Plaque Induced Gingivitis

Question 1

Being deficient in what nutrient might lead to gingivitis?

Answer 1

Ascorbic acid

Question 2

What is the term for gingivitis around implants?

Answer 2

Peri-mucositis

Question 3

What color change will be seen in gingivitis?

Answer 3

Pink -> red

Increased vascularization and decreased keratinization

Question 4

Where do the changes start in gingivitis?

Answer 4

Start at interdentinal papillae and gingival margin, move to attached gingiva

Question 5

T/F: Spontaneous bleeding will always be seen in gingival disease.

Answer 5

FALSE

Occurs in acute/severe gingival disease

Could be related to systemic problems

Question 6

T/F: Diseased gingiva is soft.

Answer 6

True

Question 7

What consistency changes can be seen in gingival disease?

Answer 7

Leathery gingiva

Question 8

T/F: Diseased tissue will have stippling.

Answer 8

FALSE

Tissue will lose stippling with disease

Question 9

T/F: Diseased gingiva will be rounded and may develop clefts or festoons.

Answer 9

True

Question 10

What are the two major types of gingival lesions?

Answer 10

Exudative = red, soft, smooth, bleeding

Proliferative = firm, pink, fibrosis, collagen

Question 11

How much space should be left between a restoration and the alveolar crest to permit healing?

Answer 11

3 mm

Question 12

What can happen if you impinge on the biological with?

Answer 12

1. Marginal tissue recession

2. Apical migration of attachment

Question 13

T/F: Periodontitis starts with gingivitis.

Answer 13

True

Question 14

T/F: Gingivitis always progresses into periodontitis.

Answer 14

False

Question 15

What is the term for when inflammation returns to sites that have been treated for periodontitis?

Answer 15

Recurrent periodontitis

Does not mean there is further attachment loss

Question 16

Will endocrine factors cause gingival disease without presence of dental plaque?

Answer 16

No

Question 17

When will pregnancy associated gingivitis often appear?

Answer 17

2nd trimester

Will regress when baby is born

Question 18

What can be a secondary factor to puberty associated gingivitis?

Answer 18

Mouth-breathing

Question 19

What are three commonly used drug types associated with gingival overgrowth?

Answer 19

1. Anticonvulsants
2. Immunosuppressants
3. Calcium channel blocking agents

Question 20

What age group is most affected with necrotizing ulcerative gingivitis?

Answer 20

Adolescents

Smokers and stress

Question 21

What are some characteristics of NUG?

Answer 21

Pain, bleeding, and ulceration and necrosis of interdental papillae

Question 22

What are some differences between NUG and herpes induced gingivitis?

Answer 22

NUG = bacteria, 1-2 days, not contagious, not in attached gingiva

Herpes = virus, 1-2 weeks, contagious, everywhere