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TG keynotes
Important points to consider while reading from page 53
of TG

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Know about the different types of gingivitis and periodontitis. The

difference between them, their diagnosis and management.

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If the patient is
not responding Refer to
to conventional specialist
treatment

If the child Refer him

has for medical
periodontitis assessment

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Management of abscess or
cellulitis is by

Drainage of pus (either by

incision, endo, or extraction)

Then remove the cause. AND

NOT ANTIBIOTICS ONLY

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Least duration of antibiotics is for 5 days

If it does not respond to antibiotics, do no repeat the dose

Try to confirm your diagnosis

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Dry Socket (please read

Odell case)

1 Read about causes

2 Percentage

3 Occurrence after 3 days

4 Management –
- Alvogel or Zinc oxide
eugenol
- Lignocine
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Lesions
You may get questions about white lesions, pigmented lesions,
1
ulcers, candidiasis, vesiculobullous lesions.
2 Read their definition and type

3 Their cause
4 Their clinical appearance
5 Their histology
6 Their differential diagnois
7 Their management

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Lesions

Know the most characteristics feature of each lesion that will let you
1
be able to differentiate between them

White lesions, papillary lesions, cancers, TMJ disorder and ulcers

2
are important topics

Speckled leukoplakia has the highest malignant transformation,

3
about 21% of all white leukoplakia

4 Alcohol and tobacco are the main factors for carcinoma

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In Lichenoid reaction with

amalgam

No need to remove all the

amalgam restoration.

Only remove the amalgam

that results in the lesion
*Biopsy is always necessary for diagnosis
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Hairy tongue

It is due to hyper
keratinase filiform
papillae

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Hairy leukoplakia

It is caused by Epstein
1 Barr virus
Particularly seen is
2
patients with HIV

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1 Smoking cessation causes apthous ulcers

2 Candidiasis is a very important topic

3 Dry mouth should be read from Odell

Angular chilitis (mixed infection, mostly seen in edentulous patients,

4
iron-vitamin D-folate deficiency)

5 Read apthous and common ulcers

6 Bacteria of halitosis and its main place

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Know the characteristic point

of each lesion

e.g. Candidiasis is a white lesion

which can be rubbed of
erythematous base

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Know the characteristic point

of each lesion

Lichen planus CANNOT be

1
rubbed of

It has different types e.g.

2
reticular or erosive

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About candidiasis
Caused by candida albicans appears as
1
white creamy lesion

Predisposing factors
- Bad oral hygiene
- Medically compromised
2
- Immunosuppressive
- Medication e.g. cortico steroids
- Vitamin deficiency and improper denture

Types
- Acute sudo membranous
- Hyperplastic chronic atrophic candidiasis
(due to denture)
3
- Acute erythematous (due to antibiotic)
- Mucocutaneous candidiasis (seen in
immunodeficiency)
- Candida leukoplakia
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Thank you
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