Other Periodontal Diseases and Conditions Flashcards Preview

AU 15- Periodontology Exam 2 > Other Periodontal Diseases and Conditions > Flashcards

Flashcards in Other Periodontal Diseases and Conditions Deck (34):
1

What are the two Necrotizing Periodontal Diseases (NPD)?

NUG (Necrotizing Ulcerative Gingivitis)
NUP (Necrotizing Ulcerative Periodontitis)

2

NUG is confined to _____ and _______.

interdental papilla
marginal gingiva

3

NUG is characterized by ____ onset of pain, _______, and bleeding.

rapid
necrosis of interdental gingiva

4

NUG affects young adults and is associated with _____ and _____.

smoking
stress

5

What is "pseudo membrane?"

ulcerations associated with NUG that are covered by a yellowish-white or grayish slough

6

NUG has a _______ appearance due to necrotic interdental papilla.

Punched-Out

7

What is the chief complaint of NUG?

Pain

8

True or False: Swelling of regional lymph nodes may occur with Necrotizing Periodontitis.

True

9

Which lymph nodes are usually involved with NPD?

usually SUBMANDIBULAR
sometimes CERVICAL also

10

True or False: Fever and malaise are always associated with NPD.

False, not consistently found

11

True or False: Increased salivation accompanies NPD.

True

12

What is the prevalence of NPD in young adults of industrialized countries? What about young adults in developing countries? Immunocompromised individuals?

Industrialized: 2%-7%
Developing: much higher
HIV: 1%-28%

13

Which three species of bacteria are associated with necrotizing periodontal diseases?

SPIROCHETES (treponema)
Fusobacterium
P. intermedia

14

Which viruses are associated with NPD?

CMV (cytomegalovirus)
HIV

15

What are four host factors that increase progression of NPD?

1. Immunosuppression
2. Pre-existing gingivitis, poor hygiene
3. Psychological stress, lack of sleep
4. Smoking

16

In NPD, the connective tissue is ______ and the capillaries are ______.

hyperemic CT
engorged capillaries

17

True or False: Histologically NPD is seen as necrosis of epithelium and deep layer of CT.

False, superficial layers of CT

18

What are the four layers of NPD?

1. Bacterial Zone
2. Neutrophil rich Zone
3. Necrotic Zone
4. Spirocheteal Infiltration Zone

19

What are two differential diagnoses of NPD?

1. Primary Herpetic Gingivostomatitis
2. Oral mucosal Disease

20

Acute therapy for NPD involves debridement, oral rinses such as ________, and antibiotics such as ______.

chlorhexidine 0.12%
metronidazole

21

Is NUG contagious? Is PHG?

NUG= no
PHG= yes (herpetic)

22

What is a periodontal abscess?

a localized collection of pus within the tissues of the periodontium

23

Periodontal abscesses are the third most common emergency condition and account for _____%

8%-14%

24

What are the three types of abscesses in the periodontium?

gingival
periodontal
pericoronal

25

True or False: Abscesses can be periodontis-related or non-periodontitis-related.

True

26

A _____ abscess is irritation from foreign bodies forcefully embedded into healthy tissues.

gingival

27

A ______ abscess is localized purulent inflammation in the periodontal tissues.

periodontal

28

What are three situations that would result in periodontitis-related abscesses?

1. exacerbation of chronic lesions
2. post-therapy abscess following SRP or surgery
3. Post-antibiotic- super infection

29

Non-periodontitis-related abscesses can result from _____ or ______.

Foreign body impaction
root morphology alterations

30

What are two possible complications associated with periodontal abscess?

1. Tooth loss
2. Systemic infections

31

Which bacterial species is associated with Peridontal Abscesses?

P.gingivalis

32

How are periodontal abscesses managed?

irrigation
drainage
debridement (if small)
antibiotics (if large)
OHI

33

What is a definitive treatment plan for periodontal abscesses?

full mouth ScRP
Prophylaxis

34

Differential diagnoses of periodontal abscesses include (4).

Vertical Root Fracture
Endo-perio Abscess
Osteomyelitis
Tumors