Exam 2; Other Periodontal Diseases and Conditions Flashcards
What are five characteristics of NUG/NUP
necrosis of papilla "punched out papilla" sloughing pain bleeding attachment loss (NUP)
This is a piece of dead bone that can form in NUP
sequestrum formation
This is when the entire bone is necroses
NUS; necrotizing ulcerative stomatitis
What is the epidemiology of NUG/NUP
young adults
industrialized countries (2-7% prevalent)
developing countries (higher prevalence)
immunocompromised patients
What three clinical presentations of NUG/NUP are used in diagnosis
ulceration and necrosis of inter proximal papillae
painful gingiva
bleeding
What two things are used as a differential diagnosis of NUG/NUP
primary herpetic gingivostomatitis
oral mucosal disease
What is the histopathology of NUG/NUP
a lot of neutrophils
What is the pathogenesis etiology of NUG/NUP
bacteria; spirochetes
invasiveness
human cytomegalovirus
HIV
What four host factors can be an etiological factor for NUG/NUP
immunosuppression
pre-exsisting gingivitis/poor oral hygiene
physiological stress; lack of sleep
smoking
What are the two goals of NUG/NUP therapy
eliminate disease activity
avoid pain, general discomfort
What are three acute treatments for NUG/NUP
debridement
oral rinses
antibiotics
What are three other therapies for NUG/NUP
further mechanical therapy
surgical therapy
predisposing factor elimination
This is a localized, painful, rapidly expanding lesion usually of sudden onset
gingival abscess
Where is a gingival access generally limited to
the marginal gingiva or interdental papillae
What is the etiology of gingival abscess
irritation from foreign bodies forcefully embedded into previously healthy tissues
This is a localized purulent inflammation in the periodontal tissues; an extension from pocket to periodontal tissues, localized along lateral root surface
periodontal abscess
localization of a periodontal abscess occurs when
when drainage through pocket is impaired
This can impair drainage of a periodontal abscess
post treatment tissue shrinkage over incompletely removed calculus
A periodontal abscess can occur following what
trauma (root fracture) or endodontic perforation
What are three periodontitis-related abscesses
exacerbation of chronic lesion
post-therapy abscess
post-antibiotic abscess
This periodontitis-related abscesses is found in untreated patients and maintenance patients
exacerbation of chronic lesions
This periodontitis-related abscesses is following SRP and following surgical therapy
post-therapy abscess
This periodontitis-related abscesses is a result of super-infection
post-antibiotic abscess
What are two non-periodontitis related abscesses
foreign body impaction
root morphology alterations
What is the epidemiology of period abscess
common emergency condition (8-14%)
common among patients treated for periodontitis
more common in untreated patients
most prevalent in molar sites
What are some etiologies and pathogenesis of periodontal abscesses
bacteria
mechanical obstruction prevents drainage
What clinical symptoms are used to diagnose a periodontal abscess
swelling suppuration pain gingival tenderness deep pocket BOP, mobility, etc. fever, malaise, etc.
What are four complications of a periodontal abscess
tooth loss
systemic infections
dissemination through tissues or bacteremia
What are 5 other differential diagnoses of periodontal abscesses
periapical (endodontic) abscess vertical root fracture endo-perio abscess osteomyelitis tumors
What are some therapies for perio abscesses
acute lesion management; incision and drainage, SRP antibiotics surgery treatment of origin/residual lesion
