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SP 16 - Perio Final > Treatment of Acute Periodontal Conditions > Flashcards

Treatment of Acute Periodontal Conditions Flashcards

1
Q

Prevalence of ANUG

A
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2
Q

Prevalence of ANUG

A
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3
Q

What are the early clinical signs of ANUG?

A

Necrotic lesion of the papilla initially
Then progressing to the gingival margin, giving a ‘punched out’ appearance
Spontaneous bleeding
Incredibly painful

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4
Q

What are the 3 ‘absolute’ needs for it to be ANUG

A

Punched out appearance
Spontaneous bleeding
Pain

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5
Q

What are clinical signs of an Advanced Lesion of ANUG?

A

Lack of deep pockets
Merging of papillary and marginal involvement
Characteristic foetor (malodor)
Central necrosis resulting in crater formation

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6
Q

What are some ‘other findings’ of ANUG?

A

Fever and malaise (due to systemic involvement)
Poor oral hygiene
White membrane of desquamated cells, bacteria, and salivary proteins that can be easily removed

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7
Q

What bacteria are typically found in ANUG, and which are tissue invasive?

A

*Treponema species
Selenmonas species
Fusobacterium species
*Prevotella intermedia

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8
Q

How do you treat ANUG

A

Alleviation of acute inflammation (done by reducing the bacterial load and removing necrotic tissue)

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9
Q

When is the third visit for ANUG treatment and what occurs during it?

A

5 days later
Eval of oral cavity
Only emergency treatment
New home instruction for hygiene

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10
Q

What are some ‘other findings’ of ANUG?

A

Fever and malaise (due to systemic involvement)
Poor oral hygiene
White membrane of desquamated cells, bacteria, and salivary proteins that can be easily removed

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11
Q

What bacteria are typically found in ANUG, and which are tissue invasive?

A

*Treponema species
Selenmonas species
Fusobacterium species
*Prevotella intermedia

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12
Q

What are some other factors that may be associated with ANUG?

A 
Stress
Inadequate sleep
Smoking (>90% of ANUG pts smoke)
Alcohol abuse
White 
Young
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13
Q

How do you treat ANUG

A

Alleviation of acute inflammation (done by reducing the bacterial load and removing

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14
Q

What occurs during the first visit of ANUG treatment

A

Eval of oral cavity and health hx
Reduction of bacterial load and removal of necrotic tissue with a prophy cup (may need to numb them)
Only emergency treatment
No antibiotics unless they have systemic involvement (fever)
Home instructions for hygiene

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15
Q

What are part of the home instructions for hygiene for an ANUG pt?

A

Avoid alcohol and tobacco
Rinse with 3% hydrogen peroxide and water (1:1) every 2 hours
Get adequate rest
Confine tooth brushing to removal of surface debris with bland dentrifice and ultra soft toothbrush
NSAIDs for pain relief
Antibiotics if there’s systemic involvement

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16
Q

When is the second visit for ANUG treatment and what occurs during it?

A 
2 days after the first
Evaluation of the oral cavity
Scaling if necessary
Only emergency treatment
Confirm home instrucitons
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17
Q

When is the third visit for ANUG treatment and what occurs during it?

A

Eval of oral cavity
Only emergency treatment
New home instruction for hygiene

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18
Q

What is the ‘new’ home instruction for oral hygiene associated with the third ANUG treatment visit

A

Avoid tobacco and alcohol
Discontinue hydrogen peroxide rinse
Counsel on nutrition, smoking cessation, stress reduction
S/RP repeated if necessary
Schedule patient in one month for re-evaluation to determine complications with oral hygiene, health habits, psychological factors, and the potential need for reconstructive or elective surgery

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19
Q

Gingival abscess definition

A

A localized purulent infection that involves the marginal gingiva or interdental papilla
Confined to the gingiva only

20
Q

Gingival abscess cause

A

Trauma

21
Q

Gingival abscess pulp condition

A

Vital

22
Q

Gingival abscess swelling location

A

In the gingiva

23
Q

Gingival abscess treatment

A

Removal of noxious agent(s)
Incision and drainage (if necessary)
NO antibiotics
Home care - rinse with warm salt water

24
Q

Pericoronal Abscess definition

A

A localized purulent infection within the tissue surrounding the crown of a partially erupted tooth

25
Q

Pericoronal Abscess cause

A

Trauma

26
Q

Pericoronal Abscess radiographic findings

A

Impacted

27
Q

Pericoronal Abscess pulp condition

A

Vital

28
Q

Pericoronal Abscess pain location

A

Localized

29
Q

Gingival Abscess pain location

A

Localized

30
Q

Pericoronal Abscess treatment

A

Removal of noxious agent(s)
Irrigation under the soft tissue operculum
Antibiotics if there are systemic complications
Home care - rinse with warm water
When infection is under control - extraction, operculotomy

31
Q

Periodontal Abscess definition

A

A localized purulent infection within the tissues adjacent to the periodontal pocket that may lead to the destruction of the PDL and the alveolar bone
Pockets are present

32
Q

Non-periodontitis related Periodontal Abscesses

A

Acute infection from bacteria originating from another source
ie foreign body impaction

33
Q

Periodontal Abscess radiographic findings

A

Angular

34
Q

Periodontal Abscess Swelling

A

Gingiva: fistula

35
Q

Periodontal Abscess Pain

A

Localized and dull

36
Q

Periodontal Abscess Prevalence

A

Emergency clinics = 8-14%
Most often in areas with PD ≥ 5mm
Most common in molars

37
Q

Periodontal Abscess Complications

A

Tooth loss - principle cause of tooth loss in perio maintenance pts with repeated abscesses
Systemic infections

38
Q

What are the types of Periodontal Abscesses

A

Periodontitis-related

Non-periodontitis related

39
Q

Periodontitis-related Periodontal Abscesses

A

Acute infection as the result of subgingival biofilm in a deep perio pocket

40
Q

Non-periodontitis related Periodontal Abscesses

A

Acute infection from bacteria originating from another source
ie foreign body impaction

41
Q

Periodontal Abscess Treatment

A 
Drainage through pocket retraction or incision
SRP
Perio surgery
Systemic Involvement give antibiotics
Extraction
42
Q

Periapical Abscess definition

A

Inflammatory condition characterized by the formation of purulent exudate involving the dental pulp remnants and the tissue surrounding the apex of the tooth

43
Q

Periapical Abscess cause

A

Infection

44
Q

Periapical Abscess inflammation

A

May or may not occur

But inflammation is present in all other abscesses

45
Q

Periapical Abscess Pulp condition

A

Nonvital

46
Q

Periapical Abscess swelling

A

Severe and non-localized

47
Q

Periapical Abscess Treatment

A

Tooth removal

Root canal

SP 16 - Perio Final (15 decks)

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