Acute Periodontal Conditions and Treatment Approaches
Acute Periodontal Conditions and Treatment Approaches.docx
Acute Periodontal Conditions and
Treatment Approaches
Acute periodontal conditions
Rapid onset and rapid course of progression, frequently accompanied by
pain and discomfort, not necessarily related to presence of pre-existing
gingivitis or periodontitis.
Abscess of the periodontium
An acute infection involving localized collection of pus on periodontium,
confined to a specific site such as the facial surface of a tooth.
Predominant types of bacteria in abscess
Most lesions contain gram-negative and anaerobic microflora.
Clinical findings of acute periodontal abscess
Circumscribes swelling of soft tissue may involve gingiva only or may
involve gingiva and mucosa; tooth affected may present with temporary
slight mobility; radiographic exam reveals alveolar bone loss in area of
abscess not involving apex of tooth; teeth affected are usually vital;
collection of pus may break through the surface tissues.
Causes of abscess of the periodontium
Blockage of opening of an existing periodontal pocket, forcing a foreign
object into supporting tissue of tooth (e.g., toothpick, popcorn husk),
incomplete calculus removal.
Gross scaling
Page 1 Acute Periodontal Conditions and Treatment Approaches
,Acute Periodontal Conditions and Treatment Approaches
Acute Periodontal Conditions and Treatment Approaches.docx
Acute Periodontal Conditions and
Treatment Approaches
Removal of only coronal calculus allows the gingival margin to heal and
tighten around the tooth, leading to bacterial toxins being trapped in the
pocket and resulting in formation of an abscess.
Difference between abscess of the periodontium and pulpal abscess
Abscess of periodontium is an acute infection of periodontium; pulpal
abscess is an infection of tooth pulp, also referred to as endodontic
abscess.
Difference between chronic and acute lesions
Not specified in the notes.
Types of abscesses of the periodontium
Gingival abscess (healthy mouth, foreign object forced into sulcus,
limited to gingival margin), periodontal abscess (occurs at pre-existing
periodontal pockets, affects deeper structures of the periodontium, not
limited to the gingival margin), pericoronal abscess (involves tissues
around the partially erupted crown).
Signs and Symptoms of Pericoronal abscess
Pain at site, operculum swelling, possible trismus, elevated body
temperature, lymphadenopathy.
Operculum
Flap of tissue that covers part of the occlusal surface.
Page 2 Acute Periodontal Conditions and Treatment Approaches
, Acute Periodontal Conditions and Treatment Approaches
Acute Periodontal Conditions and Treatment Approaches.docx
Acute Periodontal Conditions and
Treatment Approaches
Necrotizing periodontal disease (NPD)
Acute infections of periodontal tissues involving tissue necrosis,
including necrotizing gingivitis, periodontitis, stomatitis.
Clinical features associated with NPD
Tissue necrosis, bleeding, and pain.
Distinguishing characteristics of NPD
Necrosis (cell death comprising the gingival epithelium), ulceration
(gingival epithelium loss normally covering the underlying gingival
connective tissue), pseudomembrane (gray-white layer covering the
necrotic areas of gingiva), punched-out papillae (destruction of
papillae).
Necrotizing Gingivitis
Acute infection with necrosis and ulceration of the periodontium, limited
to gingival tissues; once known as Vincent's infection, trench mouth, or
NUG (necrotizing ulcerative gingivitis); commonly seen in soldiers,
college students, smokers/history of smoking; clinical hallmark is
necrosis of gingival tissues.
Characteristics of Necrotizing Gingivitis
Oral pain, punched-out papilla with a crater-like appearance.
Pseudomembrane
Page 3 Acute Periodontal Conditions and Treatment Approaches
Acute Periodontal Conditions and Treatment Approaches.docx
Acute Periodontal Conditions and
Treatment Approaches
Acute periodontal conditions
Rapid onset and rapid course of progression, frequently accompanied by
pain and discomfort, not necessarily related to presence of pre-existing
gingivitis or periodontitis.
Abscess of the periodontium
An acute infection involving localized collection of pus on periodontium,
confined to a specific site such as the facial surface of a tooth.
Predominant types of bacteria in abscess
Most lesions contain gram-negative and anaerobic microflora.
Clinical findings of acute periodontal abscess
Circumscribes swelling of soft tissue may involve gingiva only or may
involve gingiva and mucosa; tooth affected may present with temporary
slight mobility; radiographic exam reveals alveolar bone loss in area of
abscess not involving apex of tooth; teeth affected are usually vital;
collection of pus may break through the surface tissues.
Causes of abscess of the periodontium
Blockage of opening of an existing periodontal pocket, forcing a foreign
object into supporting tissue of tooth (e.g., toothpick, popcorn husk),
incomplete calculus removal.
Gross scaling
Page 1 Acute Periodontal Conditions and Treatment Approaches
,Acute Periodontal Conditions and Treatment Approaches
Acute Periodontal Conditions and Treatment Approaches.docx
Acute Periodontal Conditions and
Treatment Approaches
Removal of only coronal calculus allows the gingival margin to heal and
tighten around the tooth, leading to bacterial toxins being trapped in the
pocket and resulting in formation of an abscess.
Difference between abscess of the periodontium and pulpal abscess
Abscess of periodontium is an acute infection of periodontium; pulpal
abscess is an infection of tooth pulp, also referred to as endodontic
abscess.
Difference between chronic and acute lesions
Not specified in the notes.
Types of abscesses of the periodontium
Gingival abscess (healthy mouth, foreign object forced into sulcus,
limited to gingival margin), periodontal abscess (occurs at pre-existing
periodontal pockets, affects deeper structures of the periodontium, not
limited to the gingival margin), pericoronal abscess (involves tissues
around the partially erupted crown).
Signs and Symptoms of Pericoronal abscess
Pain at site, operculum swelling, possible trismus, elevated body
temperature, lymphadenopathy.
Operculum
Flap of tissue that covers part of the occlusal surface.
Page 2 Acute Periodontal Conditions and Treatment Approaches
, Acute Periodontal Conditions and Treatment Approaches
Acute Periodontal Conditions and Treatment Approaches.docx
Acute Periodontal Conditions and
Treatment Approaches
Necrotizing periodontal disease (NPD)
Acute infections of periodontal tissues involving tissue necrosis,
including necrotizing gingivitis, periodontitis, stomatitis.
Clinical features associated with NPD
Tissue necrosis, bleeding, and pain.
Distinguishing characteristics of NPD
Necrosis (cell death comprising the gingival epithelium), ulceration
(gingival epithelium loss normally covering the underlying gingival
connective tissue), pseudomembrane (gray-white layer covering the
necrotic areas of gingiva), punched-out papillae (destruction of
papillae).
Necrotizing Gingivitis
Acute infection with necrosis and ulceration of the periodontium, limited
to gingival tissues; once known as Vincent's infection, trench mouth, or
NUG (necrotizing ulcerative gingivitis); commonly seen in soldiers,
college students, smokers/history of smoking; clinical hallmark is
necrosis of gingival tissues.
Characteristics of Necrotizing Gingivitis
Oral pain, punched-out papilla with a crater-like appearance.
Pseudomembrane
Page 3 Acute Periodontal Conditions and Treatment Approaches
