Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
GINGIVITIS An inflammation affects gums surrounding teeth Anaerobic gram positive Redness,spontaneous bleeding(on probing),reversible,dental plaque enlarged gingival contour. predisposing factors: crowding,over contoured filling, pregnancy,diabetes... TT:Dental plaque removal, oral hygiene,control predisposing factors. |
|
|
ACUTE NECROTIZING ULCERATIVE GINGIVITIS Poor oral hygiene,gingivitis,smoking,stress,malnutrition,immunocompromised. Malaise, Fever, painful necrotic gingival lesions begin in interdental papilla,spontaneous bleeding, halitosis. TT:Dental plaque control,Surgical debridement of soft tissue, Painkillers(ibuprofen 400~600mg/8hrs,paracetamol 500~1000mg/8hrs)Antibiotic(Metronidazole 250mg/8hrs) amoxicilin+clavulanic acid(875/125mg 8hrs) |
|
|
ACUTE NECROTIZING ULCERATIVE GINGIVITISPoor oral hygiene,gingivitis,smoking,stress,malnutrition,immunocompromised.Malaise, Fever, painful necrotic gingival lesions begin in interdental papilla,spontaneous bleeding, halitosis.TT:Dental plaque control,Surgical debridement of soft tissue, Painkillers(ibuprofen 400~600mg/8hrs,paracetamol 500~1000mg/8hrs)Antibiotic(Metronidazole 250mg/8hrs) amoxicilin+clavulanic acid(875/125mg 8hrs) |
|
|
ORAL TUBERCULOSIS SECONDARY TO PULMONARY TUBERCULOSIS old people Rare, transmitted via blood/sputum. Single Stellate ulcer with irregular border, soft consistency, peripheral inflammation. Painful,fever,weight loss,odynophagia(hard to swallow) slowly increase in size Normally in tongue. DD:OSCC Diagnosis through Tuberculin skin test,if positive>chest Rx. Histology(caseous necrosis,epitheloid cells,Langhans type ginat cells) Prolonged treatment(6 months) TT:Isoniazid+Rifampin+Pyrazinamide(first 2 month) isoniazid+ Rifampin fro rest 4 months. Ethambutol+streptomycin+fluoroquinolones |
|
|
PRIMARY ORAL TUBERCULOSIS(uncommon) Oral single lesion of stellate,irregular ulcer(mostly on mid dorsum of tongue), soft consistency, PainLESS, grey-yellowish exudate on surface of ulcer.Regional lymphadenopathy. Children and adolescents. Diagnosis through Tuberculin skin test,if positive>chest Rx. Histology(caseous necrosis,epitheloid cells,Langhans type ginat cells)Prolonged treatment(6 months) TT:Isoniazid+Rifampin+Pyrazinamide(first 2 month) isoniazid+ Rifampin fro rest 4 months.Ethambutol+streptomycin+fluoroquinolones |
|
|
PRIMARY SYPHILIS Treponema pallidum Sexually transmitted or mother to baby Most common on lips.tongue.gums,highly infectious Solitary,firm,painLESS surface breakdown leaving ulceration with clean base and sharp borders. Reginal lymphadenopathy.Serology test Penicillin G benzathine,Erythromycin/Tetracyclin(allergy) |
|
|
SECONDARY SYPHILIS 1-3 months after healing chancre Mucous patches,white raised maculopapular lesions(multiple)may gather as serpiginous lesions. Serology testPenicillin G benzathine,Erythromycin/Tetracyclin(allergy) |
|
|
PRIMARY SYPHILIS (Chancre) Treponema pallidum Sexually transmitted or mother to baby Most common on lips>tongue.gums,highly infectious Solitary,firm(nodule about a cm cross),painLESS surface breakdown leaving a round ulceration with clean base and sharp borders. Regional lymphadenopathy. Serology test(dark ground illumination of a smear) TT:Penicillin G benzathine(2.4 million units in a single dose),Erythromycin/Tetracyclin(allergy) |
|
|
SECONDARY SYPHILIS 1-3 months after healing chancre mild fever,malaise,general lymphadenopathy Mucous patches,white raised maculopapular lesions(multiple)may gather as serpiginous lesions. white patches on roof of the mouth and tongue DD:leukoplakia Serology test(dark ground illumination of a smear) TT:Penicillin G benzathine(2.4 million units in a single dose),Erythromycin/Tetracyclin(allergy) |
|
|
TERTIARY SYPHILIS 3 or more years after infection Gumma Affect palate tongue or lips Begin as swelling>yellowish center with necrosis>painless deep rounded ulcer>severe scarring may cause bone destruction/palatal perforation(oro-nasal fistula formation*different from cocaine indeuced patient) Serology test(dark ground illumination of a smear) TT:Penicillin G benzathine 3 doses of 2.4 million units 1 week each |
|
|
TERTIARY SYPHILIS 3 or more years after infection Gumma Affect palate tongue or lips Begin as swelling>yellowish center with necrosis>painless deep rounded ulcer>severe scarring may cause bone destruction/palatal perforation(oro-nasal fistula formation*different from cocaine indeuced patient) Serology test(dark ground illumination of a smear) TT:Penicillin G benzathine 3 doses of 2.4 million units 1 week each |
