High Yield: Acute periodontal lesion & mucogingival conditions

Question 1

Acute periodontal lesions include: (3)

Answer 1

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

Question 2

What is the etiology of periodontal abscess: (6)

Answer 2

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

Question 3

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 3

Periodontal abscess

Question 4

A periodontal abscess is a:

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

Answer 4

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

Question 5

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

Answer 5

1. pain
2. swelling
3. lymphadenopathy
4. fever

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Question 6

Multiple abscess formation is often a manifestation of:

Answer 6

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

Question 7

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

Answer 7

Diabetes (uncontrolled or undiagnosed)

Question 8

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

Answer 8

1. Candida albicans
2. Fusobacterium nucleatum
3. Peptostreptococcus micros
4. Porphyromonas gingivalis
5. Prevotella intermedia
6. Tanerella forsythia
7. Treponema (spirochetes)

Question 9

Periodontal abscess in a periodontitis patient could represent:

Answer 9

a period of disease exacerbation

Question 10

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

Answer 10

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

Question 11

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

Answer 11

composition of microflora; decreased host defense

Question 12

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

Answer 12

1. untreated periodontitis
2. nonresponsiveness to periodontal therapy
3. patients on supportive perio therapy

Question 13

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

Answer 13

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

Question 14

A potential cause of periodontal abscess in NON-PERIODONTITIS patients is the alteration of the root surface. This includes: (6)

Answer 14

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 15

Periodontal abscess treatment options include:

Answer 15

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

Question 16

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

Answer 16

Keratinized= 2 mm
Attached = 1 mm

Question 17

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

Answer 17

Gingival recession

Question 18

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

Answer 18

apical; GM; root surface

Question 19

This condition effects a large population irrespective of oral hygiene:

Answer 19

Gingival recession

Question 20

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

Answer 20

54.5%

Question 21

List the most common mucogingival defects in daily practice:

Answer 21

1. gingival recessions
2. inadequate zone of keratinized gingiva

Question 22

What two factors do we consider for diagnosing gingival recession?

Answer 22

1. recession depth
2. gingival thickness

Question 23

What is the modern classification for gingival recession?

Answer 23

CAIRO classification

Question 24

• Gingival recession with NO LOSS of interproximal attachment
• Interproximal CEJ was not detected either on the mesial or distal aspect of the tooth

Answer 24

RT1

Question 25

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

Answer 25

RT2

Question 26

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

Answer 26

RT3