Periodontal Diseases In Children And Young Adolescents Short And Long Essay Question And Answers

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Periodontal Diseases In Children & Young Adolescents

Periodontal Diseases In Children & Young Adolescents Short Essays

Question 1. Papillan – Lefevre Syndrome.
Answer:

Etiology: Mutation of chromosome

  • Autosomal recessive disorder

Age: Before 4 years

Site: Skin of palms and soles, knees and elbows

  • Primary and permanent dentition

Features:

Extraoral: Hyperkeratosis of a localized area

Intraoral: Inflammation

  • Bone loss
  • Severe periodontal destruction
  • Premature loss of primary and permanent teeth

Question 2. Ehler-Danlos Syndrome.
Answer:

Etiology:

  • Hereditary
  • Defective collagen structure

Features:

General:

  • Hyperextensibility of joints
  • Hyperextensibility of skin
  • Fragility of skin
  • The fragility of blood vessels
  • Scarring of wounds

Intra-Oral:

  • Fragile mucosa
  • Easy bruising
  • Post-extraction bleeding
  • Increased gingival bleeding
  • Advanced periodontal destruction
  • Teeth are easily fracture
  • Frequent dislocation of TMJ.

Read And Learn More: Periodontics Question and Answers

Treatment:

  • Prevention of the features
  • Atraumatic periodontal procedures

Question 3. Physiologic gingival changes associated with tooth eruption.
Answer:

  • Gingival changes associated with various stages of tooth eruption are

1. Pre-eruptive stage

  • Before the eruption of the permanent tooth crown, the gingiva presents a bulge that is firm and pink
    It may be slightly blanched
  • It conforms to the contour of the underlying crown

2. Eruptive stage:

  • As the tooth erupts, the gingival margin and sulcus develop
  • The margin is rounded, oedematous, and reddened
  • Marginal gingiva surrounding partially erupted teeth appear prominent
  • The prominence is caused by the height of the contour of the erupting tooth and mild inflammation from mastication

3. Post-eruptive stage

  • The gingiva reduces in bulk
  • It becomes thinner, firmly attached around the Retarded growth cervical portion of the tooth

Periodontal Diseases In Children & Young Adolescents Short Answers

Question 1. Chediak-Higashi syndrome.
Answer:

Etiology:

  • Hereditary
  • Neutrophil defect

Features:

  • Recurrent bacterial infections
  • Oral ulcerations
  • Destructive periodontitis

Question 2. Periodontal Diseases associated with the syndrome.
Answer:

  • Papillon-Lefevre syndrome
  • Chediak Higashi syndrome
  • Down’s syndrome
  • Ehler Danlos syndrome
  • Rickets-like deformities

Question 3. Hypophosphatasia.
Answer:

  • Hypophosphatasia is a rare familial skeletal disease that appears clinically in infants, young children, and adults

Clinical Features:

  • Cementum formation is affected
  • Periodontal attachment loss
  • Premature loss of teeth
  • Deficiency of alkaline phosphatase
  • Excretion of phosphoethanolamine in urine

Question 4. Eruption cyst.
Answer:

  • When a primary tooth is lost or the first molar is erupting, behind the deciduous second molar an eruption cyst may form

Features:

  • Bluish enlargement of gingiva over erupting tooth
  • Cyst may be filled with blood
  • Color- dark blue or deep red
  • Site involved-permanent lower incisors and first molars
  • It may be painful
  • Interferes with occlusion

Treatment:

  • Resolves on its own
  • May require marsupialisation

 

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