Gingival Diseases Flashcards
What types of bacteria can cause desquamative gingivitis?
- Gonorrhea
- Pallidum
- Strep
- Myco chelonae
What is desquamative gingivitis?
Gingival lesions not caused by plaque accumulation
Could be bacterial, viral, fungal, genetic, systemic, traumatic
How do bacterial gingival lesions present clinically?
- Ulceration
- Chancres
- Mucous patches
- Atypical non-ulcerated, highly inflamed gingivitis
What are the two most common viral origins for gingivitis?
- Herpes simplex 1
2. Varicella-zoster virus
Where does the herpes virus stay latent?
Trigeminal ganglion
T/F: Viral gingivitis can be associated with Necrotizing Ulcerative Diseases.
True
What is herpes labialis?
Secondary herpes infection
Seen at vermilion border
Where are ulcers normally seen during recurrent hermetic infections?
Localized in attached gingiva and hard palate
If sampling is needed for viral lesions, aspiration from the ________ is the best way.
Vesicle
T/F: Histopathology is a good method for diagnosing herpes gingival lesions.
FALSE
Possible could use antibodies instead
What percentage of individuals with primary herpes infection will have recurrent infection?
20-40%
What is the treatment for herpes infection?
Plaque removal and antivirals
Where are ulcers usually seen in virocella-zoster infections?
Tongue, palatal, and gingival
T/F: In a varicella infection, the oral lesion is normally unilateral.
True
What viral infection is often associated with paresthesia?
Varicella
If patient has what looks like varicella lesion on left side of oral cavity, where would you expect there to be a skin lesion?
Right side of skin
What are the three main lesions that can lead to fungal infections?
- Candidosis
- Linear gingival erythema
- Histoplasmosis
What is the main candida species seen in the oral cavity?
C. Albicans
T/F: Healthy adults can be carriers for C. Albicans.
True
T/F: C. Albicans is often seen in subgingival flora of patients with severe periodontitis.
True
T/F: Candidosis can have red or white lesions.
True
What are some risk factors for candidosis?
- Long term antibiotics
- Pregnancy and contraceptives
- Diabetics
- Radiation/chemo
What medium is used to culture candidosis?
Nickerson medium at room temperature
Which type of gingival fungal infection will have a distinct erythematous band limited to the free gingiva?
Linear gingival erythema