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AU 15- Periodontology Exam 2 > Other Periodontal Diseases and Conditions > Flashcards

Other Periodontal Diseases and Conditions Flashcards

1
Q

What are the two Necrotizing Periodontal Diseases (NPD)?

A

NUG (Necrotizing Ulcerative Gingivitis)

NUP (Necrotizing Ulcerative Periodontitis)

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2
Q

NUG is confined to _____ and _______.

A

interdental papilla

marginal gingiva

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3
Q

NUG is characterized by ____ onset of pain, _______, and bleeding.

A

rapid

necrosis of interdental gingiva

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4
Q

NUG affects young adults and is associated with _____ and _____.

A

smoking

stress

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5
Q

What is “pseudo membrane?”

A

ulcerations associated with NUG that are covered by a yellowish-white or grayish slough

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6
Q

NUG has a _______ appearance due to necrotic interdental papilla.

A

Punched-Out

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7
Q

What is the chief complaint of NUG?

A

Pain

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8
Q

True or False: Swelling of regional lymph nodes may occur with Necrotizing Periodontitis.

A

True

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9
Q

Which lymph nodes are usually involved with NPD?

A

usually SUBMANDIBULAR

sometimes CERVICAL also

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10
Q

True or False: Fever and malaise are always associated with NPD.

A

False, not consistently found

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11
Q

True or False: Increased salivation accompanies NPD.

A

True

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12
Q

What is the prevalence of NPD in young adults of industrialized countries? What about young adults in developing countries? Immunocompromised individuals?

A

Industrialized: 2%-7%
Developing: much higher
HIV: 1%-28%

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13
Q

Which three species of bacteria are associated with necrotizing periodontal diseases?

A

SPIROCHETES (treponema)
Fusobacterium
P. intermedia

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14
Q

Which viruses are associated with NPD?

A

CMV (cytomegalovirus)

HIV

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15
Q

What are four host factors that increase progression of NPD?

A
  1. Immunosuppression
  2. Pre-existing gingivitis, poor hygiene
  3. Psychological stress, lack of sleep
  4. Smoking
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16
Q

In NPD, the connective tissue is ______ and the capillaries are ______.

A

hyperemic CT

engorged capillaries

17
Q

True or False: Histologically NPD is seen as necrosis of epithelium and deep layer of CT.

A

False, superficial layers of CT

18
Q

What are the four layers of NPD?

A
  1. Bacterial Zone
  2. Neutrophil rich Zone
  3. Necrotic Zone
  4. Spirocheteal Infiltration Zone
19
Q

What are two differential diagnoses of NPD?

A
  1. Primary Herpetic Gingivostomatitis

2. Oral mucosal Disease

20
Q

Acute therapy for NPD involves debridement, oral rinses such as ________, and antibiotics such as ______.

A

chlorhexidine 0.12%

metronidazole

21
Q

Is NUG contagious? Is PHG?

A 
NUG= no
PHG= yes (herpetic)
22
Q

What is a periodontal abscess?

A

a localized collection of pus within the tissues of the periodontium

23
Q

Periodontal abscesses are the third most common emergency condition and account for _____%

A

8%-14%

24
Q

What are the three types of abscesses in the periodontium?

A

gingival
periodontal
pericoronal

25
Q

True or False: Abscesses can be periodontis-related or non-periodontitis-related.

A

True

26
Q

A _____ abscess is irritation from foreign bodies forcefully embedded into healthy tissues.

A

gingival

27
Q

A ______ abscess is localized purulent inflammation in the periodontal tissues.

A

periodontal

28
Q

What are three situations that would result in periodontitis-related abscesses?

A
  1. exacerbation of chronic lesions
  2. post-therapy abscess following SRP or surgery
  3. Post-antibiotic- super infection
29
Q

Non-periodontitis-related abscesses can result from _____ or ______.

A

Foreign body impaction

root morphology alterations

30
Q

What are two possible complications associated with periodontal abscess?

A
  1. Tooth loss

2. Systemic infections

31
Q

Which bacterial species is associated with Peridontal Abscesses?

A

P.gingivalis

32
Q

How are periodontal abscesses managed?

A 
irrigation
drainage
debridement (if small)
antibiotics (if large)
OHI
33
Q

What is a definitive treatment plan for periodontal abscesses?

A

full mouth ScRP

Prophylaxis

34
Q

Differential diagnoses of periodontal abscesses include (4).

A

Vertical Root Fracture
Endo-perio Abscess
Osteomyelitis
Tumors

AU 15- Periodontology Exam 2 (14 decks)

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