ECD Exam III pt. 3

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Questions and Answers

What is the prevalence of combined perio-endo disease among TDC patients?

Between 3-6%

More than 10%

Around 5%

Less than 3% (correct)

How can the origin of a perio-endo lesion be identified?

By performing pulp testing

Based on radiographic analysis only

Educated guess using patient history, past conditions of tooth, size and feel of perio pocket, intuition (correct)

By conducting exploratory flap surgery

What is a differential for a perio abscess?

Shallow pocket, severe bone loss, non-vital pulp, bone loss NOT to apex of tooth

Deep pocket, severe bone loss, vital pulp, bone loss NOT to apex of tooth (correct)

Shallow pocket, minimal bone loss, non-vital pulp, bone loss to apex of tooth

Deep pocket, minimal bone loss, vital pulp, bone loss to apex of tooth

What is indicated by low probing depth and no bleeding during perio status review?

Stable perio status Signup and view all the answers

What is the primary cause of a perio-endo lesion classified as 'Secondary endo'?

Perio disease -> accessory canal -> perio bacteria in pulp -> pulp necrosis -> PA lesion Signup and view all the answers

What is the suggested diagnostic method for identifying a combined perio-endo disease?

Combo perio exam, pulp testing, periapical testing Signup and view all the answers

What is the prognosis for primary endodontic lesions?

Good, as root canal treatment can reverse bone loss Signup and view all the answers

What is the recommended treatment for necrotizing periodontal diseases of endodontic origin?

Perform root canal treatment first, then treat the periodontal disease Signup and view all the answers

What is the typical prognosis for necrotizing periodontal diseases with unknown origin?

Questionable to hopeless Signup and view all the answers

What is the role of dentists in causing perio-endo lesions?

Perforations in root canal treatment and root fractures due to faulty prosthetic design Signup and view all the answers

What is the characteristic feature of streptococcal gingivitis?

Swollen, bright red, large soft tissue swelling on mucosa with shallow ulcer Signup and view all the answers

What is the recommended approach for diagnosing non-plaque induced gingival diseases?

Perform biopsy and treat as pathology if associated with medical conditions Signup and view all the answers

What is the characteristic feature of desquamative gingivitis?

Erythema to ulceration, soreness to severe pain, and unresponsive to oral hygiene instructions Signup and view all the answers

What can periodontitis contribute to?

Atherosclerosis Signup and view all the answers

Which bacteria can infiltrate blood vessel tissues and induce cellular changes seen in atheromas?

P. gingivalis Signup and view all the answers

What does chronic elevation of blood glucose levels in diabetes lead to?

Formation of reactive advanced glycosylation end products Signup and view all the answers

Why are obese patients more likely to develop insulin resistance?

Higher cytokine production from adipose tissue Signup and view all the answers

What has been shown to improve glycemic control in Type 2 diabetes?

Periodontal treatment Signup and view all the answers

What is important for diagnosing periodontal disease?

Serum glucose levels and HbA1c levels Signup and view all the answers

What must be completed before starting any complex prosthetic treatment?

Periodontal treatment Signup and view all the answers

What can untreated diabetes worsen?

Periodontal disease Signup and view all the answers

What increases systemic levels of inflammatory cytokines, C-reactive protein, and fibrinogen?

Periodontitis Signup and view all the answers

What is the treatment for plasma cell gingivitis?

Bland diet, oral hygiene, and allergy testing if needed Signup and view all the answers

How is localized gingival enlargement treated if not resolved with periodontal therapy and oral hygiene?

Biopsy Signup and view all the answers

What is the diagnosis process for lichen planus?

Biopsy Signup and view all the answers

How are traumatic injuries from thermal, chemical, or physical sources treated?

Identifying the cause, stopping it, and protecting the affected area Signup and view all the answers

What is the treatment for allergic reactions causing signs of periodontal disease?

Periodontal therapy, oral hygiene, and referral to an allergist Signup and view all the answers

What is the treatment for Crohn's Disease and Sarcoidosis with oral signs?

Medical evaluation, systemic steroids, and avoiding triggering foods Signup and view all the answers

What is the treatment for Erythema multiforme with mild or severe skin and oral manifestations?

Different treatment approaches Signup and view all the answers

Study Notes

Rare Autoimmune and Allergic Oral Diseases in Dentistry

Pemphigoid causes skin blisters and intraoral ulcers, diagnosed through biopsy and treated with restorative measures, mild toothpaste/mouthwash, and topical corticosteroids.
Lichen Planus presents varied oral appearances, diagnosed through biopsy, and treated with oral cancer screenings, topical corticosteroids, and referral to a primary care physician.
Lupus erythematosus has oral signs similar to lichen planus or pemphigoid, diagnosed through biopsy and autoantibodies, and treated with systemic steroids or cytotoxic medications.
Crohn's Disease and Sarcoidosis have oral signs, and their treatment involves medical evaluation, systemic steroids, and avoiding triggering foods.
Other rare oral diseases include chronic ulcerative stomatitis, linear IgA disease, dermatitis herpetiformis, GVHD, epidermolysis bullosa acquisita, Wegener's granulomatosis, and mucositis caused by chemo/radiation.
Allergic reactions can cause varying levels of inflammation and signs of periodontal disease, requiring periodontal therapy, oral hygiene, and referral to an allergist.
Plasma cell gingivitis causes sudden onset burning and diffuse erythema, treated with a bland diet, oral hygiene, and allergy testing if needed.
Erythema multiforme triggers immune complement fixation reactions, with mild or severe skin and oral manifestations, requiring different treatment approaches.
Traumatic injuries from thermal, chemical, or physical sources can lead to tissue necrosis, sloughing, and other oral complications, necessitating identifying the cause, stopping it, and protecting the affected area.
Localized gingival enlargement can result from medication side effects or systemic diseases, requiring periodontal therapy, oral hygiene, and biopsy if not resolved.
Generalized gingival enlargement can be due to genetic conditions or systemic diseases, necessitating referral to a periodontist or primary care physician for appropriate treatment.
Dentists should be aware of these rare autoimmune and allergic oral diseases, their clinical signs, diagnosis, and treatment to provide comprehensive care to patients.

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Description

Test your knowledge of rare autoimmune and allergic oral diseases in dentistry with this informative quiz. Explore the clinical signs, diagnosis, and treatment of conditions like pemphigoid, lichen planus, lupus erythematosus, Crohn's disease, and more. Stay informed and enhance your ability to provide comprehensive care to patients with these uncommon oral health challenges.