Perio Diseases

Question 1

____________ will present as bright red, velvety plaque often on the facial gingiva in the maxilla of a teenage patient.

Answer 1

Localized juvenile spongiotic gingival hyperplasia

Question 2

T/F: Localized juvenile spongiotic gingival hyperplasia will respond to improved oral hygiene.

Answer 2

False

Must be excised

Question 3

What are some contributing factors to NUG?

Answer 3

Stress, poor oral hygiene, poor diet, immune suppression, smoking

Question 4

_________ involves “punched-out” interdental papillae with severe pain.

Answer 4

NUG

Question 5

How is NUG treated?

Answer 5

1. Debridement
2. Mild salt water rinse or chlorhexidine
3. Improve oral hygiene and diet

Question 6

Which type of antibiotic may be useful to treat NUG?

Answer 6

Broad spectrum antibiotic

Question 7

___________ is a clinical term used to describe sloughing of the gingival epithelium.

Answer 7

Desquamative gingivitis

Question 8

T/F: Desquamative gingivitis is a diagnosis.

Answer 8

False

Question 9

What is to be done when you come across a patient with desquamative gingivitis?

Answer 9

Incisional biopsy

Question 10

Which three drugs cause the majority of drug-related gingival hyperplasia?

Answer 10

1. Phenytoin (Dilantin)
2. Nifedipine
3. Cyclosporin

Question 11

What are some other findings sometimes observed with gingival fibromatosis?

Answer 11

Hypertrichosis (extra hair), epilepsy, intellectual disability

Question 12

T/F: Gingival fibromatosis is always a generalized disease.

Answer 12

False

Can be localized

Question 13

T/F: Gingivectomy in a patient with gingival fibromatosis is often indicated in the mixed dentition.

Answer 13

False

Wait till eruption of permanent dentition.