GINGIVITIS

GINGIVITIS

1. GRANULOMATOUS GINGIVITIS

   • UNEXPLAINED GRANULOMATOUS INFLAMMATION
   • MAY RESULT FROM DENTAL MATERIALS
   • FOREIGN BODY GIIINGIVITIS
     • DAMAGE TO EPITHELIUM DURING DENTAL PROCEDURES AND FOREIGN MATERIAL INTO GINGIVA
     • FBG resembles ginigval lichen planus
   • MULTINUCLEATED GIANT CELLS
   • HISTIOCYTES
   • SOLITARY OR MULTIFOCAL LESIONS ON INTERDENTAL PAPILLAE OR MARGINAL GINGIVA
   • TRUE granulomatous
   • on interdental or margina l ginival soltiary or mutifocal lesons
     • red/white macules

2. Gingivitis

   • Chronic hyperplastic
     • pyogenic granuloma
       • forms inflammed granulation tissue in ginigval sulcus
       • bright red color- maxillary gingiva
     • Chronic infllammation causes
       • edema or fibrosis
   • Puberty
   • Mouth breathing

3. PLASMA CELL GINGIVITIS ( ATYPICAL GINGIVOSTOMATITIS)

   • ALLERGIC RESPPONSE
     • WITH DISTINCT PATTERN OF GINGIVAL INVOLVEMENT
       • Made worse by hot/spicy food
   • MADE WORSE BY HOT/SPICY FOODS
   • ATTACHED AND FREE GINIGIVA
     • DIFFUSE ENLARGEMENT
     • LOSS OF STIPPLING
     • BRIGHT ERYTHEMA

4. NECROTIZING ULCERATIVE GINGIVITIS ( VINCENT'S INFECTION/ TRENCH MOUTH)

   • FUSOBACTERIUM NUCLEATUM
   • PREVOTELLA INTERMEDIA
   • PORPHYROMONAS GINGIVALIS
   • TREPONEMA
   • SELENOMONAS
   • STRESS/MILIAARY PERSONNEL
   • CONTRIBUTING FACTORS
     • SMOKING, LOCAL TRAUMA, IMMUNOCOMPROMISED STATUS POOR ORAL HYGIENE
   • INTERDENTAL PAPILLA
     • INFLAMMED
     • EDEMATOUS
     • HEMORRHAGIC
     • PUNCHED OUT APPEARANCE
       • GREY PSEUDOMEMBRANE APPEARANCE
   • FOUL ODOR
   • FEVER, MALAISE, LYMPHADENOPATHY
   • EXTENDS TO FACE FROM MUCOSA OF SKIN AS NOMA ( CANCRUM ORIS)
     • NOMA ( infection)
       • RAPIDLY PROGRESSIVE
       • POLYMICROBIAL
       • OPPORTUNISTIC
       • WELL DEFINED
       • UNILATERAL WITH ODOR

5. DESQUAMATIVE GINGIVITIS

   • CLINICAL TERM
   • SUPERFICIAL PEELING OF EPITHELIUM
   • NIKOLYSKY SIGN
     • MANIPULATION OF EPITHELIUM REUSLT IN SLOUGH OR VESICLE FORMATION
   • MAY REPRESENT VESICULOBULLOUS CONDTION
     • PEMPHIGUS VULGARIS
     • MUCOUS MEMBRANE PEMPHIGOID
   • LICHEN PLANUS OR SYSTEMIC LUPUS ERTHEMATOUSUS CAN BE REPRESENTED

6. Localized Juvenile Spongiotic Gingival Hypreplasia ( Spongiotic Gingivitis)

   • IDIOPATHIC
   • MAXILLARY FACIAL GINIGVA
   • SMALL RED VELVETY PAPILLARY
   • SESSILE OR PEDUNCULATED
   • EXCISE CONSERVATIVELY

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