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Oral Lesions > Pathology Of Periodontium > Flashcards

Pathology Of Periodontium Flashcards

1
Q

Gingivitis around an implant is called

A

Peri- Implant Mucositis

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2
Q

100% of the population has gingivitis by the 6th decade of life

A

True

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3
Q

Puberty gingivitis occurs in what age range

A

9-14 years of age and declines after 17!

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4
Q

Due to better hygiene females experience less gingivitis

A

True

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5
Q

Gingivitis risk in females is increased by

A

Pregnancy and contraceptive usage

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6
Q

Mouth breather have an increased risk/frequency of gingivitis that

A

Presents a unique pattern where facial gingiva is smooth, swollen and red

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7
Q

What is Marginal gingivitis?

A

Gingivitis confined to the free gingiva area

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8
Q

What is papillary gingivitis?

A

Gingivitis confined to the interdental papillae

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9
Q

Chronic Hyperplastic Gingivitis

A

Present with secondary edema or fibrosis, bleeding and exudate in conjunction with chronic inflammation

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10
Q

LJSGH stands for

A

Localized Juvenile Spongiotic Gingival Hyperplasia

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11
Q

What is LJSGH?

A

Not plaque or hormone related. Bleeds easily on manipulation and appears small bright red, velvety, and papillary

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12
Q

What is the number one sight to fight LJSGH?

A

The Maxillary facial Gingiva!

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13
Q

LJSGH has a predilection for

A

Females over males mostly around the ages of 12

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14
Q

Diagnosis of the image below?

A

Localized Juvenile Spongiotic Gingiva Hyperplasia

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15
Q

What are the names for Necrotizing Ulcerative Gingivitis?

A

Vincent’s Infection
Trench Mouth
ANUG

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16
Q

What is responsible causant bacteria for NUG?

A

Fusiform bacteria/spirochetes

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17
Q

Plasma Cell gingivitis

A

Can be caused by herbal or cinnamon toothpaste, mouthwash with alcohol, mint candy, peppers

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18
Q

Identify the image

Insert image…

A

Plasma Cell gingivitis

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19
Q

How do you treat Plasma Cell Gingivitis

A

Topical Steroids but many don’t need it!

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20
Q

What are some causes of Granulomatous Gingivitis

A

Debri of Dental materials …. amalgam dust. Prophy Paste etcetera

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21
Q

What is the diagnosis?

—————images

A

Granulomatous Gingivitis

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22
Q

How do you diagnose Granulomatous gingivitis?

A

Biopsy and debridement to ensure proper treatment

23
Q

What is the diagnosis?

A

Desquamative Gingivitis

24
Q

What is desquamative gingivitis?

A

Peeling of the epithelial surface which vesicles formation associated with lichen planus and Vulgaris

25
Q

Gingival Hyperplasia is caused by

A

Immunosuppressants- cyclosporine
Anti seizure- phenytoin -50% Association
Beta blockers- nifedipine

Don’t use two in conjunction Great Increase in hyperplasia will result!!!

26
Q

When do you notice drug related hyperplasia

A

1-3 months after medication begins

27
Q

What are the most common sites of gingival hyperplasia?

A

Anterior and Facial Gingiva!

28
Q

Why do these images depict?

—-insert

A

Gingival Hyperplasia

29
Q

Which drug type would be least responsive to plaque control treatment in hyperplasia cases

A

Cyclosporine is the least responsive

30
Q

What methodologies can improve gingival hyperplasia?

A

Topical folic acid
Azithromycin
Metronidazole

31
Q

Gingival Fibromatosis

A

Rare 1:750,000 familial of idiopathic cases a year

32
Q

Gingival Fibromatosis

A

Occurs mostly in the maxillary over the mandibular and palate is more Fibromatosed than the buccal in some instances!!

33
Q

Maxillary fibromatosis can occur

A

Both posteriorly and/or bilaterally

34
Q

Identify the diagnosis

A

Gingival Fibromatosis

35
Q

Periodontitis

A

Inflammation AND CAL (clinical attachment loss)

36
Q

What are the top 3 microbes of the Periodontal Red complex bacteria?

A

T. Denticola
T. Forsynthia
P. Gingivalis

A. A seen often in juvenile or aggressive periodontitis cases

37
Q

Diagnosis?

——inset image

A

Periodontitis

38
Q

What percent do each of the factors play on periodontitis?

Genetics
Tobacco
Pathogens

A

Genetics 50%
Tobacco 20%
Pathogens 20%

39
Q

What is the number #1 cause of tooth loss in pts over 35 yrs?

A

Chronic Periodontitis

40
Q

Chronic Periodontitis is more common in

A

Males

41
Q

What factors increase chronic periodontitis?

A 
Tooth shape and alignment 
Poor dental restorations 
Poor contacts 
Calculus 
Trauma from occlusion
Gingival anatomy
42
Q

What is a periodontal abscess?

A

One which involves the PDL and Bone

43
Q

Why is a gingival abscess?

A

No involvement with PDL or Bone!

Secondary to plaque or dental debri!

44
Q

How do you treat abscesses?

A

Drain them and debride followed by antibiotics.

Soft diet
Warm saltwater rinses!

45
Q

What is Pericornitis?

A

Partially erupted teeth have inflamed tissues which collet food and debris
Leading to abscess and halitosis

leads to radiating pain in the throat, ear, or FOM

tonsilitis and pharyngitis associated!

46
Q

Aggressive Periodontitis Occurs

A

In systemically healthy patients! Thank

47
Q

Localized Aggressive Perio cases can occur around

A

11-13 years of age!

48
Q

Predominant bacteria in Aggressive Periodontitis Cases?

A

A. Actinimycetemcomitans

49
Q

Papillon LeFevre Syndrome is what type of disorder?

A

Is an autosomal recessive disorder

50
Q

Papillon LeFevre syndrome has a mutation in

A

Cathepsin C

51
Q

Palmar Plantar Keratosis is a trait found in

A

Papillon LeFevre Syndrome

52
Q

Papillon LeFevre Syndrome can be deterimental to dentition why

A

By ages 4-5 all primary teeth are loss
By age 15 all permanent teeth are loss

Very aggressive and inevitable—A.A. Is a huge contributor!

53
Q

How do you treat Papillon LeFevre Syndrome

A

Aggressive Perio Treatment
Amoxicillin
Flagyl

Oral Lesions (2 decks)

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