Hey guys..
i justhave a few Questions that i got a bit confued with today...hopefully you guys can shine some light on these for me!!
1)so with chronic gingivitis-it says that there is no loss of CT attachment but only migration of JE-so, does this mean that pocket readings that can be obtained are due to pseudopockets??like from the inflammation..Or are they actually classed as perio pockets...?? if this question confuses anyone.. ignore it, coz i think i am just confusing myself..
2)What is inflammatory infiltrate? i just thought it was lots of inflammatory cells?is this right?
3)ANUG-text book says it is very rarely generalised, however the notes(in module)say that it can occur either localised or generlaised-with very severe cases often being associated with some bone loss?? Is this what others found as well..
Maybe sophie you could clarify the localised/generalized bit??
4)notes says chronic gingivitis has a cause effect relation ship with plaque- thats fine.. But then further in-the notes say that chronic diseases are not associated with cause-effect and that they are multifactorial??? Confused??
Is this just because gingivitis is really a 'disease'as such but more an inflammatory reaction???
and last one-Module 2, sesion 3 pg 25- my box for ANUG/ANUP and ANUG/HIV is blank-- did i miss something here or did he skip this stuff??
THANKS GUYS!!
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4 comments:
1) gingival pockets and pseudopockets are not true perio pockets as there has been no CT loss. hope that answers your question =) it had be baffled for awhile as well, lol
2) i thought the infiltrate was just the immune cells (neutrophils, macrophages, etc)
3) i think it can occur as both generalised or localised, but its juts rarer to occur generalised.
4) i definitely think there is a cause and effect relationship between plaque/biofilm and chronic gingivitis, where in the module does it say there isn't?? i didn't read that anywhere =0
i haven't got anything under the ANUP/ANUG box either. under the ANUG/HIV box i just had that non-resolving ANUG may indicate HIV and that it is best to send the patient off for a blood test with their GP.
oh sweet tim Thanks.. Good to get some clarification... With the cause effect thing dont stress> i think it was justthe wayi read the notes that i got confused but i get it now.. sorry to confuse.
HAPPY STUDIES :D
Tim i had that as well for ANUG/HIV but didnt have anything for the other box
Hi guys.....
Good work again..
Ok.. Chronic Gingivitis has a cause effect with biofilm/plaque. That is most people who dont brush their teeth will get gingivitis with or without predisposing factors.
Tim is correct with pseudopocket explanation ...These are not classified as true periodontal pockets but you still record the depth of reading you may be getting but keep in mind these are not usually more than 4mm. There is only lateral migration of the JE due to inflammatory infiltrate no apical migration.. as this denotes the first signs of perio.
>30% of total mouth is generalised
<30% of total mouth is localised...
keep upo the good work... try and answer the pathogenesis questions that I posted under your other comments.. I may start up an new post..
Sophie
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