Periodontal disease and Stomatitis Flashcards Preview

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Flashcards in Periodontal disease and Stomatitis Deck (18)
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1
Q

primary causes

A

Presence of plaque-bacteria & their toxic by-products

2
Q

secondary causes

A
Lack	of oral hygiene	
Calculus deposits	
Nutrition lacking in EFA’s and anti-oxidants	
Genetics
Stress	
Systemic illness eg DM
3
Q

calculus - define

A

mineralised plaque

4
Q

calculus

A

doesn’t cause perio-disease but gives rough surface for bacteria adhesion
always find periodontal disease with calculus
peridontal disease can be without calculus - needs plaque

5
Q

stages of periodontal disease 1-4

A

1 - gingivitis, no attachment loss
2 - mild periodontitis, 50% attachment loss
3 - Moderate periodontitis with 25-50% attachment loss
4 - Severe periodontitis with >50% attachment loss

6
Q

gingivitis

A

hyperaemia, oedema + bleeding gingiva
plaque induced
reversible with plaque control
always first stage of periodontal disease

7
Q

pathogenesis - stage 2-4

A

plaque favours disease progression

gram +ve to gram -ve, obligate anaerobes

8
Q

irreversible stages

A

tissue destruction

destruction by bacteria + immune response

9
Q

systemic risks of periodontal disease

A

association between severity of periodontal disease + prevalence of cardiac lesions + systemic infl parameters
associations with periodontal disease + myocardial, renal disease + hepatitis

10
Q

diagnosis

A

not possible in conscious dog/cat

complete dental charting + radiography

11
Q

dental charting

A
missing teeth
teeth mobility
gingival recession - check for pockets
check furcations (root arch thing)
use mirror to view ligual/palatal aspects
12
Q

Treatment of Periodontal Disease

A

extract
scaling + polish
prevention - oral home care
advanced treatments (flap surgery)

13
Q

oronasal fistula

A

probe pocket depth on palatal aspect of canine tooth
suspect if severe periodontal disease
nasal discharge, sneezing after eating/drinking
repair recommended - good surgical technique needed

14
Q

risk of jaw fracture secondary to periodontal disease

A

toy breeds - big teeth + small jaw

if disease has caused bone resorption around roots of big teeth

15
Q

stomatitis - define

A

infl of oral mucosa extending beyond mucogingival junction

16
Q

stomatitis

A

usually bilateral + fairly symmetrical

if asymmetrical - could be neoplasia

17
Q

ulcerative stomatitis in dogs

A

contact ulcers most common

can be more extensive + similarly severe in cats

18
Q

stomatitis - treatment

A

extensive extraction
analgesia
plaque control
corticosteroids as last resort