TCDHA periodontics midterm Exam Questions and Answers Leukemia -Associated Gingivitis -------------------------- An exaggerated inflammatory response to plaque resul ting in increased bleeding and tissue enlargement Pyogenic Granuloma -------------------------- pregnancy related mushroom -like growth, not cancerous or painful. usually regresses after giving birth Diabetes -Associated Gingivitis ------------------------- -inflammatory response of the gingiva to plaque aggravated by poorly controlled blood glucose levels Medications Most Commonly Associated With Gingival Enlargement? -------
------------------- Anticonvulsants, Calcium channel blockers, Immunosuppressants Meticulous plaque control -------------------------- can reduce but will not eliminate gingival overgrowth. Ascorbic Acid -Deficiency Gingivitis -------------------------- An inflammatory response to dental plaque aggravated by chronically low ascorbic acid (vitamin C) levels Primary Herpetic Gingivostomatitis? -------------------------- initial oral infection with the herpes simplex type -1 virus (HSV -1). form PAINFUL ulcers Erythema Multiforme -------------------------- May be due to allergic reaction or infection. Lichen Planus -------------------------- Disease of the skin and mucous membranes. Characterized by an itchy, swollen rash on the skin or in the mouth Linear Gingival Erythema -------------------------- manifestation of immunosuppression. Does not r espond well to improved oral self -care or professional therapy. two flavor additives known to cause allergic reactions of the gingiva? --------
------------------ Cinnamon and carvone Acute gingivitis -------------------------- short duration; resolves upon professional and good self -care. Chronic gingivitis -------------------------- may exist for years without ever progressing to periodontitis; resolves upon professional and good self -care peri-implant gingivitis -------------------------- inflammatory conditions affecting the soft and hard gum tissues around dental implants Plaque -Induced Gingival diseases -------------------------- periodontal diseases involving inflammation of the gi ngiva in response to dental plaque is plaque induced gingival disease reversible? -------------------------- yes, with good patient self -care plaque -induced gingival disease radiographs? -------------------------- Reveal no changes in height or character o f the bone Gingival diseases modified by systemic factors? -------------------------- plaque initiates the disease and then specific systemic factors found in the host modify the disease process. Example: puberty, pregnancy, diabetes, leukemia Gingival di seases modified by medications -Gingival Enlargement -------------
------------- Onset within 3 months, higher prevalence in children, gingiva on anterior sextants most commonly affected. first observed at the interdental papilla. Non-Plaque -Induced Gingival lesions -------------------------- manifestation of immunosuppression. Does not respond well to improved oral self -care or professional therapy Chronic periodontitis Signs and symptoms -------------------------- Pain usually is NOT a symptom. Clinical appe arance is NOT a reliable indicator of the presence or severity of chronic periodontitis
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