Exam 2; Other Periodontal Diseases and Conditions

Question 1

What are five characteristics of NUG/NUP

Answer 1

necrosis of papilla "punched out papilla"
sloughing
pain
bleeding
attachment loss (NUP)

Question 2

This is a piece of dead bone that can form in NUP

Answer 2

sequestrum formation

Question 3

This is when the entire bone is necroses

Answer 3

NUS; necrotizing ulcerative stomatitis

Question 4

What is the epidemiology of NUG/NUP

Answer 4

young adults
industrialized countries (2-7% prevalent)
developing countries (higher prevalence)
immunocompromised patients

Question 5

What three clinical presentations of NUG/NUP are used in diagnosis

Answer 5

ulceration and necrosis of inter proximal papillae
painful gingiva
bleeding

Question 6

What two things are used as a differential diagnosis of NUG/NUP

Answer 6

primary herpetic gingivostomatitis

oral mucosal disease

Question 7

What is the histopathology of NUG/NUP

Answer 7

a lot of neutrophils

Question 8

What is the pathogenesis etiology of NUG/NUP

Answer 8

bacteria; spirochetes
invasiveness
human cytomegalovirus
HIV

Question 9

What four host factors can be an etiological factor for NUG/NUP

Answer 9

immunosuppression
pre-exsisting gingivitis/poor oral hygiene
physiological stress; lack of sleep
smoking

Question 10

What are the two goals of NUG/NUP therapy

Answer 10

eliminate disease activity

avoid pain, general discomfort

Question 11

What are three acute treatments for NUG/NUP

Answer 11

debridement
oral rinses
antibiotics

Question 12

What are three other therapies for NUG/NUP

Answer 12

further mechanical therapy
surgical therapy
predisposing factor elimination

Question 13

This is a localized, painful, rapidly expanding lesion usually of sudden onset

Answer 13

gingival abscess

Question 14

Where is a gingival access generally limited to

Answer 14

the marginal gingiva or interdental papillae

Question 15

What is the etiology of gingival abscess

Answer 15

irritation from foreign bodies forcefully embedded into previously healthy tissues

Question 16

This is a localized purulent inflammation in the periodontal tissues; an extension from pocket to periodontal tissues, localized along lateral root surface

Answer 16

periodontal abscess

Question 17

localization of a periodontal abscess occurs when

Answer 17

when drainage through pocket is impaired

Question 18

This can impair drainage of a periodontal abscess

Answer 18

post treatment tissue shrinkage over incompletely removed calculus

Question 19

A periodontal abscess can occur following what

Answer 19

trauma (root fracture) or endodontic perforation

Question 20

What are three periodontitis-related abscesses

Answer 20

exacerbation of chronic lesion
post-therapy abscess
post-antibiotic abscess

Question 21

This periodontitis-related abscesses is found in untreated patients and maintenance patients

Answer 21

exacerbation of chronic lesions

Question 22

This periodontitis-related abscesses is following SRP and following surgical therapy

Answer 22

post-therapy abscess

Question 23

This periodontitis-related abscesses is a result of super-infection

Answer 23

post-antibiotic abscess

Question 24

What are two non-periodontitis related abscesses

Answer 24

foreign body impaction

root morphology alterations

Question 25

What is the epidemiology of period abscess

Answer 25

common emergency condition (8-14%)
common among patients treated for periodontitis
more common in untreated patients
most prevalent in molar sites

Question 26

What are some etiologies and pathogenesis of periodontal abscesses

Answer 26

bacteria

mechanical obstruction prevents drainage

Question 27

What clinical symptoms are used to diagnose a periodontal abscess

Answer 27

swelling
suppuration
pain
gingival tenderness
deep pocket
BOP, mobility, etc.
fever, malaise, etc.

Question 28

What are four complications of a periodontal abscess

Answer 28

tooth loss
systemic infections
dissemination through tissues or bacteremia

Question 29

What are 5 other differential diagnoses of periodontal abscesses

Answer 29

periapical (endodontic) abscess
vertical root fracture
endo-perio abscess
osteomyelitis
tumors

Question 30

What are some therapies for perio abscesses

Answer 30

acute lesion management; incision and drainage,
SRP
antibiotics
surgery
treatment of origin/residual lesion