30 Questions
What age group should only have the index teeth examined for bleeding of the gingiva, calculus, and/or overhangs of fillings to avoid false pockets?
7-11 years
What is the purpose of a simplified BPE in children under 18 years of age?
Assessment of periodontal condition
Which factor may serve to compromise local plaque control by hindering effective cleaning?
Malocclusions
What should be considered when assessing, diagnosing, treating, and maintaining children patients with periodontal disease?
Local and general risk factors
At what age group should a simplified BPE be undertaken prior to commencing orthodontic treatment?
Under 18s
What is the classification of risk factors for periodontal disease based on?
Local or general factors
Which of the following describes the appearance of normal healthy gingiva in children?
More reddish, flabbier, rounded margins, and greater sulcular depth
What is a characteristic of marginal gingival tissues around the primary dentition in children?
More highly vascular and contain fewer connective tissue fibers than tissues around the permanent teeth
What is a distinguishing feature of cementum in children?
Thinner and less dense
What is a characteristic of the periodontal membrane in children?
Wider and less fibers per unit area
What gives the appearance of increased redness in the gingiva of children?
Thinner with a lesser degree of keratinization
What is a distinguishing feature of the epithelia around primary dentition in children?
Thinner with a lesser degree of keratinization
What is the cause of Acute Necrotizing ulcerative gingivostomatitis (ANUG)?
Borrelia vincenti and Bacillus fusiformis
What is the primary cause of Recurrent Herpes Labialis?
Dormancy in sensory nerve ganglia
What is the characteristic of False pockets around erupting first permanent molars and incisors at 7 years of age?
They are common
What is the cause of Primary herpetic gingivostomatitis?
Herpes Simplex virus
What is the definition of Eruption gingivitis?
Localized inflammation at the site of an erupting tooth
What is the purpose of a Universal scaler in dental treatment?
Gingival and periodontal treatment
Which syndrome is characterized by hyperkeratosis of palms and soles, bone destruction, and early tooth loss?
Papillon LeFevre syndrome
Which disease is a rare metabolic disorder with bone defects, premature tooth loss, and susceptibility to periodontal infection?
Hypophosphatasia
Which syndrome is accompanied by defects in neutrophil function, severe gingival inflammation, and premature tooth loss?
Chediak–Higashi syndrome
What is the recommended age to start periodontal assessment using a simplified Basic Periodontal Examination (BPE)?
7 years of age
Which blood disorder is associated with reduced neutrophils, frequent infections, and difficult plaque control?
Neutropenias
What do the BPE scoring codes indicate?
Pocket depth, calculus, bleeding, and furcation involvement
What is the treatment for Acute Necrotizing Ulcerative Gingivostomatitis?
Local therapy, systemic antibiotics, and periodontal surgery
What is the treatment for Puberty Gingivitis?
Proper oral hygiene, removal of local irritants, and adequate nutrition
What is the cause of Acute Oral Moniliasis?
Yeast-like fungus
Which drugs are associated with Drug-induced Gingival Enlargement?
Phenytoin, cyclosporin, and nifedipine
What is the characteristic feature of Hereditary Gingival Fibromatosis?
Rare type of gingival enlargement
What is the underlying cause of Papillon Lefevre syndrome?
Cathepsin C deficiency
Study Notes
Oral Diseases and Conditions: Etiology, Clinical Characteristics, and Treatment
- Acute Necrotizing Ulcerative Gingivostomatitis presents with pain, bleeding, foul odor, and may lead to lymphadenitis and systemic symptoms.
- Treatment includes local therapy, systemic antibiotics, and periodontal surgery in severe cases, with a risk of recurrence.
- Acute Oral Moniliasis is caused by a yeast-like fungus, resulting in white plaques in the oral cavity.
- Treatment involves stopping antibiotics and using antifungal medication like Nystatin.
- Puberty Gingivitis may occur due to hormonal changes and nutritional deficiencies, usually regressing after puberty.
- Treatment involves proper oral hygiene, removal of local irritants, and adequate nutrition.
- Drug-induced Gingival Enlargement is associated with drugs like phenytoin, cyclosporin, and nifedipine, leading to compromised oral functions.
- Management includes oral hygiene measures, scaling, and polishing, with severe cases requiring gingivectomy.
- Hereditary Gingival Fibromatosis is a rare type of gingival enlargement that may follow a familial pattern and lead to displacement of teeth.
- Treatment involves gingivectomy, with the possibility of recurrence.
- Traumatic Gingivitis results from rubbing or picking the gingiva, and resolves when the habit is corrected and the source of irritation is removed.
- Periodontitis may manifest as part of systemic diseases like Papillon Lefevre syndrome, characterized by severe gingival inflammation and bone loss.
- Papillon Lefevre syndrome reflects Cathepsin C deficiency, leading to exfoliation of both primary and permanent dentition.
Test your knowledge of oral diseases and conditions with this quiz covering etiology, clinical characteristics, and treatment options for various conditions such as acute necrotizing ulcerative gingivostomatitis, drug-induced gingival enlargement, and Papillon Lefevre syndrome.
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