Gingivitis acuta ulcerosa

By Unknown on Saturday, December 22, 2007 with 0 comments

Etiology - fusiform bacteria, borrelias, anaerobic streptococci, vibrios; accompanied by severe failures of immune reactions.

Pathologic anatomy - ulcerous inflammation.

Clinical picture - the disease appears without prodromes, begins at perfectly healthy persons mostly at their second or third decennium. It is linked to presence of teeth. An organism - weakening disease may be present in an anamnesis. The disease frequently occurs in groups of young people (boarding houses, dormitories, military bases, at students during a pre-exam period etc.), and under situations with increased mental or physical stress. An acutely inflamed gingiva with ulceration at interdental papillae tips that has a destructive character, can be observed. Ulcers appear predominantly at places of increased local irritation, e.g. at wrong fillings, denture braces, cutting wisdom teeth, roots etc. After a careful removal of a necrotic tissue, a papilla appears to have its tip cut off. The disease acute phase may either take a course with high fever or it may be afebrile. If the disease is not diagnosed and cured on time, it enters a chronic stage that causes irreparable damage of the periodontium.

Therapy - mushy diet. Careful local washes with hydrogen peroxide, administration of vitamins B and C. Penicillin should be used in more serious forms of the disease. At acute phase, all stomatologic, especially stomato-surgical treatments are contraindicated.

Caveat! At every ulcerous gingivitis that after a timely and intense care does not show any recovery or has low inflammatory reaction, it is imperative to examine the blood count for possible white cells disorder. The differential diagnostics should take into account a possibility of infectious mononucleosis that is often accompanied by ulcerous gingivitis.

Category: Periodontics Notes



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