Tx of Acute Perio lesions

Question 1

if untreated necrotizing gingivitis may progress to __________

Answer 1

necrotizing periodontitis

Question 2

what does necrotizing gingivitis look like?

Answer 2

punched-out craterlike papillae

Question 3

what are characteristic features of necrotizing gingivitis

Answer 3

fetid odor
pseudomembranous ulcerations
bleeding
pain
fever, lymphadenopathy

Question 4

what’s the etiology of necrotizing gingivitis

Answer 4

-Microbes: Spirochetes (Treponema), Fusobacteria, Prevotella intermedia
-Immunosuppression
-HIV/AIDS
-Stress
-Smoking
-Poor plaque control

Question 5

what does tx of necrotizing gingivitis include?

Answer 5

-Acute symptoms
-Underlying chronic gingival disease
-Fever, malaise
-Diagnosis/Correction of contributing systemic conditions or factors

Question 6

what hemological tests can be done at the physician for a pt with necrotizing gingivitis

Answer 6

CBC
Peripheral blood smear
Hepatic function panel
HIV

Question 7

what do we want to rule out during the initial visit for a pt with necrotizing gingivitis

Answer 7

Leukemia, HIV, other hematological or infectious diseases.

Question 8

T/F when checking vital signs while looking at someone with necrotizing gingivitis you should also check their temp

Answer 8

true

Question 9

when should probing be done for a pt with necrotizing gingivitis

Answer 9

probing deferred until after acute lesions are resolved

Question 10

what kind of tx can you do for a pt with necrotizing gingivitis

Answer 10

gentle debridement of necrotic debris
remove supragingival calculus
subgingival scaling is contraindicated
rx: 0.12% chlorhexidine gluconate