ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
1
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
ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
,ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
2
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.
ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
,ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
3
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
ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
1
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
ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
,ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
2
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.
ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
,ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
3
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
ute
tal Conditions
Periodontal
Acuteand
Conditions
Periodontal
Treatment
and
Conditions
Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment
andApproaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~~~~~~~~~~
Treatment Approaches.pdf~~~~~~~~~~~~~~~~~~~~~~~~!!!!!!!_(*))))))))))))))))))*@&^#(&^~&*@&*&!~&*@((*~~~~~~~~~~~~~~~~~
