Tx of acute periodontal conditions Flashcards
early clinical signs of ANUG
necrotic lesion of the papilla initially then progressing to gingival margin. punched out appearance
spontaneous bleeding
pain
ANUG advanced lesion signs
lack of deep pockets
merging papillary/marginal involvement
characteristic foetor
central necrosis results in crater formation
other findings of ANUG
fever and malaise. mod. temp elevation
poor OH
white membrane of desquamated cells, bacteria, saliva proteins
membrane can be removed easily
what bacteria are found in the flora of ANUG
treponema sp.
selenomonas sp.
fusobacterium sp.
provetella intermedia
some species such as … and … invade tissue and release endotoxins
treponema sp.
P intermedia
Besides the type of bacteria, what other factors contribute to ANUG
stress
inadequate sleep
smoking (90% of pts)
caucasian, young
T/F antibiotics are recommended for ANUG patients with no systemic complications
false
what are the home instructions during treatment of ANUG
rinse with 3% H2O2 and water every 2 hours
rest
avoid tobacco/alcohol
NSAIDs
tooth brushing should be gentle
amoxicillin for 10 days if systemic condition
what are the 4 types of abscesses
gingival
pericoronal
periodontal
periapical
treatment for gingival abscesses
removal of noxious agents
incision and drainage if needed
antibiotics are contraindicated
rinse with warm salt water at home
treatment for pericoronal abscesses
removal of noxious agents
irrigation under soft tissue operculum
antibiotic for systemic complications
rinse with warm salt water at home
when infection under control: extraction, operculectomy
treatment for periapical abscesses
remove tooth
or
root canal therapy
treatment for periodontal abscesses
drainage through pocket retraction or incision
SRP
perio surgery
systemic complications: antibiotics
extraction
