periodontal diseases Flashcards
what are the contributing factors for necrotizing ulcerative gingivitis (NUG)?
stress, poor oral hygiene, poor diet, immune suppression, smoking
NUG usually effects what population groups
young or middle-aged adults
clinical signs of NUG:
“Punched-out” interdental papillae
Localized or diffuse gingival involvement
Severe pain, oral malodor, spontaneous hemorrhage
what 2 conditions can arise when NUG spreads to adjacent tissues?
necrotizing ulcerative mucositis
necrotizing stomatitis
what is the treatment for NUG?
Debridement (using topical or local anesthesia)
Mild salt water rinse or chlorhexidine
Improve oral hygiene and diet
when should a broad spec antibiotic be used for NUG patients?
if patient has systemic symptoms
_____________ is the clinical term used to describe sloughing of the gingival epithelium
Desquamative Gingivitis
Desquamative Gingivitis is associated with what types of diseases?
immune-mediated vesiculoerosive diseases
A) erosive lichen planus
B) mucous membrane pemphigoid
C) pemphigus vulgaris
T/F: Desquamative Gingivitis is a description, NOT A DIAGNOSIS
true
what diagnostic test is indicated if a patients is suspected to have Desquamative Gingivitis?
Incisional biopsy
_____________ is defined as: Abnormal growth of gingival tissues secondary to use of a systemic medication
Drug-Related Gingival Hyperplasia
what determines the severity of Drug-related gingival hyperplasia?
Degree of clinical enlargement related to patient’s susceptibility and level of oral hygiene
what drugs can cause gingival hyperplasia?
1) Phenytoin (Dilantin)
2) nifedipine and the calcium channel-blocking agents
3) Cyclosporin
what is the definition of “Gingival Fibromatosis”
aka- fibromatosis gingivae
= Slowly progressive collagenous overgrowth of the gingiva
T/F: Gingival Fibromatosis typically presents as swollen, erythematous enlargement of the gingiva
False
Gingiva is firm, normal color
what other systemic conditions are associated with Gingival Fibromatosis?
Hypertrichosis
Epilepsy
Mental retardation
Treatment for gingival fibromatosis:
Oral hygiene instruction
Gingivectomy (ideally delayed until after complete eruption of permanent dentition); reduced tendency for recurrence
Selective tooth extractions sometime necessary
what is the inheritance pattern for Papillon-Lefèvre Syndrome?
Autosomal recessive disorder
what are the clinical findings for Papillon-Lefèvre Syndrome?
Oral and dermatologic manifestations
Accelerated periodontitis
Deciduous and permanent dentition effected
Palmar-plantar keratosis
what is the only disease discussed in these lectures that also effects the keratinized skin of the hands and feet?
Papillon-Lefèvre Syndrome
why do patients with Papillon-Lefèvre Syndrome have accelerated periodontitis?
related to defects in neutrophil function
why is early treatment of Papillon-Lefèvre Syndrome critical?
Without aggressive therapy, loss of the dentition is inevitable
what treatments are available for patients with Papillon-Lefèvre Syndrome?
Rigorous oral hygiene, chlorhexidine rinse, frequent dental prophylaxis,periodic appropriate antibiotic therapy may slow or halt disease progression
Retinoids or topical keratolytic agents successful for skin lesions
