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PDTCP
Tx Planning and Clinical Practice
AHG
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Created by
Daisy Robb
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Cards (27)
PHG aetiology?
primary
herpatic gingivitis
aka acute
herpatic gingivostomatitis
first exposure to
Herpes simplex virus
prevalence?
preschool children
mistaken
for
teething
varied
symptoms -
subclinical
and
asymptomatic
clinical features:
prodomal
10-14
days,
1-2
weeks in duration
crops
of vesicles, red
halo
on oral mucosa, gingivae and tongue
ulcers form
rupture
,
coalesce
, fibrinous coating
gingival
margins
fiery red and odema
painful
gingivostomatits
halitosis
fever/
malaise
/
lymphadenopathy
loss
of appetites
hypersalivation
CONTAGIOUS
complitations:
spread by
saliva
ocular
or
digital
lesions
sucking fingers/unexposed team member -
herpetic whitlow
formation
herpetic eczema
ulceration from
PHG
fiery red
gingival margin
and
odema
coalesce of
ruptured ulcers
herpatic whitlow
of unexposed team member
herpetic whitlow
of childs finger from sucking
herpetic
eczema
Treatment?
self limiting
burnout
in
10-12
days
no
scarring
reassurance
diet advise?
soft
diet
cold
food
adequate
fluid intake - prevent
dehydration
supportive therapy?
chx 0.2% mw/swab
analgesic/anti-pyretic elixir
promethazine elixir
lignocaine mw 5%
acyclovir 200mg 5
x day for
5 days
secondary herpetic lesion?
herpes labial
20-40
%
latent
in
gasserian ganglion
vermillion borders
of
lip
/
nose
triggers of secondary herpetic lesions?
trauma
from
uv
light
run down
immunosupressed
fever
trauma
treatment for secondary herpetic lesions?
topical
acyclovir
secondary
herpetic lesion
cause of traumatic gingivitis?
toothbrush
gingivitis artefacta
flossing
traumatic
gingivitis
toothbrushing
gingivitis
artefacta
what might cause chemical gingivitis?
aspirin burns
tooth tincture
chemical gingivitis caused by
aspirin burns
fungal gingivitis?
candidosis
, candidiasis caused by
candida albicans
immunocompromised
and
debilated
patient
denture
related
broad spectrum
antibiotic therapy
how does fungal gingivitis present?
red gingivae
white flecks
raw bleeding surface
tx of fungal gingivitis?
improve denture hygiene
find
underlying cause
?
antifungal
eg
nystatin
/
miconazole
what is
sequestrum
?
dead bone
/
tooth tissue penetrating oral mucosa
, causing
gingivitis
,
removal required
what conditions may also lead to
acute gingivitis
?
acute leukaemia
agranulocytosis
uncontrolled diabetes
vit def
(
B
and
C
)
resistance to infection is
lowered
due to the conditions