Flashcards in Perio in children Deck (20)
How does periodontium differ in children?
Marginal gingival tissue sore vascular
Fewer connective tissue fibres
Redder - often mistaken for inflammation
How can tooth eruption effect periodontium?
Localised hyperaemia (Increased blood flow) = persistent swollen papillae
Eruption of permanent teeth accompanies migration of JE
What should be considered around gingival stability in children?
Gingival margin and JE continue to shift after eruption - mistaken for gingival recession
at 12 years - 1,2,3,5,6 stable
at 16 - should be stable
Effect of alveolar bone being more vascular and fewer trabecular?
Enhanced rate of progression of Periodontal disease in primary dentition
Effect of puberty in gingivitis in girls?
Oestrogen - increases cellularity of tissues
Progesterone - increase permeability of gingival vasculature
Oestradiol - supports growth of BP microbes
Drugs causing gingival enlargement?
Anti convulsants e.g. phenytoin (epilepsy)
Immunosuppressant - ciclosporin (prevent organ transplantation)
Calcium channel blocker - Nifedipine (post-transplant to reduce nephrotoxicity in ciclosporin)
How does phenytoin cause gingival enlargement?
Overproduction of collagen
How does ciclosporin cause gingival enlargement?
Unknown - stimulation of fibroblasts, increased collagen production
Management of gingival enlargement?
How can width of keratinised gingival effect health?
Narrow zone of KG = cause of recession?
Wider zone may be better to withstand inflammation and trauma
How can gingival recession effect tooth position?
In permanent incisors - may be displaced labially
When is modified BPE used?
Children under 18 years
What is modified BPE?
Uses 6's and 1's only
Local risks factors for Perio?
plaque retentive factors
General risk factors for Perio?
Inherited condition - Ehlers danlos, papillon-lefevre syndrome
How does diabetes effect perio?
Diabetes and period both inflammatory condition
upregualtion of cytokines = local damage
Treatment of periodontitis in primary dentition?
If general rather than local may extract primary dentition to remove aggressive pathogens before secondary teeth erupt
Genetic factors contributing to aggressive Perio?
Inherited condition with leukocyte defects
List 3 systemic disorders with periodontal fetaures