lecture 5

Question 1

acute necrotizing ulcerative gingivits also known as what other names?

Answer 1

trench mouth, vincents infection

Question 2

what kind of bacteria common in anug?

Answer 2

spirochetes

Question 3

anug characterizedby what?

Answer 3

greyish-white membrane

Question 4

appearance of anug and what is it

Answer 4

surface necrosis and inflammation. ulcerates and necroses papilla and gingival margins- punched out

Question 5

difference between NUG and NUP

Answer 5

NUP has loss of loss of attachment

Question 6

explain who gets ANUG usually

Answer 6

pts in 20’s, usually brought on by exams. common in smokers. and those who have poor oral hygeine but not sure if that comes before or after

Question 7

what are the 4 layers of ANUG starting from tooth layer- gingival tissue

Answer 7

bacterial zone - basteria and spirochetes, band of PMN’s, zone of tissue necorsis- dominated by spirochetes, zone of spirochete infiltration

Question 8

treatment for ANUG

Answer 8

systemic antibiotics. light scalling supragingival and peridex

Question 9

is ANUG destruction perminant?

Answer 9

yes

Question 10

who usually gets acute herpatic gingivostomatitis? duration and what ocurs at beginin of infection?

Answer 10

children, 7-10days, onset of high fever

Question 11

treatment for acute herpatic gingivostomatitis?

Answer 11

palliative measure, by the time you see these patients, there is nothing you can do to help

Question 12

what is included in acute herpatic gingivostomatitis

Answer 12

gingiva is red, swollen and tender, mucosal tissue is red with multiple vesicles and lymphadenopathy

Question 13

AHGS can mimic anug and others. how to differentiate?

Answer 13

its on lips and gigniva which is not usual for others

Question 14

what can help ahgs?

Answer 14

antiviral withtin the 1st 3 days

Question 15

what might a patient say if they have pericornitis?

Answer 15

pain radiates to ear

Question 16

trt for pericornitis?

Answer 16

irrigation and antibiotics if have fever. if operculum fluctuant, then incision and drianage

Question 17

why is it important to monitor pericornitis?

Answer 17

can spread to other orophaynrgeal spaces and lead to ludwigs angina

Question 18

aphthous stomatitis is classified as what 3 types? what do they look like

Answer 18

minor, major and herpetiform. white with red halo

Question 19

most of aphthous stomatitis are what type?

Answer 19

minor

Question 20

minor aphtous stomatitis are located where? usually how big and heals after how long?

Answer 20

mucosal non keratinized tissue. less than 1cm. 10-14 days to heal. major can take weeks

Question 21

what is the herpatiform ?

Answer 21

multiple minor lesions, very painful

Question 22

chrons disease characterized by what

Answer 22

chronic granulomatous infiltrates of the wall of the ileal loops, but any part of the gastrointestinal tract can be affected

Question 23

in order for a lesion to be considered a perio lesion what needs to occur?

Answer 23

probing depths must extend to the lesion

Question 24

explain what a gingival abscess is

Answer 24

localized, painful, less likely to have pus, bleeds easily, usually foreign body, its of marginal or interdental gingiva- no deep probings, presents as purulent lesion in connective tissue, surrounded by diffuse infiltrate of PMN leukocytes, edema, and vascular enlargement

Question 25

most common symptom of periodontal abscess is what?

Answer 25

pain

Question 26

where is the swelling in relation to the infected tooth in periodontal abscess

Answer 26

the adjacent tooth or may be 1-2 teeth distant

Question 27

clinical feautures of a periodontal abscess

Answer 27

tender to touch or chewing, tender to percussion, mobile, extrusion from pocket, puss, regional lymphadenopathy, fever

Question 28

what contributes to the progression of periodontal abscess?

Answer 28

environmental and microbiologic factors

Question 29

what are the environmental factors effecting periodontal abscess?

Answer 29

existing deep pocket

Question 30

most common type of bacteria found in periodontal abscesses and then the specific bacteria

Answer 30

anaerobic gram negative. p. gingivalis and prevotella intermedia-found in 90% of abscesses

Question 31

how do you rule out acute pulpitis?

Answer 31

no swelling or puss

Question 32

if someone has root fracture, when do they have pain?

Answer 32

when biting

Question 33

can swelling, bleeding, purulence be sometimes present in root fracture?

Answer 33

yes

Question 34

how do you differentiate lateral periodontal cyst?

Answer 34

not painful. and not usually associated with deep probing, no loss of vatility

Question 35

explain osteomylitis

Answer 35

common after extraction, bone infection, rapid onset, seen on rx, pain, no swelling associated, no probings,

Question 36

two approaches to periodontal abscess treatment

Answer 36

closed or open approach

Question 37

periodontal abscessed tooth commonly called what?

Answer 37

“hot”

Question 38

regenerative material can only be placed in what situation?

Answer 38

open approach treatment