Gingival diseases

Question 1

do gingival lesions always have to be plaque induced?

Answer 1

no., can be viral, fungal, genetic, systemic or from trauma

Question 2

sympt of 1’ herpetic gingivostomatitis

Answer 2

painful severe gingivitis w/ redness
ulcurs w/ serofibrinous exudate
edema and stomatitis

Question 3

characteristics of 1’ herpetic gingivostomatitis

Answer 3

incubation = 1 week
vesicles form and rupture leaving ulcers
heals w/in 10-14 days

Question 4

how do you treat viral gingivitis?

Answer 4

careful plaque removal

antivirals like aciclovir

Question 5

characteristics of herpes zoster

Answer 5

small ulcers on tongue palate and gingiva
unilateral lesions
2nd and 3rd branches of trigem gang.

Question 6

what 3 fungi can cause oral probs

Answer 6

candidosis
linear gingival erythema
histoplasmosis
Tx = antifungals - SRP wont work

Question 7

sympt of candidosis

Answer 7

painless or burning red and white lesions

Question 8

how do you diagnose candidosis

Answer 8

nickersons medium then microscopic exam

Question 9

characteristics of linear gingival erythema

Answer 9

band limited to free gingiva
lacks bleeding
tests + for candida
seen in immunocompromised

Question 10

histoplasmosis characteristics

Answer 10

mainly on tongue

nodular or papillary painful lesions

Question 11

hereditary gingival fibromatosis may be located on the _______ chromosome and may prevent ________

Answer 11

2nd

tooth eruption

Question 12

w/ allergic rxns, type I is the _____ type and mediated by _____ while type IV is the ____ type and mediated by _____

Answer 12

immediate - IgE

delayed - T cells

Question 13

mucocutaneous disorders

Answer 13

lichen planus
pemphigoid
pemphigus vulgaris
erythema multiforme
lupus erythematosus
drug induced mucuocutaneous disorders

Question 14

characteristic skin lesions of lichen planus

Answer 14

wickham striae- seen anywhere in mucosa assoc w/ fibrin in basement membrane and deposits of IgM C3,4 and 5

Question 15

Pemphigoid characteristics

Answer 15

autoantibodies detach epithelium from the CT by destroying hemidesmosomes and lamina lucida

Question 16

types of Pemphigoid

Answer 16

bullous, benign mucous membrane and cicatrical (scar)

Question 17

pemphigoid is most commonly seen in …

Answer 17

women over 50

Question 18

what is the Nicholsky sign?

Answer 18

you rub the gingiva in pemphigoid and it creates a bulla and falls off

Question 19

how is pemphigus different from Pemphigoid?

Answer 19

forms intraepithelial Bullae w/ Acantholysis ( degredation of stratus spinosum)

Question 20

who gets pemphigus bulgaris?

Answer 20

older jewish and mediteranian people

Question 21

erythema multiforme characteristics

Answer 21

vesiculobullous lesions w/ swollen lips; when severe: stevens johnson synd.
it’s cytotoxic immune rxn toward keratinocytes caused by herpes or drugs

Question 22

who gets erythema multiforme?

Answer 22

children

Question 23

lupus erythematosus is autoimmune disease where target is ______

Answer 23

cellular constituents

Question 24

lupus lesion characteristics

Answer 24

central atrophic area w/ sm. white dots surrounded by white striae and telangiectasia that looks like butterfly

Question 25

histologically lupus has a degeneration of ______ cells and increased _______ of the _________

Answer 25

basal
wideth
basement membrane

Question 26

how does leukemia present in the mouth?

Answer 26

swelling, ulcertion, petecchia and erythema

Question 27

NUG is caused by…

Answer 27

bact esp prevalent in immunocomp.

Question 28

specific bact in NUG

Answer 28

spirochetes, fusobacterium, Pi