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