Oral surgery collaq 3 Flashcards
(13 cards)
Acute Periodontitis
Etiology (Cause)?
-Untreated caries.
-Pulpitis.
-Dental trauma.
-Inadequate root canal treatment.
-Drug impairment.
Acute periodontitis
Symptoms/signs:
-Pain
-swelling
-Gingival recession
-Bone loss
-Periodontal pockets
-Tooth mobility, halitosis (bad breath).
-Bleeding gums
Acute periodontitis
Clinical Examination:
-Redness and swelling
-Fluctuation upon palpation, its when you press the affected area, you feel a soft, fluid-filled swelling. This often indicates pus or an abscess.
-Tenderness, the area is painful or sensitive to touch, a common sign of inflammation or infection.
-Tooth mobility
Acute periodontitis
Radiographic findings
-Cyst formation and bone loss in the apical region. Or you will find periodontal spaces.
Acute periodontitis
Treatment management
-Antibiotic therapy
-Endodontic therapy
-Drain the infection
-Pain killers
Chronic Periodontitis
Etiology (causes):
-Long standing untreated infection, long standing like plaque and calculus buildup.
-Gradual destruction of the periodontium,
Chronic Periodontitis
Symptoms/signs:
-Bleeding gums, during brushing or eating
-Loose teeth, bone loss
-Deep pockets
-Tooth sensivity
-Fistula
Chronic Periodontitis
Clinical examination:
-Tooth mobility
-Periodontal pockets
-Radiograph, Bone loss around the tooth roots.
-Furcation inspection
-Bleeding
-Pus/abscess
Chronic Periodontitis
Treatment management:
-Non surgical, scaling and root planing.
-Surgical treatment, lift the gums to clean deep pockets
-Oral hygiene
-Gingivectomy, remove extra gum
-Remove damaged bone
-Bone grafts, replace lost bone.
Periostitis
Etiology (cause):
-Tooth infections, cavities or pulpitis spreading to the surrounding bone.
-Gum disease, severe infections in the gums that spread to the bone.
-Injury, trauma to the jaw that allows bacteria to infect the bone covering.
-Sinus infections, sinusitis can spread to the jaw bone.
-Medical problems, like diabetes.
Periostitis
Symptoms/Signs:
-Edema (hard swelling), hyperemia.
-Pus formation, abscess, fistula.
-Pain worsening with pressure or movement.
-Trismus.
-Enlarged, tender lymph nodes.
-Nasal congestion/drainage (if sinus involved).
-Systemic signs: fever, malaise, headache, leukocytosis.
Periostitis
Clinical examination:
-Pus accumulation or fluctuation upon palpation
-Bone resorption
-Edema
-Radiograph
Periostitis
Treatment Management:
-Endodontic therapy or extraction.
-Antibiotic Therapy.
-For maxillary sinus involvement: prescribe vasoconstricting nasal spray.
-Chlorhexidine Mouth Rinse.
-NSAIDs for pain relief.