Mouth: Peridontitis

Question 1

Patient presents with breath orders, bright red/purple gums, shiny gums, bleeding gums, loose teeth and swollen gums. Dx?

Answer 1

Peridontitis

Early symptoms look like gingivitis

Question 2

Etiology for peridontitis?

Answer 2

gum disease, inflammation of gums involving bone

Question 3

What is the pathophysiology of peridontitis?

Answer 3

untreated gingivitis that spread to ligament, bones, and surrounding teeth causing teeth to fall out

Question 4

Risk factors for Peridontitis?

Answer 4

long standing gingivitis, plaque builds up at base of teeth, soft tissue swelling will trap all of the plaque

Genetic inheritance: people can be prone to this

Question 5

How can we diagnose peridontitis?

Answer 5

PE to check out gums; X-rays can be used to see surrounding boney structures

Question 6

What should you consider in patients with peridontitis?

Answer 6

ee dentist 2+ times a year, surgery may be necessary for removal of dental plaque from inflamed gums. Bleeding & gum tenderness should go away in 1-2 weeks; teeth may need to be removed so that it doesn’t spread to neighboring teeth

Question 7

What are some complications of peridontitis?

Answer 7

infection or abscess of soft tissue resulting in facial cellulitis, osteomyelitis of jaw, return of periodontitis, tooth loss, tooth flaring or shifting, trench mouth

Question 8

What are some lifestyle modifications patients should make who suffer from peridontitis?

Answer 8

follow good oral hygiene; brush 2x/day, floss 1x/day, reduce gingivitis