Pathology Of Periodontium

Question 1

Gingivitis around an implant is called

Answer 1

Peri- Implant Mucositis

Question 2

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

Answer 2

True

Question 3

Puberty gingivitis occurs in what age range

Answer 3

9-14 years of age and declines after 17!

Question 4

Due to better hygiene females experience less gingivitis

Answer 4

True

Question 5

Gingivitis risk in females is increased by

Answer 5

Pregnancy and contraceptive usage

Question 6

Mouth breather have an increased risk/frequency of gingivitis that

Answer 6

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

Question 7

What is Marginal gingivitis?

Answer 7

Gingivitis confined to the free gingiva area

Question 8

What is papillary gingivitis?

Answer 8

Gingivitis confined to the interdental papillae

Question 9

Chronic Hyperplastic Gingivitis

Answer 9

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

Question 10

LJSGH stands for

Answer 10

Localized Juvenile Spongiotic Gingival Hyperplasia

Question 11

What is LJSGH?

Answer 11

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

Question 12

What is the number one sight to fight LJSGH?

Answer 12

The Maxillary facial Gingiva!

Question 13

LJSGH has a predilection for

Answer 13

Females over males mostly around the ages of 12

Question 14

Diagnosis of the image below?

Answer 14

Localized Juvenile Spongiotic Gingiva Hyperplasia

Question 15

What are the names for Necrotizing Ulcerative Gingivitis?

Answer 15

Vincent’s Infection
Trench Mouth
ANUG

Question 16

What is responsible causant bacteria for NUG?

Answer 16

Fusiform bacteria/spirochetes

Question 17

Plasma Cell gingivitis

Answer 17

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

Question 18

Identify the image

Insert image…

Answer 18

Plasma Cell gingivitis

Question 19

How do you treat Plasma Cell Gingivitis

Answer 19

Topical Steroids but many don’t need it!

Question 20

What are some causes of Granulomatous Gingivitis

Answer 20

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

Question 21

What is the diagnosis?

—————images

Answer 21

Granulomatous Gingivitis

Question 22

How do you diagnose Granulomatous gingivitis?

Answer 22

Biopsy and debridement to ensure proper treatment

Question 23

What is the diagnosis?

Answer 23

Desquamative Gingivitis

Question 24

What is desquamative gingivitis?

Answer 24

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

Question 25

Gingival Hyperplasia is caused by

Answer 25

Immunosuppressants- cyclosporine Anti seizure- phenytoin -50% Association Beta blockers- nifedipine Don’t use two in conjunction Great Increase in hyperplasia will result!!!

Question 26

When do you notice drug related hyperplasia

Answer 26

1-3 months after medication begins

Question 27

What are the most common sites of gingival hyperplasia?

Answer 27

Anterior and Facial Gingiva!

Question 28

Why do these images depict? —-insert

Answer 28

Gingival Hyperplasia

Question 29

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

Answer 29

Cyclosporine is the least responsive

Question 30

What methodologies can improve gingival hyperplasia?

Answer 30

Topical folic acid Azithromycin Metronidazole

Question 31

Gingival Fibromatosis

Answer 31

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

Question 32

Gingival Fibromatosis

Answer 32

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

Question 33

Maxillary fibromatosis can occur

Answer 33

Both posteriorly and/or bilaterally

Question 34

Identify the diagnosis

Answer 34

Gingival Fibromatosis

Question 35

Periodontitis

Answer 35

Inflammation AND CAL (clinical attachment loss)

Question 36

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

Answer 36

T. Denticola T. Forsynthia P. Gingivalis A. A seen often in juvenile or aggressive periodontitis cases

Question 37

Diagnosis? ——inset image

Answer 37

Periodontitis

Question 38

What percent do each of the factors play on periodontitis? Genetics Tobacco Pathogens

Answer 38

Genetics 50% Tobacco 20% Pathogens 20%

Question 39

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

Answer 39

Chronic Periodontitis

Question 40

Chronic Periodontitis is more common in

Answer 40

Males

Question 41

What factors increase chronic periodontitis?

Answer 41

``` Tooth shape and alignment Poor dental restorations Poor contacts Calculus Trauma from occlusion Gingival anatomy ```

Question 42

What is a periodontal abscess?

Answer 42

One which involves the PDL and Bone

Question 43

Why is a gingival abscess?

Answer 43

No involvement with PDL or Bone! | Secondary to plaque or dental debri!

Question 44

How do you treat abscesses?

Answer 44

Drain them and debride followed by antibiotics. Soft diet Warm saltwater rinses!

Question 45

What is Pericornitis?

Answer 45

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!

Question 46

Aggressive Periodontitis Occurs

Answer 46

In systemically healthy patients! Thank

Question 47

Localized Aggressive Perio cases can occur around

Answer 47

11-13 years of age!

Question 48

Predominant bacteria in Aggressive Periodontitis Cases?

Answer 48

A. Actinimycetemcomitans

Question 49

Papillon LeFevre Syndrome is what type of disorder?

Answer 49

Is an autosomal recessive disorder

Question 50

Papillon LeFevre syndrome has a mutation in

Answer 50

Cathepsin C

Question 51

Palmar Plantar Keratosis is a trait found in

Answer 51

Papillon LeFevre Syndrome

Question 52

Papillon LeFevre Syndrome can be deterimental to dentition why

Answer 52

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!

Question 53

How do you treat Papillon LeFevre Syndrome

Answer 53

Aggressive Perio Treatment Amoxicillin Flagyl