Perio

Question 1

Trench Mouth and Vincent’s Angina are terms associated with _?

Answer 1

Necrotizing Ulcerative Gingivitis

Question 2

What microbes are associated with NUG?

Answer 2

Fusobacterium nucleatum, Borrelia vincentii (spirochete), Treponema, Selenomonas, Prevotella intermedia

Question 3

NUG frequently occurs in association with psychologic _, _-related corticosteroids, and _-related epinephrine

Answer 3

stress

Question 4

The following are clinical features of _: pain, spontaneous hemorrhage, fetid odor, blunted, necrotic papillae

Answer 4

NUG

Question 5

Answer 5

NUG

Question 6

Three categories of Plasma Cell Gingivitis (Atypical Gingivostomatitis):

Answer 6

Allergic, Neoplasti, Idiopathic

Question 7

Clinical presentation of _: Rapid onset of sore mouth, intense erythema with diffuse enlargement and loss of stippling

Answer 7

Plasma Cell Gingivitis

Question 8

Answer 8

Plasma Cell Gingivitis

Question 9

This is a diagnosis of exclusion after specific infection or systemic conditions (Crohn’s disease, Wegener’s granulomatosis) are ruled out. Can occur secondary to foreign material

Answer 9

Granulomatous Gingivitis

Question 10

Clinical presentation of _: solitary or multifocal, red or red-white macules of the interdental paplillae, possibly extending onto attached gingiva

Answer 10

Granulomatous Gingivitis

Question 11

This is a clinical term only. Chronic mucosal desquamation limited to the gingiva. Either distinct or associated with any of a number of vesiculoerosive processes.

Answer 11

Desquamative Gingivitis

Question 12

Clinical presentation of _: erythema with loss of stippling, vesicle/bulla formation, spontaneous desquamation and erosion, significant pain

Answer 12

Desquamative Gingivitis

Question 13

Answer 13

Desquamative Gingivitis

Question 14

Drug-Related Gingival Hyperplasia is associated with numerous medications including:

Answer 14

Phenytoin, Calcium channel blockers (nifedipine), Cyclosporine

Question 15

Clinical presentation of _: spreads from interdental papillae across tooth surfaces, anterior and facial areas most severely involved, edentulous areas are usually spared

Answer 15

Drug-Related Gingival Hyperplasia

Question 16

Answer 16

Drug-Related Gingival Hyperplasia

Question 17

Progressive gingival enlargement, no relationship to fibromatoses of bones or soft tissue, familial or idiopathic with numerous syndromic associations

Answer 17

Gingival Fibromatosis

Question 18

Syndromes associated with Gingival Fibromatosis

Answer 18

Hypertrichosis, Epilepsy, Hypothyroidism

Question 19

Not drug-related

Answer 19

Gingival Fibromatosis

Question 20

Diagnosis of exclusion; secondary to immune dysfunction rather than plaque and calculus accumulation; similar pathogens to periodontitis

Answer 20

Aggressive Periodontitis

Question 21

Two forms of Aggressive Periodontitis

Answer 21

Localized and Generalized

Question 22

Which Aggressive Periodontitis?: circumpubertal onset; robust serum antibody response to infecting agents

Answer 22

Localized

Question 23

Localized aggressive periodontitis: attachment loss localized to the _ and _, with involvement of no more that two teeth other than the _ and _

Answer 23

first molars and incisors

Question 24

Which aggressive periodontitis?: usually diagnosed in patients under the age of 30, but may occur at any age; poor serum antibody response to infecting agents; pronounced episodic destruction of periodontal attachment and alveolar bone

Answer 24

Generalized Aggressive Periodontitis

Question 25

Generalized aggressive periodontitis: generalized loss of attachment that must affect at least _ teeth other that the first molars and incisors

Answer 25

3

Question 26

Answer 26

Aggressive Periodontitis

Question 27

Autosomal recessive inheritance; primary pathogen appears to be Actinobacillus actinomycetemcomitans; primary and permanent dentition affected

Answer 27

Papillon-Lefevre Syndrome

Question 28

Papillon-Lefevre Syndrome: Mutation of the _: involved in growth and development of skin and critical for immune response of myeloid and lymphoid cells (altered immune response to infection)

Answer 28

cathepsin C gene

Question 29

Clinical presentation of _: palmer/plantar keratosis, rapidly progressive periodontitis, “floating teeth” radiograph

Answer 29

Papillon-Lefevre Syndrome

Question 30

Answer 30

Papillon-Lefevre Syndrome