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Flashcards in Acute Perio Conditions Deck (12):
1

ANUG Early Signs 4

  • Necrotic lesion of papilla progressing to gingival margin
  • Punched out apperance
  • Extremely painful
  • Spontaneous bleeding

2

ANUG Advanced Lesion 4

  • Lack of deep pockets
  • Merging of papillary and marginal involvement
  • Crater formation from central necrosis
  • Foetor, smelly

3

What flora are associated with ANUG 4

Treponema

Selenomonas

Fusobacterium

P. intermedia

Can release endotoxins

4

What are other factors contributing to ANUG

Stress- cortisol

Poor sleep

Smoking

Alcohol

Caucasian, young

5

Gingival abcess

Localized purulent infection

Involving gingival margin and interdental papilla

6

Pericoronal Abcess

Localized purulent infection

Within tissue surrounding crown of partially erupted tooth

7

Periodontal Abcess and types

Localized purulent infection

Within tissue adjacent periodontal pocket, PDL ligament and bone

Perio related- subgingival biofilm in deep pocket

Non-perio related- Foreign body impaction

8

Periapical Abcess

Inflammatory condition

Purulent exudate involving dental pulp remnants and tissue surrounding apex

9

Gingival abcess treatment

Removal of noxious agents

Incision and drainage

NO antobiotics

Home NaCL water rinse

10

Pericoronal Abcess treatment

Removal of noxious agents

Irrigation

IF systemic complications- antibiotics

Home NaCL water rinse

After controlled, extract or operculectomy

11

Periodontal Abcess Treatment

  • Drain through pocket retraction or incision
  • SRP
  • Perio surgery
  • Extraction
  • Systemic complications-->AB
  • ACT QUCKLY bone resorbs quickly

12

Periapical abcess treatment

Extraction

Root canal therapy