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Acute periodontal conditions
DR.HINA ADNAN
1. Abscesses of periodontium.2. Necrotizing periodontal diseases.3. Gingival disease of viral origin – herpes
virus.4. Recurrent aphthous stomatitis.5. Allergic reaction.
Abscesses of periodontium1. Gingival abscess.2. Periodontal abscess.3. Pericoronal abscess.
Periodontal Vs periapical abscessperiodontal periapical
• Vital tooth.• No Carious.• Pocket .• lateral radioluicency.• Mobility.• Percussion sensitivity
variable.• Sinus tract open via
keratinized gingiva.
• Non vital.• Carious.• No pocket.• Apical radioluicency.• No or minimal mobility.• Percussion sensitivity.• Sinus tract via alveolar
mucosa.
Necrotizing periodontal diseases
Gingival disease of viral origin – herpes virusAcute manifestation of viral infections of
oral mucosa characterized by redness and multiple vesicles that easy rupture to form painful ulcers affecting the gingiva.
Primary herpetic gingivostomatitisClassic initial infection of herpes simples
virus type 1.Mainly in young children.90% of primary oral infection are
asymptomatic.
Clinical features1. Painful severe gingivitis with ulcerations ,
edema and stomatitis.2. Vesicles rupture coalesce and form ulcers.3. Fever and Lymphadenopathy are classic
features.4. lesion usually resolve in 7-14 days.
Treatment 1. Bed rest.2. Fluid.3. Nutrition.4. Antipyretics. 5. Pain relieve .6. Antiviral medications.
Recurrent oral herpes ‘Fever blisters’ or ‘cold sores’.Oral lesion usually herpes simples type 1.Recurrent infections in 20%-40% of those
with primary infection. herpes labials are common.Less severe than primary infection.
Clinical features 1. Prodromal syndrome.2. lesion start as vesicles and then rupture
leave ulcers. 3. A cluster of small painful ulcers on attached
gingiva or lip is characteristic.4. Can cause post operative pain following
dental treatment.
Virus reactivation1. Fever .2. systemic infection.3. Ultraviolet reaction.4. Stress.5. Immune system changes.6. Trauma .7. Undefined cases.
Treatment 1. Palliative care .2. Antiviral medication.
Recurrent aphthous stomatitis Canker sores.Etiology unknown.10%-20% of population.Usually begins in childhood.Decreasing with age.
Clinical features 1. Affect mobile mucosa.2. Three forms:I. Minor.II. Major.III. Herpitiform.
Minor aphthousClinical features: 1. most common.2. Small shallow ulceration with slightly
raised erythematous borders.3. Central are covers by white-yellow
pseudomembrane. 4. Heal without scarring in 10-14 days.
Major aphthous Clinical features:1. Herpetiform aphthae : small recurrent
ulcerations Lesion usually small than herpetic stomatitis.
2. Similar to herpetic stomatitis but no vesicles.
3. Heal with 7-10 days without scaring.
Predisposing factors 1. Stress.2. Trauma.3. Food hypersensitivity.4. Previous viral infection.5. Nutritional deficiency.
Allergic reactionDental restorative materials.( mercury,
nickel, gold , zinc).Toothpaste and mouthwashes.Foods ( peanut, red peppers )