perio in kids-Lunez

Question 1

Dental Biofilm Induced Gingivitis

Answer 1

• common in children & adolescents
  
  • children >7 y.o.= 70%
  • adolescents= 82%
• Groupo w/high level plaque in childhood and adolescence eperienced highest levels of cariest and perio as adults
• Does not always progress to perio
• Early management is important

Question 2

Diabetes Mellitus in children and adolescentss

Answer 2

• more gingival inflammation & perio destruction compared to healthy
  
  • perio destruction-more severe w/poor metaolic control in young children
• More young adults T2DM who were overweight during childhood will have perio at younger age

Question 3

Drug-influenced Gingival Enlargement

Answer 3

• Result from certain drugs
  
  • Cyclosporine, phenytoin, calcium channel blockers-treat conditions during childhood
• complicated by plaque levels
• features not typical of marginal gingivitis

Question 4

Drug-influenced Gingival Enlargement Tx

Answer 4

• Gingivectomy & Gingivoplasty
• oral hygiene instruction
• 3 MRC

Question 5

Gingival Diseases of viral origin

Answer 5

• Primary Herpetic Gingivostomatitis

Question 6

Primary herpetic gingivostomatitis

Answer 6

• acute gingiva condition
• HSV-I
• Painful gingiva inflammation
• Ulcer
• Lymphadenopathy, fever, malaise
• Self limiting
• Tx:
  
  • symptomatic
  • Antiviral in immunocompromised

Question 7

Periodontitis

Answer 7

• Previous classifications:
  
  • early onset
  • Juvenile
  • aggressive