Herpes simplex gingival lesions may resemble NUG. List 4 symptoms of herpes that can distinguish it from NUG.
elevated temperature - pt appears more ill
greater malaise
vesicle formation
vesicles will coalesce into ulcerative lesions
What is a palliative rinse used for treatment of primary herpetic gingivostomatitis?
viscious xylocaine 2%
Name an antiviral drug recommended to reduce the duration of infection of primary herpetic gingivostomatitis
antiviral drugs such as Zovirax 400mg 4x a day for 1-2 weeks
Which type of gingival infection is being described?
tissue erythematous and fragile gingival and mucosal tissues, possibly severe redness with white patches on the gingiva. The white patches are accumulations of organisms and debris that easily rub off gingiva, exposing ulcerated tissue.
gingival infection of a FUNGAL origin
true or false. the white patches of candidiasis infection can be easily wiped off.
true
In recent years, candida infections have been seen in patients with what specific types of diseases?
immunosuppression:
HIV
transplant
Which kind of infection is most commonly found under dentures in the mouths of pts who have worn prostheses for long periods of time?
candida Albicans
Whit is the most common fungus in the oral cavity?
candida Albicans
What is the treatment for gingival infections of a fungal origin?
antifungal meds
Name a blood dyscrasia that is sometimes forst seen in the dental office. And explain why it is so.
Acute Leukemia
because of the quick onset of gingival changes
Which condition may be characterized by hemmoraghic and swollen gingival tissues that are far more pronounced than would be expected from the amount of plaque and calculus present?
acute leukemia
Name 3 types of dermatologic diseases that may present with gingival manifestations.
Lichen planus
mucous membrane pemphigoid
desquamative gingivitis
Lichen Planus is a chronic disease thought to be ________ related.
immune
Lichen planus affects the skin and mucous membranes of __________- aged patients
middle
true or false. Men and women are equally effected by Lichen planus.
true
true or false. The severity of Lichen Planus may be related to stress level.
true
What is used for the treatment of Lichen planus?
topical steriods
Which form of Lichen Planus affects the gingival tissues, and they appear as lacy white lines (Whickham's striae) with a bumpy appearance?
reticular
Which form of Lichen Planus may appear as areas of white lesions alternating with raw, reddened areas?
erosive form
Which dermatoligic disease with gingival manifestations is a chronic vesiculobullous disease characterized by blistering and sloughing of the surface gingival epithelium?
mucous membrane pemphigoid
What is the cause of mucous membrane pemphigoid?
it is unkown - thought to be autoimmune
Is mucous membrane pemphigoid more common in men or women?
women
The diagnosis of mucous membrane pemphigoid is easier if the disease is seen where?
on buccal mucosa and lips
The following symptoms describe which dermatologic disease?
range from mild discomfort to painfully raw and bleeding areas because of the epithelium stripping away from the underlying connective tissue
mucous membrane pemphigoid
The peeling of epithelium in mucous membrane pemphigoid is known as what?
Nikolsky's sign (it may prevent any form of dental hygiene tx)
Name 3 different treatment options for mucous membrane pemphigoid
palliative
topical steroid
chlorhexidine rinse
What are cicatiricial pemphigoid lesions that are limited to the gingival tissues known as?
desquamative gingivitis
Which condition is described as sloughing of the gingival epithelium, leaving raw, red surface?
desquamative gingivitis
What is another name for desquamative gingivitis?
gingivosis
What is the cause of desquamative gingivitis?
autoimmune or allergy
desquamative gingivitis disease may continue for many years, especially in _____________
children
what are treatment options for desquamative gingivitis?
topical and systemic steroids
meticulous plaque control
Name for things that commonly cause traumatic lesions
food burns
chemical burns
cuts (from food)
advanced recession
Name an example of a foreign body reaction
food impactions (localized and painful with sudden onset)