Exam 1 Acute Periodontitis Flashcards
What will you see in someone who you have to diagnose with acute periodontal disease?
Pain
Swelling and Edema
Lymphadenopathy
Fever
An un-erupted tooth may cause what?
acute pericoronitis
How would I treat Acute Pericoronitis?
control infection, inflammation, and pain
How would I control Acute Periocoronitis pain?
1) irrigate with peroxide and/or CHX
2) systemic antibiotics
3) extract Mx 3rd molar
4) surgically remove pericoronal tissue
What does ANUG stand for?
Acute Necrotizing Ulcerative Gingivitis
What might bring on ANUG?
Stress/Anxiety for 15-30 year old
Smoking
Poor oral hygiene
How can you diagnose ANUG?
Pain Sudden onset Necrosis and cratering of gingival papillae Pseudomembrane formation Bleeding on probing Foul breath odor Lymphadenopathy Elevated Temperature
How can I help rid the patient of ANUG?
Stop smoking Tell Pt to sleep and eat well Prescribe antibiotics CHX oral rinse Debridement Scaling and root planing Surgery if residual tissue deformities inhibit proper OH
How prescriptions to treat ANUG?
Amoxicillin
Metronidazole** only if double punch needed
If a patient has multiple abscess formation, this is often a manifestation of what?
uncontrolled diabetes or AIDS
What clinical signs indicate an acute periodontal abscess?
Pain Low grade fever Lymphadenopathy Localized swelling and fluctuence Deep PD Tooth exhibits vital pulp Tooth mobility Sensitivity to percussion (touch)
What trumps treating a perio pocket?
non-vital pulp
please refer to Endo
What specific 2 bacteria will you find in an acute periodontal abscess that help it form?
Porphyromonas gingivalis
Prevotella intermedia
What do P. gingivalis and P. intervedia do to help form a periodontal abscess?
increase availability of nutrients and thereby increasing the number of bacteria within the abscess environment
Name the tons of bacteria you will find in an acute periodontal abscess?
Treponema (spirochetes) Fusobacterium nucleatum Porphyromonas gingivalis Prevotella intermedia Parvimonas micra Tannerella forsythia Candida albicans