Flashcards in Gingival Diseases 1 Deck (34):
With plaque-induced gingivitis, ScRP will reduce the inflammation. Inflammation associated with ____, ____, _____, ____, _____, or _____ cannot be treated simply by removing plaque.
Infective ____ and _____ are gingival lesions of specific bacterial origin that may or may not be accompanied by lesions elsewhere on the body.
gingivitis and stomatitis
Which bacteria are commonly involved with infective gingivitis and stomatitis?
What are the clinical manifestations of gingival lesions associated with bacterial origin?
fiery red painful ulcerations
atypical, non-ulcerated, highly inflamed gingivitis
How are lesions of bacterial origin diagnosed?
What are two lesions of viral origin?
Herpes Simplex Virus Type 1 or 2
(Type 1 usually causes oral manifestations)
What are the symptoms of Primary Herpetic Gingivostomatitis?
painful, severe gingivitis with redness
ulcerations with exudate
How does Primary Herpetic Gingivostomatitis manifest?
1. Incubation lasts one week
2. Vesicles form
3. Vesicles rupture
4. Vesicles coalesce and leave fibrin-coated ulcers
5. Healing within 10-14 days
Herpes virus can stay latent in the _____ ganglion for years.
Primary Herpetic Gingivostomatitis is initially located _____. Recurrent HS is more ______.
Everywhere (when primary)
localized (when recurrent)
Recurrent Herpetic infections such as _____ _____ effect the vermillion border and/or the skin adjacent to it.
What percentage of individuals have herpes labialis primary infection?
What factors will increase liklihood of recurrence of herpetic lesions?
What is herpes zoster?
varicella (chicken pox) virus
oral manifestation = small UNILATERAL ulcers on the tongue, palate, and gingiva
Where does herpes zoster virus go latent?
the dorsal root ganglion of the 2nd and 3rd branches of the trigeminal ganglion
Candidosis, Linear Gingival Erythema, and Histoplasmosis are all gingival lesions of _______ origin.
True or False: There is oral carriage of C.albicans in 3-48% of healthy adults.
C.albicans is associated with _____ lesions and is frequently isolated from the ______ flora of patients with severe periodontitis.
Candidosis can be of which two forms?
*diagnose with culture and microscopic examination of smears*
What is the common treatment for fungal lesions?
chlorhexidine rinse or antifungal pill
What is the manifestation of linear gingival erythema?
distinct linear erythematous band that is limited to the FREE GINGIVA; lack of bleeding; positive culture test for C.albicans
Linear Gingival Erythema is not always associated with ____ but very often it is.
______ is a rare granulomatous, fungal disease that is either of the Acute/Chronic Pulmonary or the Disseminated Form.
Histoplasmosis first appears as nodular or papillary lesions but later becomes the _____ type with pain.
What is Hereditary Gingival Fibromatosis?
diffuse gingival enlargement that is characterized by thick tissue; it appears as a disease entity or part of a syndrome such as mental retardation; common problems include interference with eruption and "biting/chewing on enlarged gingiva"
What is the possible mechanism behind Hereditary Gingival Fibromatosis?
TGF-beta1 favors the accumulation of ECM
****May be a defect located on chromosome 2: "Son of Sevenless-1" gene****
What are the two types of allergic reactions common in the oral cavity and by which cells are they mediated?
Type1: mediated by IgE
TypeIV: mediated by T-cells
Allergies to dental restorative material are which type of allergy?
type IV - contact allergy (mercury, nickel, gold, etc)
Of the two allergy types seen in the oral cavity, which is immediate and which is delayed?
Immediate: Type I
Delayed: Type IV
Traumatic lesions of the oral cavity can be of ____, ____, or _____ origin.
Incorrect use of caustics by the dentist, chlorhexidine-induced mucosal desquamation, or acetylsalicylic acid burn would cause _______ traumatic lesions.
Poor brushing and flossing techniques, frictional keratosis, and gingival laceration would be ______ traumatic lesions.
Which traumatic lesion type is most commonly seen on the palatal and labial mucosa and could present as painful, erythematous, or vesicular?
Thermal Traumatic Injury (burns from hot beverages)