Final-Acute Periodontal Lesions and Mucogingival Conditions- High Yield

Question 1

Acute periodontal lesions include: (3)

Answer 1

1. periodontal abscess
2. necrotizing periodontal diseases
3. endo perio lesions

Question 1

What is the etiology of periodontal abscess? (6)

Answer 1

1. pulp necrosis
2. periodontal infections
3. pericoronitis
4. trauma
5. surgery
6. foreign body impaction

Question 2

Localized accumulation of pus within the gingival wall of the periodontal pocket, with an expressed periodontal breakdown occurring during a limited period of time and with easily detectable clinical symptoms

Answer 2

periodontal abscess

Question 3

A periodontal abscess is a:

1. _____ accumulation of pus with the ___ of the periodontal pocket
2. with an expressed periodontal breakdown occurring during a ____
3. with ____ symptoms

Answer 3

1. localized; gingival wall
2. limited period of time
3. easily detectable clinical symptoms

Question 4

List the most common symptoms in order of decreasing frequency of acute periodontal disease: (4)

Answer 4

1. Pain
2. Swelling & Edema
3. Lymphadenopathy
4. Fever

Pumpkin Spice Latte Foreva!!!`

Question 5

Multiple abscess formation is often a manifestation of:

Answer 5

1. diabetes (uncontrolled or undiagnosed)
2. AIDS (compromised immune system)
3. Depressed Immune System (steroid therapy or chemotherapy)

Question 6

What is the most common cause of MULTIPLE periodontal abscess formation?

Answer 6

Diabetes (uncontrolled or undiagnosed)

Question 7

List the microbiological species that are causative agents of periodontal abscesses: (7)

Answer 7

1. Candida albicans
2. Fusobacterium nucleatum
3. Peptostreptococcus micros
4. Porphyromonas gingivalis
5. Prevotella Intermedia
6. Tannerella forsythia
7. Treponema spirochetes

Question 8

Periodontal abscess in a periodontitis patient could represent:

Answer 8

A period of disease exacerbation

Question 9

Periodontal abscess in a periodontitis patient could represent a period of disease exacerbation due to the presence of:

Answer 9

1. tortuous pocket
2. furcation involvement
3. vertical defect

Question 10

Periodontal abscess in a periodontitis patient could represent a period of disease exacerbation or indicate changes in _____ or decreased ____

Answer 10

composition of microflora; host defense

Question 11

List potential causes of acute exacerbation leading to periodontal abscess in periodontitis patients:

Answer 11

1. untreated periodontitis
2. non-responsiveness to periodontal therapy
3. patients on supportive perio therapy

Question 12

List potential causes of periodontal abscess in NON-PERIODONTITIS patients:

Answer 12

1. impaction of foreign bodies
2. harmful habits
3. orthodontic factors
4. gingival enlargement
5. alteration of root surface

Question 13

A potential cause of periodontal abscess in NON-PERIODONTITIS patients is the alteration of the root surface. This includes:

Answer 13

1. dens invaginatus
2. cemental tears
3. enamel pearls
4. iatrogenic conditions (such as perforations)
5. severe root damage (VRF or cracked tooth syndrome)
6. external root resorption

Question 14

Periodontal abscess treatment includes:

Answer 14

1. non-surgical drainage & debridement with local anesthetic
2. surgical drainage for large abscess
3. surgical therapy with flap reflection, debridement with ultrasonic, and sutures
4. antibiotics if systemic infection is indicated by fever or lympahdenopathy
5. re-evaluation and any further needed therapy

Question 15

According to Lang & Loe, how much keratinized gingiva is enough? How much attached gingiva is enough?

Answer 15

2 mm keratinized; 1mm attached

Question 16

apical migration of the gingival margin with concomitant exposure of the root surface:

Answer 16

gingival recession

Question 17

Gingival recession by definition is ___ migration of the ___ with concomitant exposure of the ____

Answer 17

apical; GM; root surface

Question 18

This condition affects a large population irrespective of oral hygiene:

Answer 18

gingival recession

Question 19

The estimated prevalence of gingival recession is ____% in young adults

Answer 19

54.5%

Question 20

List the most mucogingival defects in daily practice:

Answer 20

1. gingival recessions
2. inadequate zone of keratinized gingiva

Question 21

What two factors do we consider for diagnosing gingival recession?

Answer 21

1. recession depth
2. gingival thickness

Question 22

What is the modern classification for gingival recession?

Answer 22

Cairo Classification 2011

Question 23

• Gingival recession with NO loss of interproximal attachment
• Interproximal CEJ was NOT detect either on the mesial or distal aspect of the tooth

Answer 23

RT 1

Question 24

• Gingival recession associated with loss of interproximal attachment.
• The amount of interproximal attachment loss was LESS or EQUAL to the buccal attachment loss

Answer 24

RT2

Question 25

• Gingival recession with loss of interproximal attachment
• The amount of interproximal attachment loss was GREATER than the buccal attachment loss

Answer 25

RT3