gingival enlargements
DESCRIPTION
TRANSCRIPT
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GINGIVAL ENLARGEMENTS
Flt.lt. Rumal Gunaratne
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Contents
Definition
Etiology
Classification
Clinical picture
Treatment
Questions
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DEFFINITION
Gingival enlargement refers to excessive growth of the gums, and may also be
known as gingival hyperplasia or hypertrophy.
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What are the possible causes?
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• Poor dental hygiene
• Smoking, mouth breathing and overcrowded teeth
• Systemic diseases
• Hormonal states: pregnancy, puberty;
• Nutritional deficiency: scurvy (vitamin C deficiency);
• Medications
• Genetic conditions, often present at birth (all rare conditions)
• Blood conditions such as acute leukaemia
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Classification
According to etiological and
pathological changes
According to location and distribution
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According to etiological and pathological changes
Inflammatory enlargement•Acute•Chronic
Drug-induced enlargement or
Non inflammatory
gingival enlargement
Enlargement associated with systemic diseases•Conditioned
enlargement•Systemic diseases
causing gingival enlargements
Neoplastic Enlargement
False Enlargement
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According to location and distribution
Localized Generalized Marginal Papillary Diffuse Discrete
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Acute inflammatory enlargement
Gingival abscess
Periodontal abscess
Periapical abscess
Pericoronal abscess
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Gingival Abscess
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Periodontal abscess
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Pericoronal abscess
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Periapical abscess
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Chronic inflammatory enlargement
Localized
GeneralizedDiscrete(tumor like)
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Localized
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Generalized
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Drug-induced enlargement or
Non inflammatory
gingival enlargement
Anti-convulsants Phenytoin
Calcium channel blockers Nifedipine
immunosuppressant's
Cyclosporine
Idiopathic Gingival Fibromatosis
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Phenytoin
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Cyclosporine
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Nifedipine
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Congenital familial
fibromatosis
Gingivomatosis
Elephantiasis gingivae
Hereditary
Idiopathic Gingival
Fibromatosis
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Idiopathic Gingival Fibromatosis
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Enlargements associated with systemic diseases
• Pregnancy• Puberty• Vitamin C deficiency• Plasma cell gingivitis• Non-specific conditioned enlargment
(Granuloma pyogenicum)
Conditional enlargement
• Leukemia• Granulomatous diseases
Systemic diseases causing
gingival enlargments
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pregnancy
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puberty
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Vitamin C deficiency
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Plasma cell gingivitis
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Non-specific conditioned enlargement (Granuloma pyogenicum)
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Leukemia
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Neoplastic enlargements
Benign tumors
Malignant tumors
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Benign
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Fibroma
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Papilloma
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Peripheral giant cell granuloma
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leukoplakia
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Gingival cyst
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Malignant
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Squamous cell carcinoma
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Malignant melanoma
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Treatment
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Scoring of gingival enlargement
Grade 0 •No sign of gingival enlargement
Grade 1 •Enlargement confined to the interdental papilla
Grade 2 •Enlargement involves papilla and marginal gingiva
Grade 3 •Enlargement covers three quarters or more of the crown
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Questions
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THANK YOU