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PERIODONTICS > ANUG > Flashcards

ANUG Flashcards

1
Q

Etio?

A

Fusospirochetes!

Spiro (Boriella vincenti)

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2
Q

Predominant org found in ANUG?

A

INTERMEDIATE Spirochete…

Over even FUSO…!

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3
Q

Predisposing factors or contributing factors for ANUG?

A

1 Local…
Smoking…. Pericoronal flap… Injury to ging…. Pre-existing gingivitis…

  1. Systemic..
    Nutritional defi…
    Debilitating dis
  2. Psychosomatic
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4
Q

Factors causing recurrence of ANUG?

A
  1. Pericoronal flap
  2. Inadequate local therapy
  3. Anterior overbite
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5
Q

ANUG basic clinical description?

A

PUNCHED OUT… Crater like… At the crest of gingiva (mainly ID Papilla)… Covered by pseudo membranous Slough… Demarcated from rest of ging by linear erythema…

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6
Q

ANUG Syns?

A

Vincent’s angina… Vincent’s stomatitis…

Trench mouth..

Fetid stomatitis…. Putrid stomatitis… (Tog)

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7
Q

Mouthwash used in ANUG?

A

3% H2O2 + EQUAL Dilution of wtr for 3 days…

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8
Q

Why H2O2 used in ANUG?

A

Because it creates an OXIDATIVE environment… Which kills anaerobic bact…

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9
Q

Which of the following creates gingival deformities that require GINGIVPLASTY to eliminate the defects?

A

ANUG. .

Over…. Desquamative gingivitis… Acute herpetic gingivostomatitis…

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10
Q

DOC in ANUG?

A

Peni + Metronidazole

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11
Q

Rx of ANUG… All except?

A

Except… Steroids… C/I..

All - peni…. Debridement… Oral hygiene…

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12
Q

In ANUG… Extractions n Perio Sx to be done when?

A

After 4 wks

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13
Q

Which dis if not treated can lead to indifferent course?

A

ANUG

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14
Q

4 zones of ANUG first described by?

A
  1. Bact zone
  2. Neutrophil rich zone
  3. Necrotic zone
  4. Zone of Spirochete infiltration
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15
Q

Different features in diff dis?

A

1 ANUG - Marginal ging

  1. Herpetic gingivitis - diffuse
  2. Chemical irritation - PATCH like or diffuse
  3. Chronic ging - Red or bluish red marginal gingiva
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16
Q

Pseudomembrane is ANUG can be pulled off easily or not??

A

Yes… Easily!!

17
Q

In diphtheria ??

A

Difficult to remove.. ( Pn - D for D)

18
Q

In Syphilis??

A

UNDETACHABLE

19
Q

ANUG resembles which kind of gingivitis?

A

Leukemia gingivitis

20
Q

Kind of pain in ANUG?

A

Gnawing radiating pain

21
Q

Increased incidence of ANUG in?

A

AIDS

22
Q

GINGIVPLASTY or GINGIVECTOMY in ANUG?

A

GingivoPLASTY…

23
Q

In the first visit of ANUG… What to be done?

A

SUPETFICIAL Scaling… Debridement.. CHX mouth rinse..

NEVER… Deep scaling n root planing…

24
Q

Dx test for ANUG?

A

Dark field microscopy…

Why so??
Routine gram staining can’t stain spirochetes..

25
Q

ANUG is transmissible or or communicable?

A

Transmissible but not communicable… Obvly!! Just think a bit!!

PERIODONTICS (14 decks)

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