Periodontics Lll : Plaque Induced Gingival Diseases - Script 8

Front 1

What do we call the inflammation of the gingiva ?

Back 1

gingivitis

Front 2

What are the classifcation of the gingival diseases ? (2)

Back 2

1) Plaque induced gingival diseases
2) Non-plaque induced gingival diseases

Front 3

Describe the healthy gingiva . (3)

Back 3

1) it's free of inflammation
2) Has not been altered by disease
3) has not been altered by tramua

Front 4

Define "periodontal disease " .

Back 4

"it's a borad term used to refer to BACTERIAL infection of the peridontium "

Front 5

Periodontal diseases are classified into 2 main categories name them

Back 5

1) Gingivits ( plaque and non-plaque )
2) Peridontits

Front 6

The bacterial infcetion in the gingivits disease are confiined to the ...

Back 6

gingiva only

Front 7

the damage to the tissues in gingivits is ...

Back 7

reversible

Front 8

List the 7 charctristics of gingivitis

Back 8

1) Red or bluish red tissue
2) swollen and rounded margins
3) bulbous or swollowen papillae
4) bleeding upon gentle probing
5) probing depth might be >3 mm becasue of ? SWELLING
6) No apical migration to JE (important )
7) NO BONE LOSS

Front 9

What does the plaque biofilm does during gingivits ?

Back 9

plaque biofilm at the gingival margin STIMULATES the host immune response

Front 10

and how will these inflmmatory changes reflect ?

Back 10

they will show CLINICAL changes which invloves :
1) free gingiva
2) attached gingiva
3) papilla

Front 11

What's the localiazed gingivits ?

Back 11

"it's confined to tissue of a single tooth or a group of teeth "

Front 12

what's generalized gingivtis ?

Back 12

" it's occurring in all or MOST of the mouth "

Front 13

List the 3 type of inflammation DISTRBUTION

Back 13

1) Papillary : inflammation is confined to the papilla

2) Marginal : Inflammation is confined to the gingival margin and papilla

3)Diffuse : Inflmmation is throught the gingival margain , papila , and attached gingiva --> extending to the mucogingival junction

Front 14

List the four types of dental plaque-induced gingivits

Back 14

1) gingivits assoictated with dental plaque ONLY

2) gingival disease modified by systemtic factors

3) gingival diseases modified by medications

4) gingival diseases modifed by malnutrtion

Front 15

list the two types of "gingivits assoicated with only dental plaque "

Back 15

1) without other local factors
2) with local contributing factors

Front 16

What's the most common form of gingivits ?

Back 16

it's the plaque-induced gingival diseases

Front 17

where's the location of plaque in the plaque induced gingivits NON-modfying factors ?

Back 17

it's at the gingival margin

Front 18

what are general charctrsitcs shown in plaque induced gingivits NON-modfying factors?

Back 18

1)redness
2) Tenderness
3) Swolloen margins
4) Bleeding on probing

Front 19

List the three main categories for the plaque-induced gingiveits WITH modfying factors

Back 19

1)Systemtic Factors

2) Medications

3) Malnutrtion

Front 20

in plaque-induced gingivitis with modyfing factors , who intiates the disease ?

Back 20

the plaque , THEN the specific systmtatic factors found in the host modify the disease procrss

Front 21

List the two types of gingival disease assoisted with systemtic conditons

Back 21

1)Assosited with endocrine system

2) associated with blood diseases

Front 22

list the four types of endocrine problems assosited with the gingivits releated to systemtic facros

Back 22

1)puberty assosictaed gingivts

2) menstrual cycle assoicated gingivits

3) pregrancy assoicted A) Gingivits B) Pyogneic granuolma

4) D.M assoisted gingivits

Front 23

Talk about pygogenic granuloma

Back 23

1) it is a muchroom-like growth

2) it is more common in the maxialla and in the ginigval paplilla

3) growths are not cancerous

4) growth are usually not painful

5) theres is an exaggerated respone to an irration

6) growth bleeds easily if disturbed

7) growth usually REGRESS after giving birth

Front 24

Talk about gingival diseased modifed by medictions

Back 24

1) druge influnecd gingivtis : an exaggerated inflmmatroy respoonse to dental plaque and a systemtic medictons

2) an increase in size of the gingiva resulting from systemtic medctions

Front 25

name the medictions that are most commonly associated with gingival enlargment (3)

Back 25

1)Antioconvuslants

2) Calcium channel blockers

3) Immunosuppressants

Front 26

is plaque necssary for the inatiaion of the GINGIVAL ENLRAGMENT in gingival diseased reletaed to medctions ?

Back 26

No it's not nesserey but it will exacerbate the gingival disease

Front 27

will the meticuouls plaque control elemiante the gingival OVERGROWTH ( ENLRAGMENT ?)

Back 27

NO

Front 28

Talk about gingival enlramgnet

Back 28

1) onset within 3 months of taking medictions

2) exaggerated respone to plaque

3) higher prevelance in children

4)gingiva on anterior sexants most commonly affected

5) enlargment first observed at the intedetnal papila

Front 29

Talk about ascorbic acid-deficincy gingivits diseases releated to malnutrtuion

Back 29

an inflmmatroy response to dental plaque aggavated by chronically low ascrobic acid ( vitm C ) levels

Front 30

what are the signs of ascorbic acid deficny gingivits ?

Back 30

1) bright red

2) Swollen

3) Ulcerated

4) Bleed easily

Front 31

list the 4 characteristics that are common among all the gingival diseases

Back 31

1) signs and symptomps are confied to the gingiva

2) the precense of dental plaque to intaite and /or excterbate the severitey of the lesion

3) clincally signs of inlmmation like :
-enlarged gingival contour
- red in color
- bleeding upon stimulating
- increassed gingival exudates
- increasses pathogensits in sculcur depth
- NO RADIOGRAPHIC EVADAINCE

4) Reversibilty of the disease

Front 32

What's the treatment for gingivits ?

Back 32

1) patient education and OHI

2) debritment of tooth surfaces to remove supra and sup gingival plaque and calcuals

3) antmicorbal or antisepcitc to help patient who can not perform mechinacl plaque control

4) correction of plaque retinvite factors like :
a) over contored crowns
b) open and or overhainging magins
c) narrow embrasure spaces
e) open contacts
f) ill fiting fixed or removable partial denture
g) carries
h) tooth malpositon

4) surgical treamtnt for gingival deformties