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8 Cards in this Set

  • Front
  • Back
NUG
- Mixed bacterial infection; possible viral
- Stress, poor hygiene, poor diet, smoking, immune suppression, etc
- Affects young or middle-aged
Clinical presentation of NUG
- "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
NUG Tx
- Debridement
- Broad spectrum antibiotic
- Mild salt water rinse, chlorhexidine or dilute hydrogen peroxide rinses
- Improve oral hygiene and diet
Desquamative Gingivitis
- Describes the sloughing of the gingival epithelium
- Assoc. w/ several different immune-mediated vesiculoerosive diseases
- Clinical description, NOT a diagnosis
Drug-related gingival hyperplasia
- 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
Drugs that cause in gingival hyperplasia
Phenytoin, Nifedipine, Ca2+ blockers, Cyclosporin
Gingival Fibromatosis
- 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
Papillon-Lefevre Syndrome
- 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