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Chapters 13 & 14
Diseases of the Gingiva
58
Other
Professional
03/30/2013

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Term
What is considered healthy gingiva?
Definition
free from inflammation and trauma
Term
Does one's hair color effect the color of their gingiva?
Definition
yes, blondes have a lighter pink gingiva, brunettes have a darker shade of pink
Term
Does healthy tissue bleed?
Definition
no
Term
Is the stippling the same in everyone?
Definition
no it varies in each person
Term
What is the position of the margin in health?
Definition
slightly coronal to the CEJ
Term
Plaque biofilm at the gingival margin stimulates...
Definition
the host immune response
Term
What does inflamatory responses to bacteria result in?
Definition
clinical changes
Term
WHat color is acute gingivitis?
Definition
red
Term
What color is chronic gingivitis?
Definition
bluish red or purple
Term
What happens to the size of your tissue in gingititis?
Definition
it swells(edema)
Term
WHat causes bleeding in gingivitis? What does bleeding indicate?
Definition
-ulceration of the gingival wal causes ulceration
-bleeding indicates inflammation
Term
Localized= ?%
Generalized= ?%
Definition
Localized= <30%
Generalized= >30%
Term
What is papillary inflammation?
Definition
inflammation confined to he papilla
Term
What is marginal inflammation?
Definition
inflammation confined to the gingival margin and papilla
Term
What is diffuse inflammation?
Definition
inflammation extending all the way to the muccogingival junction (includes papilla, free and attached gingiva)
Term
What are some causes of plaque induced gingival disease?
Definition
-plaque-induced gingivitis
-gingival diseases modified by systemic factors, medications, or malnutrition
Term
Where do nonplaque induced gingival diseases come from?
Definition
-spcific bacterial origin
-fungi
-virus
-genetic
-gingival manefestations of systemic conditions
-traumatic lesions
-foreign body reactions
Term
What is the most common form of gingivitis?
Definition
plaque induced
Term
Is there attachment loss with plaque induced gingivitis on a healthy periodontium?
Definition
no attachment loss radiographically, all damage is reversible
Term
What is gingivitis on a reduced but stable periodontium?
Definition
found in people who have been treated for perio who are not active with it now but develop gingivitis, there is no additional bone loss
Term
What are the three categories of gingival disease with modifying factors?
Definition
1.systemic disease
2.medications
3.malnutrition
Term
What happens in gingival disease modified by systemic factors?
Definition
plaque initiates the disease and then one of these factors found in the host modify the progress of disease
Term
What is puberty associated gingivitis?
Definition
gingivitis seen in children going through puberty as a result of hormones
Term
When is pregnancy associated gingivitis seen?
Definition
2nd and 3rd trimesters of pregnancy
Term
What is a pegnancy associated pyogenic granuloma pregnancy tumor?
Definition
localized mushroom shaped gingival mass projecting from the gingival margin or papilla during pregnancy
Term
Where are pyogenic granulomas usually found? Are they cancerous or painful?
Definition
-usually found in maxillary papillas
-not cancerous
-not painful
-
Term
What causes pyogenic granulomas? What happens if they are disturbed? Do they go away?
Definition
-exaggerated response to an irritation
-bleed if disturbed
-usually regresses after giving birth
Term
What is leukemia associated gingivitis?
Definition
exaggerated imflammatory response to plaque resulting in increased bleeding and tissue enlargement
Term
What are the three medication most often associated with tissue enlargement?
Definition
-anticonvulsants
-calcium channel blockers
-immunosuppressants
Term
Does plaque cause the gingival overgrowth?
Definition
no, but it an make it worse
Term
How quickly does gingival enlargement from medications occur? Why? Which sextants is it most common in?
Definition
-about 3 months after starting meds
-it is an exaggerated reaction to plaque
-most common in anterior sextants
Term
Which area of the gingiva is effected first? Will good plaque control stop gingival enlagement?
Definition
-papilla effected first
-good plaque control will help but not prevent gingival enlargement
Term
Who are some people that may be effected by gingival disease caused by malnutrition?
Definition
-infants
-institutionalized elderly
-alcoholics
Term
What is ascorbic acid deficiency gingivitis? What are its characteristics?
Definition
caused by deficiency in vitamin C
-bright red
-edema
-ulcerated
-bleeds easily
Term
What is an example of a specific bacteria that can cause bacterial disease?
Definition
Tb bacterial, infections by bacteria not usually considered a periodontal pathogen
Term
Which HSV causes primary herpatic gingiviostomatitis?
Definition
HSV-1
Term
What does it look like? Who does it usually effect?
Definition
-redness and multiple vesicles that rupture to form painful ulcers
-usually effects infants and young children but may also effect adults
Term
By middle age about how many adults have been effected by HSV-1? Does everyone have symptoms?
Definition
70%, most people do not have symptoms
Term
Once infected with HSV-1 most people develop what?
Definition
immunity, the virus becomes latent and is responsible for recurring herptic lesions
Term
What are some signs/symptoms of primary herpatic gingivitis?
Definition
-firey red gingival margin
-swollen papilla that easily bleed
-painful
-yellowish ulcers surrounded by red halo
-fever(possible)
-dehydration is a concern
Term
What stage is primary herpatic gingivitis infectious in?
Definition
the vesicular stage
Term
Infection can be spread to BLANK by touching the mouth.
Definition
eyes
Term
Can the HSV-1 virus be spread by kissing?
Definition
yes
Term
What is linear gingival erythemia?
Definition
gingival manifestation of immunosuppression
Term
What is linear gingical erythemia characterized by? Does it respond well to improved self care or professional thearpy?
Definition
-an excessive amount of inflammation for the plaque present
-does not respond well to improved self care or professional thearpy
Term
What is linear gingival erythemia characterized by?
Definition
distinct red band limited tot he free gingiva
Term
What is linear gingival erythemia associated with?
Definition
HIV
Term
What is lichen planus?
Definition
disease of the skin and mucous membranes
Term
What is lichen planus characterized by?
Definition
itchy, swollen rash on the skin or in the mouth
Term
What causes lichen planus?
Definition
exact cause unknown, may be an allergic or immune reaction
Term
What is oral lichen planus characterized by?
Definition
-intense redness(diffused)
-ulcerations
-interlacing white lines(Wickmans strae characteristics)
-raised white lesions may be present
Term
What is erythemia multiforme?
Definition
a disorder of the skin and muccous membranes
Term
What is erythemia multiforme cause by?
Definition
may be due to allergic reaction or infection
Term
What does erythemia multiforme look like?
Definition
-big red blotches resembling targets all over skin
-blisters and ulcers occur on the oral mucous membranes
Term
What are two other characteristics of erythemia multiforme?
Definition
-ulcerations of the gingiva
-crust on lower lip
Term
What can allergic reactions of the gingiva result from?
Definition
flavor additive or preservative in product such as toothpaste, mouthwash, gum
Term
What are two flavor additives known to cause allergic reactions of the gingiva?
Definition
-cinnamon
-carvone
Term
What generally happens with an allergic reactions to toothpaste?
Definition
sloughing of gingival tissue
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