Perio PP6

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  1. What are the two categories of gingival diseases
    • Plaque induced gingival disease
    • Non-plaque induces gingival disease
  2. What are the 3 stages of gingivitis
    • Initial lesion
    • Early lesion
    • Established lesion
  3. Describe the initial lesion stage
    develops within 4 days of biofilm accumulation with mostly gram + bacteria
  4. Describe the early lesion stage
    inflammation clinically detected after 7 days with increase in gram – bacteria
  5. Describe the established lesion stage
    bleeding on probing with increased numbers of gram – rods and spirochetes
  6. What percentage of demineralization occurs before bone loss appears radiographically
    60%
  7. What are some indicators of GINGIVITIS ASSOCIATED WITH DENTAL PLAQUE ONLY
    • Most common form
    • Plaque at gingival margin
    • Redness, tenderness
    • Swollen margins
    • Bleeding upon probing
    • Damage reversible with good patient self-care
  8. GINGIVITIS ON A REDUCED BUT STABLE PERIODONTIUM occurs in patients
    who have been successfully treated for periodontitis (there is existing attachment loss, but no ongoing periodontal disease)
  9. What are some indicators of GINGIVITIS ON REDUCED BUT STABLE PERIODONTIUM
    • Pre-existing bone loss from previous history of periodontitis
    • Plaque at the gingival margin
    • All other signs of plaque-induced gingivitis
  10. Three main categories of gingival diseases with modifying factors are
    • –Gingival diseases modified by systemic factors
    • –Gingival diseases modified by medications–Gingival diseases modified by malnutrition
  11. In GINGIVAL DISEASES MODIFIED BY SYSTEMIC FACTORS ______ initiates the disease and then _______ found in the host ___________. It is modified by the _______ system and __________
    • plaque
    • specific systemic factors
    • exaggerate the disease process
    • endocrine system and fluctuations in sex hormones
  12. What are some indications of Puberty-Associated Gingivitis
    • –The signs of inflammation seem exaggerated in relation to the amount of plaque present
    • –Occurs in males and females
    • –Clinical features are inflamed gingiva with prominent bulbous papillae on the facial aspect
  13. What is Menstrual cycle-Associated Gingivitis
    An exaggerated inflammatory response to plaque biofilm due to elevated estrogen and progesterone prior to ovulation
  14. What is Pregnancy-Associated Gingivitis
    • An exaggerated inflammatory response to plaque biofilm
    • Usually occurring during the 2nd and 3rd trimesters of pregnancy due to rise in estrogen and progesterone
    • Decreases after child birth
  15. What is a Pregnancy associated pyogenic granuloma (pregnancy tumor)
    • –A localized mass projecting from the gingival papilla during pregnancy.
    • –There is an exaggerated response to an irritation.
    • –Growth bleeds easily if disturbed.
    • –Growth usually regresses after giving birth
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    pyogenic granuloma (pregnancy tumor)
  17. What is Diabetes-Associated Gingivitis
    • An exaggerated inflammatory response aggravated by poor glycemic control (poorly controlled blood glucose)
    • Reduction in inflammation in adults may lead to reduction in amount of insulin needed to to control blood glucose levels
  18. What is Leukemia-Associated Gingivitis
    • An exaggerated inflammatory response to plaque resulting in increased bleeding and tissue enlargement (plaque is not a prerequisite)
    • May be first clinical sign of leukemia
  19. What is Drug-influenced gingivitis
    an exaggerated inflammatory response to dental plaque and a systemic medication
  20. Medications Most Commonly Associated with Gingival Enlargement
    • Calcium channel blockers
    • Immunosuppressants
    • Anticonvulsants
  21. What is an Anticonvulsants medication associated with gingival enlargement
    phenytoin/dilantin
  22. What is an Immunosuppressant medication associated with gingival enlargement
    cyclosporine
  23. What are some Calcium channel blockers  associated with gingival enlargement
    nifedipine, amlodipine, verapamil
  24. In GINGIVAL DISEASES MODIFIED BY MEDICATIONS plaque accumulation is _______ for initiation of gingival enlargement
    not necessary
  25. Gingival enlargement medications stimulate
    fibroblast proliferation
  26. What medication is this patient taking?
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    • Cyclosporine
  27. What medication is this patient taking?
    • Image Upload
    • Dilantin
  28. What are some factors of gingival enlargement
    • Onset within 3 months of taking medication
    • Exaggerated response to plaque biofilm
    • Higher prevalence in children
    • Gingiva on anterior sextants most commonly affected
    • Enlargement first observed at the interdental papilla
    • Good daily self-care control limits the severity of gingival overgrowth
  29. GINGIVAL DISEASES OF SPECIFIC BACTERIAL ORIGIN are characterized by a
    bacterial infection of the gingiva by a specific bacterium that is not a common component of the bacterial plaque biofilm
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    Mycobacterial Infection
  31. What are rare gingival diseases and what does it result in
    • –Neisseria gonorrhea
    • –Treponema pallidum
    • –Streptococci
    • Result in painful ulcerations, patches or atypical highly inflamed gingiva
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    Primary Herpetic Gingivostomatitis
  33. What is Primary Herpetic Gingivostomatitis and what is it characterized by
    • The initial oral infection with the herpes simplex type-1 virus (HSV-1) usually occurring by age 3
    • Characterized by redness and multiple vesicles (tiny fluid-filled blisters) that easily rupture to form painful ulcers
    • Fiery red marginal gingiva
    • Swollen papillae that bleed easily
    • PainfulYellowish ulcers surrounded by red halo
    • Fever, lymphadenopathy
    • Dehydration is a concern
  34. Primary Herpetic Gingivostomatitis resolves in ______ days
    10-20
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    Primary Herpetic Gingivostomatitis
  36. What are some indications of Linear Gingival Erythema
    • Associated with HIV
    • May be associated with Candida albicans fungus
    • Gingival manifestation of immunosuppression
    • Characterized by inflammation that is exaggerated for the amount of plaque present
    • Does not respond well to improved oral self-care or professional therapy – chlorhexidine rinse has proven helpful
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    Hereditary gingival fibromatosis
  38. What is Hereditary gingival fibromatosis
    • Characterized by gingival hyperplasia beginning around puberty which may cover the teeth.
    • Tissue appears paler than surrounding tissue because of marked collagenization of the fibrous connective tissue
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    oral lichen planus
  40. What are some characteristics of oral lichen planus
    • Intense redness of the gingiva
    • Sloughing (pealing)of the epithelium leaving painful red, raw surface
    • Has nothing to do with bacterial plaque although plaque control is difficult during outbreaks
  41. What are some indications of MUCOUS MEMBRANE PEMPHIGOID AND PEMPHIGUS VULGARIS
    • –Chronic autoimmune diseases
    • –Blistering followed by sloughing of the gingiva leaving painful, red, raw surface
    • –Nothing to do with bacterial plaque
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    MUCOUS MEMBRANE PEMPHIGOID AND PEMPHIGUS VULGARIS

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Author:
haitianwifey
ID:
327983
Filename:
Perio PP6
Updated:
2017-02-01 15:36:10
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Perio PP6
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Perio PP6
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