P. Intermedia P. Gingivalis F. Nucletaum Gram negative rods and spirochates form fuso-spirochaetal complex. Spirochaetes invade tissue. Unable to infect healthy subjects
2
Q
Signs of necrotising gingivitis
A
Acute gingival pain
Punched out ulceration of interdental papilla
Ulcers which bleed spontaneously
Foetor oris
Lymphadenopathy
Necrotic grey pseudomembranous slough covering interdental papilla
3
Q
Signs of necrotising periodontitis
A
Deep interproximal craters with denudation of alveolar bone
Sequestration of interdental or buccal / lingual bone
4
Q
Management of necrotising periodontitis
A
Debridement under LA Chlorhexidine mouthwash Analgesia Severe cases : metronidazole 200mg tid for 3 days or Amoxicillin 250mg tid for 5 days Periodontal follow up
5
Q
What percentage of patients will have recurrence of herpes labialis
A
30%
6
Q
Where do AHGS lesions develop?
A
Tongue
Buccal mucosa
Gingival mucosa
7
Q
Management of AHGS
A
Fluid intake
Analgesia
Chlorhexidine
Aciclovir in first 3 days of onset 15mg/kg 5 times a day for 5-7 days
