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OPTH 731 - Final
Lecture 3 - Periodontal Pathology
13
Pathology
Professional
11/09/2011

Additional Pathology Flashcards

 


 

Cards

Term

Gingivitis:

 

(1)  Definition

 

(2)  Etiology

 

(3)  Gender preference

 

(4)  When is it most prevalent?

Definition

(1)  Inflammation limited to soft tissues around teeth

 

(2)  Most due to poor oral hygiene

 

(3)  More common in males

 

(4)  Slow increase until about 100% in 6th decade

Term
List types of Gingivitis
Definition
  • Plaque-related
  • Acute necrotizing ulcerative gingivitis
    (ANUG)
  • Medication-influenced
    (Dylantin aka Phenytoin, Ca channel blockers, immunosuppresants - Cyclosporine)
  • Allergic (cinnamon)
  • Specific infection-related
  • Dermatosis-related
Term

ANUG:

 

(1)  predisposing factors

 

(2)  types of microbes associated

 

(3)  prevalence

 

(4)  location of first attack

Definition

(1)  stress related; smoking, poor nutrition, poor hygiene

 

(2)  Spirochetes (PROS) & fusiform bacteria association (fusobacterium nucleatum)

 

(3)  0.1% of general population; 7% of military recruits

 

(4)  Attacks the interdental papillae first

Term

Plasma cell gingivitis:

 

(1)  initial causation

 

(2)  categories

 

(3)  clinical presentation

 

(4)  location of where plasma cell filled

Definition

(1)  cinnamon gum

 

(2)  allergic, neoplastic, idiopathic

 

(3)  generally entire attached and free gingiva shows redness and enlargement.

 

(4)  lamina propria

Term

Granulomatous gingivitis

 

(1)  location

 

(2)  effectiveness of therapy

 

(3)  possible causes

Definition

(1)  interdental papillae and marginal gingiva

 

(2)  often persistent despite therapy

 

(3)

  • infectious (TB, fungus)
  • Orofacial granulomatosis
  • Sarcoidosis
  • Crohn's disease
  • Wegener's granulomatosis
  • Foreign materials
Term

Desquamative gingivitis:

 

(1)  Important distinction

 

(2)  gender preference

 

(3)  clinical presentation

 

(4)  age

Definition

(1)  Descriptive term for a clinical presentation.  NOT A DIAGNOSIS!!!

 

(2)  Up to 80% female

 

(3)  Smooth erythematous gingiva to blister formation and erosion

 

(4)  Usually seen after 40 yo.

Term

Desquamative gingivitis:

 

(1)  Most common causes

 

(2)  Less common causes

Definition

Most common causes

  • Lichen planus
  • Pemphigoid

Less common causes

  • Pemphigus
  • Linear IgA disease
  • Epidermolysis bullosa acquisita
  • Lupus erythematosis
Term

Gingival Fibromatosis

 

(1)  Description

 

(2)  Most common association

 

(3)  age

Definition

(1)  Slowly progressive gingival overgrowth due to fibrous hyperplasia.

 

(2)  Hypertrichosis

 

(3)  Enlargement usually begins before age 20 and commences with eruptoin of teeth.

Term

Periodontitis:

 

(1)  Description

 

(2)  Believed to be associated with change in....

Definition

(1)  Inflammatory process that involves the supporting structures of teeth:  PDL, bone, & cementum.

 

(2)  ....bacterial composition of plaque

Term
Periodontitis Classification
Definition

-Chronic periodontitis

  • Localized
  • Generalized

-Aggressive periodontitis

  • Localized
  • Generalized

-Periodontitis associated with systemic disease

-Necrotizing ulcerative periodontitis

-Abscesses of the periodontium

-Periodontitis with endodontic lesions

 

Term

Chronic Periodontitis

 

(1)  Important trivia

 

(2)  Factors that increase prevalence

 

(3)  Pericoronitis associated with ______

Definition

(1)  Primary cause of tooth loss after age 30

 

(2) 

  • Advancing age
  • increased quantity of plaque and calculus
  • smoking
  • diabetes mellitus
  • lower SE level
  • decreased professional dental care.

(3)  ....partially erupted tooth

Term

Aggressive Periodontitis

 

(1)  Severity compared to chronic periodontitis

 

(2)  Usual population/locations for Localized AP

 

(3)  Usual population for Generalized AP

Definition

(1)  Destruction 3 to 5 times faster than chronic periodontitis

 

(2)  LAP

  • Primarily children (Ages 11-13)
  • Incisor & 1st molar areas

(3)  GAP

  • Young adults (ages 20-35)
  • Widespread and rapid; sometimes with periods of quiescence
Term

Papillon-Lefevre Syndrome

 

(1)  Description

 

(2)  Relation to dentition

 

(3)  Dental disease appears to be caused by:

Definition

(1)  Palmer-plantar hyperkeratosis

 

(2)  Dramatically advanced periodontitis involving both deciduous and permanent dentition

 

(3)

  • Impaired T- and B-lymphocyte reactivity
  • A chemotactic defect
  • Reduced intracellular killing of both bacterial and fungal organisms
  • Actinobacillus actinomycetemcomitans
  • 3rd molars usually not affected
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