Exam 1 Acute Periodontitis Flashcards

1
Q

What will you see in someone who you have to diagnose with acute periodontal disease?

A

Pain
Swelling and Edema
Lymphadenopathy
Fever

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2
Q

An un-erupted tooth may cause what?

A

acute pericoronitis

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3
Q

How would I treat Acute Pericoronitis?

A

control infection, inflammation, and pain

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4
Q

How would I control Acute Periocoronitis pain?

A

1) irrigate with peroxide and/or CHX
2) systemic antibiotics
3) extract Mx 3rd molar
4) surgically remove pericoronal tissue

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5
Q

What does ANUG stand for?

A

Acute Necrotizing Ulcerative Gingivitis

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6
Q

What might bring on ANUG?

A

Stress/Anxiety for 15-30 year old
Smoking
Poor oral hygiene

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7
Q

How can you diagnose ANUG?

A
Pain
Sudden onset
Necrosis and cratering of gingival papillae
Pseudomembrane formation
Bleeding on probing
Foul breath odor
Lymphadenopathy
Elevated Temperature
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8
Q

How can I help rid the patient of ANUG?

A
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
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9
Q

How prescriptions to treat ANUG?

A

Amoxicillin

Metronidazole** only if double punch needed

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10
Q

If a patient has multiple abscess formation, this is often a manifestation of what?

A

uncontrolled diabetes or AIDS

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11
Q

What clinical signs indicate an acute periodontal abscess?

A
Pain
Low grade fever
Lymphadenopathy
Localized swelling and fluctuence
Deep PD
Tooth exhibits vital pulp
Tooth mobility
Sensitivity to percussion (touch)
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12
Q

What trumps treating a perio pocket?

A

non-vital pulp

please refer to Endo

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13
Q

What specific 2 bacteria will you find in an acute periodontal abscess that help it form?

A

Porphyromonas gingivalis

Prevotella intermedia

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14
Q

What do P. gingivalis and P. intervedia do to help form a periodontal abscess?

A

increase availability of nutrients and thereby increasing the number of bacteria within the abscess environment

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15
Q

Name the tons of bacteria you will find in an acute periodontal abscess?

A
Treponema (spirochetes)
Fusobacterium nucleatum
Porphyromonas gingivalis
Prevotella intermedia
Parvimonas micra
Tannerella forsythia
Candida albicans
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16
Q

A root fracture occurs more likely on what type of tooth?

A

root canal treated tooth

17
Q

Isolated probing depth is a good indication of what?

A

abscess from root fracture

18
Q

How do you treat an acute periodontal abscess?

A

1) establish drainage
2) systemic or local delivery antibiotics
3) scale and root planing
4) surgery, if indicated