This stage of gingivitis occurs in the first few days after plaque accumulation
T/F during Stage 1 gingivitis the lymphocyes in the connective tissue are present but do not cause tissue damage.
1. Acute inflammatory 2. Dilation of blood vessels and increased blood flow 3.PMN's attach to the vessel walls & into connective tissue & phagocytize bacteria etc. 4. Edema in tissues 5. Exudate is composed mostly of serum 6. Lymphocytes are present in the connective tissue but do not cause harm, just response to the bacterial infection 7. NO clinical signs
Describe Stage I - Gingivitis
Another name for "no clinical signs" is ___?
1. Initial - Stage I (aka Subclinical) 2. Early - Stage II 3. Established - Stage III 4. Advanced - Stage IV
What are the stages of gingivitis?
1. Lesion begin 4-7 days after plaque has accumulated 2. T-cells increase & localize in the connective tissue 3. Exudate increases and may becomes yellow or white 4. Redness is observed in the tissue 5.Gingival stippling begins to disappear 6. Collagen fibers are destroyed that are attached to the connective tissue 7. Junctional Epithelium begins to lengthen 8. Bleeding upon probing is observed 9. Can last 21 days or more and is earliest clinical sign of gingivitis
Describe Stage II - Gingivitis
Stage II - Early Stage
Which stage is the earliest clinical sign of gingivitis?
1. Occurs after 15-21 days 2. T & B lymphocyte cells are present 3. Tissue destruction IS occurring 4. Connective tissue is destroyed 5. The junctional epithelium thickens & moves apically on the root surface towards the deeper connective tissue 6. Clinical probing depths increase 7. Edema moves the gingival margin coronally 8. Visable pus formation 9. Red, swollen & shiny tissue 10. Exudate is present
Describe Stage III - Gingivitis
T/F: Stage IV or Advanced gingivitis is reversible?
advanced or stage IV
This type of gingivitis is the beginning stage of periodontitis?
When the inflammatory stage has extended beyond the gingiva and now into other periodontal tissues it is known as which stage of gingivitis?
Whatever gets infected LAST will heal FIRST
What is the basic process for healing after gingival treatment?
1. Connective tissue 2. Inflammatory cells are reduced 3. Gingival color improves 4. Stippling reappears 5. No edema is present
What is the order of healing after gingival tx?
If not treatment is given then gingivitis will progress into ____?
T/F: Recession is a term of disease and NOT a term of location.
This refers to the location of the marginal gingiva and not the condition
T/F: Recession can be associated with healthy gingiva
What percentage of adults over 50% have some recession?
The following systemic infections can cause gingival changes without plaque.
antimicrobial or antiviral treatment
Gingival infections due to systemic conditions like gonorrhea and syphillis may require what kind of treatment?
Fusiform bacillus & spirochete
Name 2 types of Vincent bacteria that cause NUG.
This condition is centuries old, has a rapid onset of pain but no bone loss, bad breath is common and it is related to extreme stress & has has punched out interdental papilla & white necrotic pseudo membrane
This condition is commonly associated with stress and a Feter oris.
Another name for bad breath?
NUG is associated with what kind of bacterial microorganisms?
antibiotics, & metronidazole (if fever & malaise are present), debride all plaque, good home care, Hydrogen peroxide & warm water home rinse
How do you treat NUG?
when the bone & perio tissues are effected
What is the difference between NUG & NUP
Name a type of gingival disease that is derived from a viral origin
gingival dx of a VIRAL origin
Primary Herpetic Gingivostomatitis or Primary Herpes Virus are both examples of this type of gingival disease origin.
Herpes virus infection can be similar to this is appearance.
highly contagious, elevated temp, ill patient w. malaise, vesicle formation,
Virally contracted gingival disease has the following symptoms.
This is a common disease of viral origin that affects the gingiva and occur in children.
The most common oral fungal infection is ___?
Candida Albicans is most commonly found in patients that are ___?
linear gingival erythema, severe redness with white patches that wipe off
Some additional clinical symptoms of candida albicans are?
T/F In candida albicans, the white patches do NOT wipe off
plaque biofilm, medications, and infections of systemic disease
Idiopathic gingival lesions of genetic origin may be due to ____?
T/F Idiopathic gingival lesions generally do NOT respond to plaque control methods
This type of cancer may initially be seen in the gingiva, manifesting itself and hemorrhagic & swollen gingival tissues
A common gingival dermatologic manifestation is ___?
middle aged; skin & mucous membranes
Lichen Planus affects what type of patients and where?
Wickham's striae is associated with which gingival dx?
White lesions alternating with reddened raw areas and severity is related to stress, (uncommon but sometimes small, flat topped itchy papules,) erosive patches that may transform to squamous cell carcinoma
Some commonly seen attributes of lichen planus are ___.
Lichen planus is treated how?
This is a vesticulobulbous disease that causes blistering & sloughing of the gingiva that is painful & causes difficulty eating
steroid therapy, chlorhexidine rinses
Cicatrical pemphigoid is treated with __?
peeling of the epithelium when rubbed, cicatrical pemphigoid
What is Nikolskys sign & what disease is it associated with?
Mucous Membrane Pemphigoid
Cicatrical Pemphigoid is also called ___?
This condition may be due to drugs or food allergies
Disquamative gingivitis is also known as __?
Desquamative gingivitis or ginvivosis
When mucous membrane pemphigoid is limited to the gingival tissues is is referred to as ___?
can be continuous or sporadic and can last for years