Acute Periodontitis Disease (Necrotising/ Abscess)

Question 1

What are the symptoms of ANUG?

Answer 1

• Pain
• Bleeding
• Halitosis

Question 2

What are the signs of ANUG?

Answer 2

1. Punched-out ulcers affecting interdental papillae and gingival margins
2. Ulcers with greyish slough, can be wiped away –> bleeding
3. Necrosis of gingival tissue (rather pocketing)

Question 3

How is ANUG managed?

Answer 3

• Ultrasonic debridement
• OHI
• 0.2% CHS mw
• 6% hydrogen peroxide mw until symptoms subsides
• AB only if systemic
  
  • -> Metronidazole 200mg 3x daily for 3 days

Question 4

What are the symptoms of a periodontal abscess?

Answer 4

• Pain on biting
• Swelling
• Discharge (-> halitosis)

Question 5

What are the signs of a periodontal abscess?

Answer 5

• Swelling adj to perio pocket
• TTP
• Suppuration via sinus/ pocket
• Tooth mobility

Question 6

How is a periodontal abscess managed?

Answer 6

• Drainage = incision/ via pocket (dilate with instrument)
• Gentle sub-gingival debridement
• Hot saline mw
• Extr poor prognosis teeth
• AB only if systemic –> HPT, surgery if indicated and maintenance

Amoxicillin 500mg 3x daily for 5 days