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Flashcards in Periodontal Diseases Deck (20)
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1
Q

first described in the young men who fought in the trenches during WWII, thus the term trench mouth came to be. it is a MIXED bacterial infection and there is a controversial viral component

A

NUG

2
Q

what are contributing factors to NUG

A

stress, poor oral hygiene, poor diet, immune suppression, smoking

3
Q

what age group does NUG affect most?

A

young or middle aged adults

4
Q

what is the clinical presentation of NUG

A
  • punched out interdental papillae
  • localized or diffuse gingival involvement
  • severe pain, oral malodor, spontaneous hemorrhage
5
Q

does NUG spread to the adjacent soft tissues?

A

yes occasionally

*necrotizing ulcerative mucositis / necrotizing stomatitis

6
Q

what is the tx for NUG

A
  • debridement (using topical or LA)
  • mild salt water or CHX
  • improve oral hygiene and diet

*broad spectrum antibiotic may be helpful particularly if systemic symptoms

7
Q

clinical term used to describe sloughing of the gingival epithelium and is associated with several different immune-mediated vestibulobullbous diseases

A

desquamative gingivitis

8
Q

is desquamative gingivitis considered a diagnosis?

A

NO it is a description

9
Q

how do you manage desquamative gingivitis

A

incisional biopsy

10
Q

abnormal growth of gingival tissues secondary to use of systemic medication.

A

drug-related gingival hyperplasia

11
Q

in drug related gingival hyperplasia, what does the degree of clinical enlargement depend on?

A

pts suseptibility and level of oral hygiene

12
Q

what was the first drug to be associated with gingival enlargement

A

phenytoin (Dilantin)

13
Q

what is the tx for drug related gingival hyperplasia

A
  • removal of the offending medication may result in cessation and some regression of the gingival enlargement
  • home plaque control regimens and surgical therapy as needed
14
Q

slowly progressive collagenous overgrowth of the gingiva. is isolated or familial, is generalized or localized

A

gingival fibromatosis

15
Q

what is the clinical presentation of gingival fibromatosis

A

gingiva if firm and normal color

16
Q

what are three other finding associated with gingival fibromatosis?

A
  • hypertrichosis (excess hair)
  • epilepsy
  • mental retardation
17
Q

what is the tx for gingival fibromatosis?

A
  • oral hygiene instruction
  • gingivectomy (ideally delayed until after complete eruption of permanent dentition)
  • selective tooth extraction sometimes necessary
18
Q

rare, autosomal recessive disorder that has oral and dermatologic manifestations. leads to accelerated periodontitis, related to defects in NEUTROPHIIL function

A

papillon- Lefevre Syndrome

19
Q

what is the tx of papillon- Lefevre syndrome

A

rigorous oral hygiene, CHX rinse, freaquent dental prophylaxis, periodic appropriate antibiotic therapy may slow or halt disease progression

20
Q

what happens if you dont treat papillon Lefevre syndrome?

A

without aggressive therapy, loss of the dentition is inevitable