Acute Periapical Lesions and Mucogingival Deformities and Conditions Flashcards
(17 cards)
What are the types of acute periodontal lesions?
important!
- Periodontal Abscesses
- Necrotizing periodontal diseases
- Endo Perio lesions
Acute periodontal lesions are _______% of all emergency patients
7-14%
3rd most common dental emergency
What is a periodontal abscess?
important!
Localized accumulation of pus located within the gingival wall of the periodontal pocket, with an expressed periodontal breakdown occurring during a limited period of time, and with easily detectable clinical symptoms.
Most common symptoms of acute periodontal disease in order of decreasing frequency:
important!
- Pain
- Swelling and Edema
- Lymphadenopathy
- Fever
if patient does not have a fever they don’t get antibiotics
Multiple abscess formation is often a manifestation of:
important!
- Diabetes (Uncontrolled or undiagnosed): most of the cases have this as a cause.
- AIDS (compromised immune system)
- Depressed Immune System (steroid therapy, chemotherapy)
What is the microbiology of a abscess?
important!
- Treponema (spirochetes)
- Fusobacterium nucleatum
- P intermedia
- P gingivalis
- Peptostreptococcus micros
- Tannerella forysthia
- Candida albicans
exclusion question
What is important to know about periodontal abscess in periodontitis patients?
- Periodontal abscess could represent a period of disease exacerbation (due to the presence of a tortuous pocket, furcation involvement, or vertical defect)
- Composition of microflora
- Decreased host defense
What kinds of treatment can cause periodontal abscess in patients with periodontitis?
important!
- Post-Scaling
- Post-surgery
- Post-medication
— Antimicrobials
— Nifedepine
What are the causes of periodontal abscess in non periodontitis patients?
important!
- Impaction of foreign bodies
- Harmful habits
- Orthodontic factors
- Gingival enlargement
- Alteration of the root surface including
— Dens invaginatus
— cemental tears or enamel pearls
— Iatrogenic conditions such as perforations
— Severe root damage: Vertical root fracture or cracked tooth syndrome
— External root resorptio
What are the treatment options for periodontal abscess treatment?
important!
- Non-surgical drainage and debridement with local anesthetic
- Surgical Drainage for large abscess
- Surgical Therapy with flap reflection, debridement with ultrasonic, sutures
- Antibiotics if systemic infection indicated by fever or lymphadenopathy
- Reevaluation and any further needed therapy
How much keratinized gingiva is enough?
important!
need 2 mm keratinized, 1mm attached
What is the prevelance of gingival recession in adults?
important!
half (50%)
What are the two most common mucogingival defects in daily practice?
important!
- Gingival Recessions
- Inadequate Zone of keratinized gingiva
What is a recession type (RT) 1?
important!
Gingival Recession with No loss of interproximal attachment. Interproximal CEJ was not detected either on the mesial or distal aspect of the tooth
treatable
What is a recession type (RT) 2?
Gingival recession associated with loss of interproximal attachment. The amount of interproximal attachment loss was less or equal to the buccal attachment loss.
treatable
What is a recession type (RT) 3?
Gingival recession with the loss of interproximal attachment. Interproximal attachment loss is greater than the buccal attachment loss.
not as treatable
What occurs when if an existing recession is left untreated?
important!
- Untreated areas also showed a tendency to develop new recession
- make sure to watch/monitor it
