Gingival Overgrowth Workbook Answers PDF

**Gingival Overgrowth** **Julie Watson** **Student name:** **Introduction** This handbook is to be used in conjunction with your lecture and power point on **Gingival Overgrowth** The Power point/presentation thus far would have covered: - Definition of gingival overgrowth - How to differ...

**Gingival Overgrowth** **Julie Watson** **Student name:** **Introduction** This handbook is to be used in conjunction with your lecture and power point on **Gingival Overgrowth** The Power point/presentation thus far would have covered: - Definition of gingival overgrowth - How to differentiate between overgrowth or hyperplasia - Pathological processes of enlargement - Classification of gingival overgrowth - Location and distribution of gingival overgrowth - Scoring guide of gingival overgrowth - Drug groups commonly associated with drug induced gingival overgrowth You will need to complete the workbook to meet the intended learning outcomes. **This is intended as self directed learning.** - - - - - - Please complete the table below: +-----------------------+-----------------------+-----------------------+ | **Drug Group** | **Medical Condition** | **Drug Name** | +=======================+=======================+=======================+ | **Calcium Channel | Hypertension, Angina | Amlodipine | | Blocker** | Pectoris, Peripheral | | | | Vascular Disease, | Felodipine | | | Cardiac Arrhythmia | | | | and Coronary Artery | Nicardipine | | | | Hydrochloride | | | | | | | | Nifedipine | | | | | | | | Verapamil | | | | Hydrochloride | | | | | | | | Diltiazem | | | | Hydrochloride | | | | | | | | Cardizem | | | | | | | | Dilacort | +-----------------------+-----------------------+-----------------------+ | **Anti Convulsant** | Epilepsy | Phenytoin | | | | | | | | Ethatoin | | | | | | | | Sodium Valproate | | | | | | | | Phenobarbitone | | | | | | | | Vigabatrin | | | | | | | | Primidone | | | | | | | | Mephenytoin | | | | | | | | Ethosuximide | | | | | | | | Methosuxinimide | +-----------------------+-----------------------+-----------------------+ | **Anti Convulsant** | Downs Syndrome | Phenytoin | | | | | | | Parkinson's Disease | | | | | | | | Epilepsy | | | | | | | | Essential Tremor | | +-----------------------+-----------------------+-----------------------+ | **Immunosuppressant** | organ transplant | Tacrolimus | | | | | | | inflammatory bowel | | | | disease | | | | | | | | crohns disease | | | | | | | | ulcerative colitis | | | | | | | | rheumatoid arthritis | | | | | | | | ankylosing | | | | spondylitis | | +-----------------------+-----------------------+-----------------------+ | **Calcium channel | Cardiac Arrhythmia | Amlodipine | | blockers** | | | | | | Felodipine | | | | | | | | Nicardipine | | | | Hydrochloride | | | | | | | | Nifedipine | | | | | | | | Verapamil | | | | Hydrochloride | | | | | | | | Diltiazem | | | | Hydrochloride | | | | | | | | Cardizem | | | | | | | | Dilacort | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **1.** | **True or False.** | **1 Mark** | | | | | | | **Cellular | | | | hyperplasia is an | | | | increase in the | | | | number of individual | | | | cells.** | | +=======================+=======================+=======================+ | **True** | | | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **2.** | **Complete the | **2 Marks** | | | statement:** | | | | | | | | **Gingival | | | | enlargement or | | | | overgrowth is the | | | |...... and....... of | | | | the gingiva** | | +=======================+=======================+=======================+ | **Proliferation and | | | | Intensification** | | | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **3.** | **True or False:** | **1 Mark** | | | | | | | **Cellular hypotrophy | | | | is an increase in the | | | | size of the | | | | individual cell** | | +=======================+=======================+=======================+ | **True** | | | +-----------------------+-----------------------+-----------------------+ **4. Match up the word with its correct definition: 4 Marks** A. Diffuse B. Discrete --------------- ---------------- c\. Papillary D. Generalised +-----------------+-----------------+-----------------+-----------------+ | Involving the | | An isolated | | | gingivae | | enlargement | | | throughout the | | such as an | | | mouth | | abscess | | | | | | | | Generalised | | Discrete | | +=================+=================+=================+=================+ | Confined to the | | Involving the | | | interdental | | gingival | | | papillae | | margins, | | | | | attached | | | Papillary | | gingivae and | | | | | interdental | | | | | papillae | | | | | | | | | | Diffuse | | +-----------------+-----------------+-----------------+-----------------+ +-----------------------+-----------------------+-----------------------+ | **5.** | **List 5 instructions | **5 Marks** | | | you may give to a | | | | patient suffering | | | | with DIGO to improve | | | | their plaque | | | | control** | | +=======================+=======================+=======================+ | **Tooth brushing | | | | instruction: Manual & | | | | electric** | | | | | | | | **Single tufted | | | | brushes** | | | | | | | | **Interdental | | | | cleaning: floss & | | | | brushes** | | | | | | | | **Use of disclosing | | | | tablets** | | | | | | | | **Regular | | | | hygienist/therapist | | | | appointments** | | | | | | | | **Visit GP to see if | | | | medication can be | | | | changed** | | | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **6.** | **List 5 compromising | **5 Marks** | | | factors that the | | | | presence of DIGO | | | | could be having on | | | | your patient** | | +=======================+=======================+=======================+ | **Speech, Aesthetics, | | | | Eating, Increased | | | | caries** | | | | | | | | **Increased | | | | periodontitis, | | | | Delayed tooth | | | | eruption, Prolonged | | | | retention of primary | | | | teeth** | | | | | | | | **Diastemas, Mouth | | | | breathing, | | | | Xerostomia, low self | | | | esteem, halitosis, | | | | lacking in self | | | | confidence, poor oral | | | | hygiene.** | | | +-----------------------+-----------------------+-----------------------+ **7. Match the Grade with its correct definition: 4 Marks** A. Grade 1 B. Grade 0 ------------- ------------ c\. Grade 2 D. Grade 3 +-----------------+-----------------+-----------------+-----------------+ | Enlargement | | Enlargement | | | involves | | covers three | | | papilla and | | quarters or | | | gingival | | more of the | | | margins | | crown of the | | | | | tooth | | | C grade 2 | | | | | | | D Grade 3 | | +=================+=================+=================+=================+ | Enlargement | | No signs of | | | confined to the | | gingival | | | interdental | | enlargement | | | papillae | | | | | | | B Grade 0 | | | A Grade 1 | | | | +-----------------+-----------------+-----------------+-----------------+ **8.** **List 4 descriptors that you would include when completing your contemporaneous notes for a patient presenting with DIGO** **4 Marks** -------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ------------- **Shape, Nodules, Location, Generalised, Localised, Vascular, Classification, Scoring Guide, how long present, underlying causative factor if known.** +-----------------------+-----------------------+-----------------------+ | **9.** | **A patient presents | **2 Marks** | | | with DIGO due to | | | | taking Amlodipine. | | | | What alternative | | | | medication might be | | | | available that | | | | doesn't cause this. | | | | Include 2 examples** | | +=======================+=======================+=======================+ | **Ramipril** | | | | | | | | **Look online BNF to | | | | find another.** | | | +-----------------------+-----------------------+-----------------------+ **10. Which statement is correct: 1 Mark?** +-----------------------+-----------------------+-----------------------+ | Plaque is a | | Plaque is a | | mineralised film | | protective film. | | covering the teeth. | | | | | | It prevents cavities | | It can be supra | | by covering the tooth | | gingival or sub | | surface, thus | | gingival | | preventing sugar | | | | attacks. | +=======================+=======================+=======================+ | Plaque is always an | | Plaque is an | | exacerbating factor | | innocuous substance | | | | and can be left in | | Correct answer | | situ | +-----------------------+-----------------------+-----------------------+