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26 Cards in this Set

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What is the major cause of pregnancy gingivitis?
Increased hormones and plaque. The increased levels of progesterone and estrogen increase vascular permeability and gingival flow which lead to edema, increase inflammatory cell response, and also, the species changes (Prevotella Intermedia). The major cause of pregnancy gingivitis still is plaque.
How may the management of a pregnancy tumor differ from other hormone- related gingival complications?
The management of pregnancy tumor differs from other hormonal-related gingival complications because it can become painful and it spontaneously regresses after pregnancy.
A pregnancy tumor is also an inflammatory response - not necessarily from bacteria.
What is the etiology of puberty gingivitis?
The etiology of puberty gingivitis is bacteria - the gingival response is the only thing accelerated.
Changes in the subgingival microbotia.
Name some of the suspected etiologeis of phenytoin-induced gingival enlargement.
Phenytoin increases the amount of fibrogen made, decreases collagen degradation, and a produces a plaque-induced inflammation.
Will a gingovectomy procedure alone help to reduce drug-induced gingival enlargement?
No - must remove bacteria.
Is an "epulis" a dx?
Epulis is not a diagnosis - it is only a generic term used to clinically designate all discrete tumors and tumorlike masses of the gingiva - most are actually inflammatory rather than neoplastic.
Why does the txt of a giant cell granuloma differ from other benign gingival growths?
Giant Cell Granuloma has a high recurrence rate and must be completely removed.
Why is it important to remove exostoses?
prosth.
What is the most common malignant tumor of the gingiva? how would you manage it?
Squamous cell carcinoma. Manage by (1) biopsy (2) radical removal
What is the most lethal form of desquamative gingivitis?
Pemphigoid Vulgaris.
Where does the Ag-Ab complex occur in MMP? In pemphigus?
In mucous membrane - at the basal cell layer; in pemphigus - cell to cell
What are some of the etiologies of erytheform multiforme? What extra-oral lesions might you see?
Etiologies: (1) Herpes Simplex Virus (2) Mycoplasma infection (3) Drug Reactions
Extra-oral lesions: target lesions on hand
How do you manage erythroplakia?
Resolve Spontaneously; mild- antihistamines and mild anesthetics; severe - corticosteroids
How do you manage herpetic gingivostomatitis?
(1) Topical application of palliative ointments, antimicrobial rinse
(2) Acyclovir systematically and topically
(3) In severe forms, antibiotic treatment
(4) Will heal spontaneously in 1-2 weeks
How is the periodontium affected in the diabetic pt?
Diabetes allows for (1) vascular changes (2) impaired collagen metabolism (3) AGE's -->
proinflammatory cytokines (4) increase in GCF glucose (5) Impaired immune defense
Are diabetic patients at a greater risk for attachment loss?Does their level of disease control affect their periodontium?
Diabetic patients ARE at GRETAER risk for attachment loss and their level of disease
Control affects their periodontal health.
What therpaies will help gain CAL and reduce probing depths? Hba1c reduction?
(1) Received systemic doxicycline (2) topical irrigants (3) ultrasonic bacteriocidal curettage, OHI, and doxicycline 100 mg/day for 14 days.
Why is a pt with Down Syndrome more at risk for periodontal breakdown?
(1) Poor PMN chemotaxis and phagocytosis
(2) Increased intervals of P. Intermedia
(3) Local Factors: plaque, calculus, local irritants - diastemma, crowding of teeth, high frenum attachments, malocclusion). (4) Poor oral hygiene
Why is a pt with Papillon-Lefevre Syndrome managed?
Aggressive treatment including extraction of deciduous teeth and some permanent teeth has shown some success in maintaining residual permanent teeth. However - this is still unpredictable.
What are key clinical features of leukoplaia?
Generalized gingival enlargement. gingivitis, ginigival bleeding, oral ulcerations, petechiae
Hw might a pt with neutropenia present?
Should present with infections - apthous ulcers, candidiasis, or forms of periodontal disease.
What is the riskfor performing PD surgery on a pt with thrombocytopenia?
Blood cannot clot as well - likely to have problems with gingival bleeding
What complaints might an anemic pt have?
• Weakness, fatigue, dizziness, weight loss, pallor, shortness of breath, numbness and tingling of the extremeties
• Glossitis and gingival hemorhagge
What are three commonf ungal lesions in HIV pts?
1. Psuedomembranous cadidiasis - have white film over gingival tissue 2. Atrophic Erythematous Candidiasis 3. Linear Gingival Erythema
txt NUG?
Debridement
CHX rinse
Metronidazole, Amoxicillan
Txt NUP?
Metronidazole: 250 mg, with 2 tabs taken immediatley and then 1 tab four times a day for 5-7 days.