What are the characteristics of acute periodontal conditions?
- Sudden onset of the condition
- Rapid course of progression
- Accompanied by pain and discomfort
- May be unrelated to pre-exisiting gingivitis or periodontitis
The process of forming pus is called?
Suppuration
An acute infection involving a circumscribed collection of pus in the periodontium is known as?
Abscess of the periodontium
What does pus consist of?
- Primarily dead and dying neutrophils
- Bacteria
- Cellular debris
- Fluid leaked from blood vessels
T/F Pus can result when body defense mechanisms are involved in attempting to control an infection?
True
What causes abscess of the periodontium?
- Blockage of the orifice of a pocket
- Accidentally forcing a foreign object into the tissues
- Incomplete calculus removal in a periodontal pocket
The flap of gingival tissue that covers a portion of the crown of a partially erupted tooth can become infected is called?
Operculum
What are the signs and symptoms of a pericoronal abscess?
- Pain at site
- Swelling of operculum
- Possible trismus (limited opening)
- Possible elevated body temperature
- Possible lymphadenopathy
Refers to cell death, in this instance referring to the death of the cells comprising the gingival epithelium is called?
Necrosis
Refers to the loss of the epithelium normally covering underlying connective tissue is called?
Ulceration
The highest incidence of NUG is seen in patients between what ages?
20 and 30 years of age
T/F NUG occurs in patients of all ages
True
What are behaviors or conditions that are frequently present in patients who develop NUG?
- History of smoking
- History of poor nutrition
- History of severe stress
Refers to an abscess of the periodontium that is primarily limited to the gingival margin or to the interdental papilla without involvement of the deeper structures of the periodontium?
Gingival abscess
Refers to an abscess of the periodontium that affects the deeper structures of the periodontium as well as the gingival tissues?
Periodontal abscess
The periocoronal abscess is most frequently seen around which teeth?
Mandibular 3rd molars
What are the fundamental treatment steps for a patient with pericoronitis?
- Establishment of a path of drainage for pus
- irrigate the operculum
- thorough debridement of tooth surfaces of area of abscess
- relief of pain
What are the steps in treating a patient with pericoronitis?
- Anesthetize site for comfort
- Drainage of pus is critical.
- Thorough instrumentation
- Irrigation under flap
- Antibiotics, advance cases
- Recommend warm Salt water (Saline)
- Pain meds prescribed
- Periodontal assessment
- Excise flap
A fragment of necrotic (dead) bone?
Sequestrum
What is one unusual finding in NUP that doesn’t appear in NUG?
Sequestrum
What are the clinical signs of Primary Herpetic Gingivostomatitis?
- Oral pain with difficultly eating/drinking
- Edematous gingival tissues (swollen)
- Bleeding from gingival tissues
- Vesicles (blisters) and ulceration of the gingival tissue sometimes the lips, tongue, and palate (sounded by red halo)
- Elevated body temp.
- Malaise (vague feeling of discomfort)
- Swollen lymph nodes
What are the steps in management of Primary Herpetic Gingivostomatitis?
- Disease is highly contagious
- Regresses in about 2 weeks
- Control oral discomfort. topical oral anesthetics can be used for temporary relief of oral discomfort so that the pt can eat/drink
- Recommend frequent fluid intake to avoid dehydration
- Refer to Physician, if severe
What are risk factors for developing root caries?
- Attachment loss
- Caries experience
- Inadequate salivary flow
- Lack of fluoride exposure
- Removable partial dentures
Root caries is significant problem for adults of what percentage?
21.6% of adults 50 to 64 years of age
31% of adults 65 to 74 years of age
