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
