TUT 3 Flashcards
Acute conditions
What are the symptoms of necrotising gingivitis?
- pain
- pain to touch
- halitosis
- bleeding
- lymphadenopathy
- punched out appearance of papilla
What are the causative agents of NG?
- gram negative anaerobes (opportunistic infection)
- eg fusobacterium
What are the risk factors for NG?
- immunosuppressed
- smoking
- stress
- malnutrition
- poor OH
- lack of sleep
What is the management of NG?
- analgesia
- ultrasonic debridement supra gingival under LA
- chlorhexidine MW 0.2%
- metronidazole 400mg TID for 3 days if systemically unwell
What are the symptoms of a chemical burn?
Pain at site of lesion
What are the risk factors for chemical burns?
- etch
- aspirin
What is the management of a chemical burn?
- analgesia
- chlorhexidine MW 0.2%
What are the symptoms of primary herpetic gingival stomatitis?
- pain
- halitosis
- fever, systemically unwell
- headache
- lymphadenopathy
What are the causative agents of primary herpetic gingival stomatitis?
HSV
What are the risk factors for primary herpetic gingival stomatitis?
- children
- immunosuppressed
What is the management of primary herpetic gingival stomatitis?
- bed rest
- soft diet
- hydration
- analgesia
- antibacterial MW
- acyclovir 200mg five times daily
- NO LOCAL TREATMENT OR AGP - HIGHLY INFECTIOUS VIA SALIVA
What are the symptoms of recurrent herpetic gingival stomatitis?
- pain, tingling or burning affecting one nerve branch
- fever
- headache
- lymphadenopathy
- vesicles along one nerve branch
What is the causative agent of recurrent herpetic gingival stomatitis?
HSV
What is the management of recurrent herpetic gingival stomatitis?
- bed rest
- soft diet
- hydration
- analgesia
- antibacterial MW
- acyclovir 200mg five times daily
What is the presentation of acute leukaemia in the mouth?
- gingiva infiltrated with cells from immune system
- enlargement of gingiva is puffy, “like water cushion”
- tender and bleeding gingiva
What is the clinical presentation of NG?
- yellow slough around margin
- punched of papilla
- BOP
- general erythema of gingiva
What is the clinical presentation of a chemical burn?
- isolated to one area
- usually able to identify causative factor
- ulceration
What is the clinical presentation of primary herpetic gingival stomatitis?
Full thickness gingival erythema
What is the clinical presentation of recurrent herpetic gingival stomatitis?
Vesicles along nerve brach
What is the clinical presentation of acute leukaemia in the mouth?
Puffy gingivae, tender and bleeding
How can you differentiate between acute leukaemia and drug induced hyperplasia?
- leukaemia presents with puffy gums that can be pressed, caused by infiltrate into existing cells
- drug induced hyperplasia is fibrous and hard, caused by division of cells
What is the management of acute leukaemia in the mouth?
Urgent referral to GP
