gingival swellings differential diagnosis

Powerpoint Templates Page 1Powerpoint Templates

Gingival Swellings Differential diagnosis

Amer Ali College of dentistry, university of Kufa

Powerpoint Templates Page 2

Infections

• Gingival abscess• Periodontal abscess• Pericoronal abscess• Acute osteomyelitis• Acute herpetic gingivostomatitis

InfectionGingival abscess

infectionPeriodontal abscess

Infection Pericoronal abscess

Infection Acute herpetic gingivostomatitis

Painful, enlarged, and erythematous palatal gingiva

Painful, enlarged, and erythematous facial gingiva.

Cystic lesions• Gingival cyst of the adult• Eruption cyst• Peripheral calcifying odontogenic cyst• Glandular odontogenic cyst

Cystic lesionsEruption cyst

Cystic lesionsGlandular odontogenic cystPeripheral calcifying odontogenic cyst

Tumor like lesions• Parulis (gum boil)• Gingival epulis• Pyogenic granuloma• Peripheral ossifying fibroma• Peripheral giant cell granuloma• Wegener’s granulomatosis• Focal mucinosis• Mandibula tori• Exostosis

Tumor like lesionsParulis

Tumor like lesionsGingival epulis

Tumor like lesionsPyogenic granuloma

Tumor like lesions

Peripheral ossifying fibroma Peripheral giant cell granuloma

Tumor like lesionsWegener’s granulomatosis. Hemorrhagic and friable gingiva (strawberry gingivitis).

Tumor like lesionsOral focal mucinosis. Nodular mass arising from the gingiva between the mandibular first and second molars.

Tumor like lesionsTorus mandibularis. Bilateral lobulated bony protuberances of the mandibular lingual alveolar ridge.

Developmental or congenital

• Intramucosal melanocytic nevus• Congenital epulis• Retrocuspid papilla

Developmental or congenital

Congenital epulis

Developmental or congenital Intramucosal melanocytic nevus

Developmental or congenital Retrocuspid papilla

Neoplastic - benign

• Papilloma• Hemangioma• Lymphangioma• Peripheral ameloblstoma• Peripheral odontogenic fibroma• Granular cell myoblastoma• Central Giant Cell Tumor

Neoplastic - benignPeripheral ameloblastoma. Sessile gingival mass

Neoplastic - benignPeripheral odontogenic fibroma. This sessile gingival mass cannot be clinically distinguished from the common peripheral ossifying fibroma.

Neoplastic - benignBluish color of central giant cell tumor shows its vascular nature

Neoplastic - Malignant• Squamous cell carcinoma• Fibrosarcoma• Reticular cell sarcoma• Melanoma• Malignant lymphoma• HIV associated kaposi’s sarcoma• Malignant hemangioendothelioma• Metastatic tumors like metastatic melanoma

Neoplastic - MalignantSquamous cell carcinoma

Neoplastic - MalignantMetastatic melanoma. Pigmented nodule of the mandibular gingiva

Neoplastic - MalignantHIV-associated Kaposi’s sarcoma (KS). Raised, dark-red enlargement of the mandibular anterior facial gingiva on the left side.

Others, leukemia

Leukemia, diffuse gingival enlargement

Others, leukemiaLeukemia. Extensive hemorrhagic enlargement of the maxillary and mandibular gingivae.

Others, vitamin C deficiencyScurvy. Hemorrhagic gingival enlargement (scorbutic gingivitis) because of capillary fragility

Others, drug related Cyclosporine-related gingival hyperplasia. Diffuse, erythematous, and fibrotic gingival hyperplasia.

Others, drug related Nifedipine-related gingival hyperplasia. Diffuse, fibrotic gingival hyperplasia

Others, drug relatedMild phenytoin-related gingival hyperplasia. Gingival enlargement present predominantly in the interdental papillae.

Phenytoin-related gingival hyperplasia.Significant erythematous gingival hyperplasia is covering portions of the crowns of numerous teeth.

Gingival fibromatosisGingival fibromatosis. Significant fibrotic gingival hyperplasia with resultant delayed eruption of numerous teeth.

References

• Textbook of Oral medicine 2nd ed Anil Govindrao Ghom

• Oral and Maxillofacial Pathology 3rd edition• Contemporary Oral and Maxillofacial

Surgery, Sixth Edition- Hupp, James R

References

gingival swellings differential diagnosis

Health & Medicine

cystic neck swellings in pediatric: pattern of

scrotal swellings 4- varicocele

midline swellings of the neck

swellings of the sternoclavicular joint: review of

3 scrotal swellings

gus156 slide scrotal swellings

pleomorphic adenoma in the lower lip: a case report and a...

· fibroepithelial or fibrovascular polyp), and giant cell...

hernia's and groin swellings

evaluation of oral and maxillofacial swellings using

a rare case of plunging infected ranula: mri diagnosis ·...

differential diagnosis of head and neck swellings and it’s...

1024 swellings

swellings of the jaw

examination of head and neck swellings

scrotal swellings 3- epididymal cyst

swellings of the lips and buccal mucosa

inguinoscrotal swellings- a problem oriented approach

scrotal swellings 5- testicular carcinoma

scrotal swellings introduction