Acute periodontal lesions

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dc.contributor.authorHerrera Gonzalez, David
dc.contributor.authorAlonso Álvarez, Bettina María
dc.contributor.authorArriba de la Fuente, Lorenzo de
dc.contributor.authorSanta- Cruz Astorqui, Isabel
dc.contributor.authorSerrano, Cristina
dc.contributor.authorSanz Alonso, Mariano
dc.date.accessioned2023-06-19T14:54:12Z
dc.date.available2023-06-19T14:54:12Z
dc.date.issued2014
dc.description.abstractThis is a review and update on acute conditions affecting the gingival tissues, including abscesses in the periodontium, necrotizing periodontal diseases, and other acute conditions that cause gingival lesions with acute presentation, such as infectious process not associated with oral bacterial biofilms, muco-cutanenous disorders, and traumatic and allergic lesions. A periodontal abscess is clinically important since it is a relatively frequent dental emergency, it can compromise the periodontal prognosis of the affected tooth, and because bacteria within the abscess have been identified, mainly by the type of etiology, and there are clear diffrences between those affecting a previously existing periodontal pocket ahd those affecting healthy sites. Therapy for this acute condition consists of drainage and tissue debridement, with individual evaluation of the need for systemic antimicrobial therapy. the definitive treatment of the pre-existing condition should be accomplished after the acute phase is controlled. Necrotizing periodontal disease (NPD) present three typical clinical features : papilla necrosis, gingival bleeding, and pain. Although the prevalence of these diseases is not high, their importance is clear, since they represent the most severe conditions associated with dental biofilm, with very rapid tissue destruction. In adittion to bacteria, the etiology of NPD includes numerous factors that alter the host response and predispose to these diseases, including HIV infection, malnutrition, stress, and tobacco smoking. The treatment consists of superficial debridement, careful mechanical oral hygiene, rinsing with chlorhexidine, and daily re-evaluation. Systemic antimicrobials may be used adjunctively in severe cases or in non-responding conditions and the best option is metronidazole.Once the acute disease is under control, definitive treatment should be provided, including the adequate therapy for the pre-existing gingivitis or periodontitis. Among other acute conditions affecting the periodontal tissues, but not caused by the microorganisms present in oral biofilms , are infectious diseases, muco-cutaneous diseases and traumatic or allergic lesions. In most cases, the gingival envolvement is not severe, though they are common and may prompt a dental emergency visit. These conditions may the direct result of a trauma or the consequence of the breaking of vesicles and bullae. A proper differential diagnosis is important for an adequate management of the case.
dc.description.departmentDepto. de Especialidades Clínicas Odontológicas
dc.description.facultyFac. de Odontología
dc.description.refereedTRUE
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/30392
dc.identifier.doi10.1111/prd.12022
dc.identifier.issn0906-6713
dc.identifier.urihttps://hdl.handle.net/20.500.14352/34672
dc.issue.number1
dc.journal.titlePeriodontology 2000
dc.language.isoeng
dc.page.final177
dc.page.initial149
dc.publisherWiley-Blackwell
dc.rights.accessRightsopen access
dc.subject.cdu616.314.17-008.1
dc.subject.keywordPeriodontal abscess
dc.subject.keywordnecrotizing gingivitis
dc.subject.keywordnecrotizing periodontitis
dc.subject.keywordnecrotizing stomatitis
dc.subject.keywordnecrotizing periodontal diseases
dc.subject.ucmPeriodoncia
dc.subject.unesco3213.13 Ortodoncia-Estomatología
dc.titleAcute periodontal lesions
dc.typejournal article
dc.volume.number65
dspace.entity.typePublication
relation.isAuthorOfPublication78b5ba10-4d3e-49b3-8180-abad523f6bb3
relation.isAuthorOfPublication64cb103c-84c2-43c3-a4fc-60b1e598007d
relation.isAuthorOfPublication.latestForDiscovery78b5ba10-4d3e-49b3-8180-abad523f6bb3
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