Gingival diseases Flashcards
(28 cards)
do gingival lesions always have to be plaque induced?
no., can be viral, fungal, genetic, systemic or from trauma
sympt of 1’ herpetic gingivostomatitis
painful severe gingivitis w/ redness
ulcurs w/ serofibrinous exudate
edema and stomatitis
characteristics of 1’ herpetic gingivostomatitis
incubation = 1 week
vesicles form and rupture leaving ulcers
heals w/in 10-14 days
how do you treat viral gingivitis?
careful plaque removal
antivirals like aciclovir
characteristics of herpes zoster
small ulcers on tongue palate and gingiva
unilateral lesions
2nd and 3rd branches of trigem gang.
what 3 fungi can cause oral probs
candidosis
linear gingival erythema
histoplasmosis
Tx = antifungals - SRP wont work
sympt of candidosis
painless or burning red and white lesions
how do you diagnose candidosis
nickersons medium then microscopic exam
characteristics of linear gingival erythema
band limited to free gingiva
lacks bleeding
tests + for candida
seen in immunocompromised
histoplasmosis characteristics
mainly on tongue
nodular or papillary painful lesions
hereditary gingival fibromatosis may be located on the _______ chromosome and may prevent ________
2nd
tooth eruption
w/ allergic rxns, type I is the _____ type and mediated by _____ while type IV is the ____ type and mediated by _____
immediate - IgE
delayed - T cells
mucocutaneous disorders
lichen planus pemphigoid pemphigus vulgaris erythema multiforme lupus erythematosus drug induced mucuocutaneous disorders
characteristic skin lesions of lichen planus
wickham striae- seen anywhere in mucosa assoc w/ fibrin in basement membrane and deposits of IgM C3,4 and 5
Pemphigoid characteristics
autoantibodies detach epithelium from the CT by destroying hemidesmosomes and lamina lucida
types of Pemphigoid
bullous, benign mucous membrane and cicatrical (scar)
pemphigoid is most commonly seen in …
women over 50
what is the Nicholsky sign?
you rub the gingiva in pemphigoid and it creates a bulla and falls off
how is pemphigus different from Pemphigoid?
forms intraepithelial Bullae w/ Acantholysis ( degredation of stratus spinosum)
who gets pemphigus bulgaris?
older jewish and mediteranian people
erythema multiforme characteristics
vesiculobullous lesions w/ swollen lips; when severe: stevens johnson synd.
it’s cytotoxic immune rxn toward keratinocytes caused by herpes or drugs
who gets erythema multiforme?
children
lupus erythematosus is autoimmune disease where target is ______
cellular constituents
lupus lesion characteristics
central atrophic area w/ sm. white dots surrounded by white striae and telangiectasia that looks like butterfly
