Restorative Flashcards
what is another name for Anug?
Vincents angina or trench mouth
what are symptoms that are pathogmathic?
pain and bad breath
What factors can contribute to anug?
Stress
Poor diet/vitamin deficiencies
Compromised Immune system
Age less than 35
what can contribute to palatal and lingual staining?
poor oral hygeine tooth crowding overhangs shallow sulcus calculus infections in mouth and throat
from clinical examination what can be seen as pathognathic?
redness of ginivae
bkunted interdental papillae
erthyema( redness)
what are other characteristic symptoms of anug?
pyrexia
excessive bleeding of gingivae
lymph node enlargement
grey residue
Anug is only related to the gingivae: if bone is involved it is called ANUP - so what will be seen on opt?
bone levels will remain stable for anug
what will happen if anug is not treated?
ANUP necrotising stomatitis (inflammation of the mucosa of the mouth) cancrum oris (infection that destroys soft tissues)
what social history factors may contribute to the patients being like this?
home circumstances
diet
alcohol/drug abuse
predisposition to HIV
how to manage anug?
Advice on factors which can predispose to the disease
Dietary advice
Smoking cessation counseling
Oral hygiene instruction
Scaling/RSD
Metronidazole
Mouthwash
Onward referral to GMP in cases that warrant further investigation
Review
Case 2: Caries
What is smokers keratosis
white patches on palate
what are the phases of treatment?
phase 1: stabilisation and pain relief
phase 2: restoration
phase 3: maintenance, review and reassess
in radiograph why will pulp chamber look radio opaque?
reactionary dentine forms which looks like pulp is getting smaller
classification of caries spreading?
e1/2: progressing in enamel can be managed and prevention can be andministered
d1: slow progression
d2: cavitation
d3: pulp involvement and if in radiograph caries is detected 0.5mm from pulp then rct may be needed.
sensitive to sweet? what disease?
caries
