Perio Chapter 6 part 2

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Perio Chapter 6 part 2
2011-11-05 20:04:43
non plaque biofilm induced gingival lesions

chapter 6
Show Answers:

  1. What is the most common condition noted in gingival tissues?
    herpes simplex (viral)
  2. Name a common gingival lesion of genetic origin.
    gingival enlargement (Idiopathic gingival enlargement)
  3. What are 2 other names for gingival enlargement, or pathologic overgrowth of the gingiva?
    • hyperplasia
    • hypertrophy
  4. Name 3 causes of gingival enlargement besides genetic origin.
    • excessive reaction to bacteria plaque
    • variety of medications
    • side effect of systemic disease (leukemia)
  5. true or false. Streptococcal infection of the throat can infect the oral tissues including the gingiva.
  6. Name 3 specific types of bacteria that can cause gingival diseases.
    • streptococcus
    • meningococcal gonorrhea
    • syphilis
  7. What is another name for NUG? (given because it was commonly seen in soldiers in WWI)
    trench mouth
  8. What disease is commonly seen with stress, has specific identifiable bacteria and commonly begins in the papillae?
  9. What disease is characterised by punched out papillae from collection of PMN;s trapped in a fibrin clot?
  10. namethe 2 micro-organisms present in NUG that are very significant features.
    What are these organism's also known as?
    • fusiform bacillus
    • spirochetes
    • Vincent's organisms
  11. True or false. NUG has a SLOW onset of pain.
    FALSE. a RAPID onset of pain
  12. true or false. NUG can be present without bone loss.
  13. NUG is characterized by _______ ______ papillae, covered with ______ __________.
    • punched out
    • white pseudomembrane
  14. NUG presents with a distinctive breath odor also know as what?
    fetor oris
  15. When are antibiotics used to treat NUG?
    Which antibiotics are usually used?
    • ONLY if systemic symptoms of fever and malaise are present.
    • Penicillin
    • Metronidazole
  16. NUG is treated by complete ________ of the tissue with use of ____________, and excellent ______ ______ at home.
    • debridement
    • anesthetic
    • plaque control
  17. true or false. Use of scaling with ultrasonics and hand instruments is ok in patients with NUG. perio
  18. What home rinse can be suggested to patients to use in the treatment of NUG?
    dilution of hydrogen peroxide and warm water
  19. repeated bouts of NUG may cause what to the patient? (2 things)
    • permanent gingival deformation
    • leave the patient at a higher risk for perio disease
  20. Untreated NUG may lead to bone loss and become what?
  21. Is the relationship between NUG and NUP clear? Why or why not?
    • No.
    • It may be conseuence of extension fo the gingival infection into the deeper tissues, or it may be a seperate entity.
  22. Why is the Herpes virus infection so important for us to recognize as dental hygienists?
    because it is highly contagious and very common
  23. Which type of herpes lesions form around the mouth?
    • Secondary lesions:
    • cold sores or fever blisters
  24. True or false. Secondary herpes lesions are highly contagious; and DO resemble gingivitis.
    FALSE. do NOT resemble gingivitis
  25. What is another name for primary herpetic gingivostomatitis?
    primary herpesvirus infection
  26. Which type of herpes virus is most likely to occur in younger children and adolescents, but can be seen in young adults to middle aged patients?
    primary herpetic gingivostomatitis (primary herpesvirus infection)
  27. Herpes simplex gingival lesions may resemble NUG. List 4 symptoms of herpes that can distinguish it from NUG.
    • elevated temperature - pt appears more ill
    • greater malaise
    • vesicle formation
    • vesicles will coalesce into ulcerative lesions
  28. What is a palliative rinse used for treatment of primary herpetic gingivostomatitis?
    viscious xylocaine 2%
  29. Name an antiviral drug recommended to reduce the duration of infection of primary herpetic gingivostomatitis
    antiviral drugs such as Zovirax 400mg 4x a day for 1-2 weeks
  30. Which type of gingival infection is being described?
    tissue erythematous and fragile gingival and mucosal tissues, possibly severe redness with white patches on the gingiva. The white patches are accumulations of organisms and debris that easily rub off gingiva, exposing ulcerated tissue.
    gingival infection of a FUNGAL origin
  31. true or false. the white patches of candidiasis infection can be easily wiped off.
  32. In recent years, candida infections have been seen in patients with what specific types of diseases?
    • immunosuppression:
    • HIV
    • transplant
  33. Which kind of infection is most commonly found under dentures in the mouths of pts who have worn prostheses for long periods of time?
    candida Albicans
  34. Whit is the most common fungus in the oral cavity?
    candida Albicans
  35. What is the treatment for gingival infections of a fungal origin?
    antifungal meds
  36. Name a blood dyscrasia that is sometimes forst seen in the dental office. And explain why it is so.
    • Acute Leukemia
    • because of the quick onset of gingival changes
  37. Which condition may be characterized by hemmoraghic and swollen gingival tissues that are far more pronounced than would be expected from the amount of plaque and calculus present?
    acute leukemia
  38. Name 3 types of dermatologic diseases that may present with gingival manifestations.
    • Lichen planus
    • mucous membrane pemphigoid
    • desquamative gingivitis
  39. Lichen Planus is a chronic disease thought to be ________ related.
  40. Lichen planus affects the skin and mucous membranes of __________- aged patients
  41. true or false. Men and women are equally effected by Lichen planus.
  42. true or false. The severity of Lichen Planus may be related to stress level.
  43. What is used for the treatment of Lichen planus?
    topical steriods
  44. Which form of Lichen Planus affects the gingival tissues, and they appear as lacy white lines (Whickham's striae) with a bumpy appearance?
  45. Which form of Lichen Planus may appear as areas of white lesions alternating with raw, reddened areas?
    erosive form
  46. Which dermatoligic disease with gingival manifestations is a chronic vesiculobullous disease characterized by blistering and sloughing of the surface gingival epithelium?
    mucous membrane pemphigoid
  47. What is the cause of mucous membrane pemphigoid?
    it is unkown - thought to be autoimmune
  48. Is mucous membrane pemphigoid more common in men or women?
  49. The diagnosis of mucous membrane pemphigoid is easier if the disease is seen where?
    on buccal mucosa and lips
  50. The following symptoms describe which dermatologic disease?
    range from mild discomfort to painfully raw and bleeding areas because of the epithelium stripping away from the underlying connective tissue
    mucous membrane pemphigoid
  51. The peeling of epithelium in mucous membrane pemphigoid is known as what?
    Nikolsky's sign (it may prevent any form of dental hygiene tx)
  52. Name 3 different treatment options for mucous membrane pemphigoid
    • palliative
    • topical steroid
    • chlorhexidine rinse
  53. What are cicatiricial pemphigoid lesions that are limited to the gingival tissues known as?
    desquamative gingivitis
  54. Which condition is described as sloughing of the gingival epithelium, leaving raw, red surface?
    desquamative gingivitis
  55. What is another name for desquamative gingivitis?
  56. What is the cause of desquamative gingivitis?
    autoimmune or allergy
  57. desquamative gingivitis disease may continue for many years, especially in _____________
  58. what are treatment options for desquamative gingivitis?
    • topical and systemic steroids
    • meticulous plaque control
  59. Name for things that commonly cause traumatic lesions
    • food burns
    • chemical burns
    • cuts (from food)
    • advanced recession
  60. Name an example of a foreign body reaction
    food impactions (localized and painful with sudden onset)