dental conditions Flashcards
what is primary herpetic gingivostomatitis?
a common, mild, self limiting (short lived), viral infection of the mouth.
what are the prodromal symptoms of primary herpetic gingivostomatitis?
fever, cervical lymphadenopathy, and malaise
what does primary herpetic gingivostomatitis present as
numerous pin head vesicles which rupture and ulcer on the perioral skin, vermilion border, and oral mucosa.
what is the treatment for primary herpetic gingivostomatitis
disease is self limiting, lesions heal spontaneously in 7-14 days.
what is the medication that is indicated that may speed up recovery time of primary herpetic gingivostomatitis?
acyclovir 200-800 mg five times daily for 7-14 days
what is used as pain control mouthwash with primary herpetic gingivostomatitis
magic mouth was. equal parts
2% viscous lidocaine (the pain control portion)
liquid diphenhydramine
kaopectate or maalox
what is recurrent herpes simplex
a common mild self limiting re manifestation of the herpes simplex virus, re activated in immunocompromised patients.
what are the two differentiated forms of recurrent herpes simplex
intraoral herpes and herpes labialis.
what is herpes labialis also commonly known as?
“cold sores” or “fever blisters”
what are the prodromal symptoms of intraoral herpes simplex
pain, burning, tingling, or itching in areas where vesicles develop.
treatment for intraoral herpes simplex
acyclovir 200-800 mg five times daily for 7 to 14 days (topical form)
Necrotizing Ulcerative Gingivitis (NUG) is also knows as what?
trench mouth or Vincents Angina
what is the appearance of NUG upon diagnosing?
ulcerations present on dental papillae and marginal gingiva. Punched out appearance and are covered by a grey pseudo membrane.
rapid onset of NUG may be accompanied by what?
malaise or fever
what is the treatment for NUG
patient uses soft toothbrush to wipe teeth. gentle cleaning and debridement
what is the name of the opportunistic fungal overgrowth that we call thrush?
Candida Albicans. it is a yeast/fungus
what is the treatment for Thrush?
Fluconazole 100mg x 7 days
what is another name for an Aphthous Ulcer?
Commonly know as “canker sores”. and also known as Recurrent Aphthous Stomatitis (RAS)
What are the prodromal symptoms of aphthous ulcers?
burning or itching
how will aphthous ulcers present
1/4 to 6 mm round ulcerations with yellow gray fibrinoid centers surrounded by red halos.
what can sometimes provide symptomatic relief with aphthous ulcers?
topical corticosteroids:
triamcinolone acetonic, .01%
fluocinonide ointment, .05%
what is the umbrella term for conditions producing dysfunctions of the jaw or pain in the jaw and face often around the TMJ?
temporomandibular disorders (TMD)
what is an anterior misalignment of the articular disk above the condyle?
an internal joint derangement
what are the types of arthritis affecting the TMJ
infectious arthritis, traumatic arthritis, osteoarthritis, RA, and secondary degenerative arthritis.
