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8 Cards in this Set
- Front
- Back
NUG
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- Mixed bacterial infection; possible viral
- Stress, poor hygiene, poor diet, smoking, immune suppression, etc - Affects young or middle-aged |
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Clinical presentation of NUG
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- "Punched Out" interdental papillae
- Localized or diffuse gingival involvement - Severe pain, oral malodor, spontaneous hemorrhage - Occasionally, process spreads to adjacent soft tissues (necrotizing stomatitis) - Plaque retentive gingiva can be mistaken for Candidiasis |
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NUG Tx
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- Debridement
- Broad spectrum antibiotic - Mild salt water rinse, chlorhexidine or dilute hydrogen peroxide rinses - Improve oral hygiene and diet |
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Desquamative Gingivitis
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- Describes the sloughing of the gingival epithelium
- Assoc. w/ several different immune-mediated vesiculoerosive diseases - Clinical description, NOT a diagnosis |
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Drug-related gingival hyperplasia
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- Abnormal growth of gingival tissues secondary to use of a systemic medication
- Diffuse involvement - Degree of clinical enlargement related to patient's susceptibility and level of oral hygiene |
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Drugs that cause in gingival hyperplasia
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Phenytoin, Nifedipine, Ca2+ blockers, Cyclosporin
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Gingival Fibromatosis
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- Slowly progressive collagenous overgrowth of the gingiva
- Isolated or familial - May be generalized or localized - Gingiva is firmed, normal color - Happens during eruption of teeth (prim or sec) - Tx: OHI, gingivectomy, selective tooth extraction |
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Papillon-Lefevre Syndrome
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- Rare; autosomal recessive disorder
- Oral and dermatologic manifestations - Accelerated periodontitis (defective neutrophil function) - Primary and secondary dentition - Palmar/plantar keratosis - W/o aggressive therapy, loss of dentition is inevitable - Rigorous OH, chlorhexidine rinse, frequent dental visits, etc can slow/halt the disease |