Periodontal Emergencies

Question 1

what is the definition of a periodontal emergency

Answer 1

gum swelling, mouth pain, difficulty brushing or eating, unexplained bleeding and loose teeth

Question 2

how are acute periodontal conditions managed in the first instance

Answer 2

local measures unless there is evidence of spreading infection

Question 3

what factors may indicate there is systemic infection

Answer 3

cellulitis, lymphadenopathy, fever, malaise

Question 4

what are perio-endo lesions

Answer 4

patient not only has clinical attachment loss but the tooth also has a necrotic or partially necrotic pulp

Question 5

how do perio-endo symptoms present clinically

Answer 5

swelling, suppuration, rapid isolated attachment loss, increase in tooth mobility

Question 6

what special tests may help you to reach a diagnosis of a perio-endo lesion

Answer 6

history of complaint
sensibility testing
how deep the pocketing is
radiographs

Question 7

how do you differentiate a periodontal abscess from a periapical abscess

Answer 7

whether the tooth is vital or not
radiographic appearance

Question 8

what is the definition of a perio-endo lesion

Answer 8

pathological communication between endodontic and periodontal tissues of a tooth

Question 9

what type of lesions do endo-perio lesions present with

Answer 9

J shaped lesions

Question 10

what are the treatment options for an endo-perio lesion

Answer 10

XLA
pulp extripation
antibiotics if systemic involvement
subgingival PMPR

Question 11

what are the two types of antibiotics you can prescribe for endo-perio lesions with systemic involvement

Answer 11

PenV 500mg QID for five days
Metronidazole TID for 5 days