Podcast
Questions and Answers
What local risk factor is known to encourage plaque accumulation by inhibiting its removal?
What local risk factor is known to encourage plaque accumulation by inhibiting its removal?
- Excessive fluoride usage
- Poor oral hygiene habits
- Diet high in sugar
- Prominent subgingival restoration margins (correct)
Which clinical condition arises from reduced salivary flow, contributing to increased gingival inflammation?
Which clinical condition arises from reduced salivary flow, contributing to increased gingival inflammation?
- Gingival hyperplasia
- Periodontitis
- Oral dryness/Hyposalivation (correct)
- Gingival recession
What is a requirement for drug-influenced gingival conditions to produce a gingival response?
What is a requirement for drug-influenced gingival conditions to produce a gingival response?
- Presence of excessive plaque bacteria alone
- Presence of the drug without plaque bacteria
- Normal salivary flow
- Combination of plaque bacteria and the drug (correct)
Which of the following medications is most commonly associated with gingival tissue enlargement?
Which of the following medications is most commonly associated with gingival tissue enlargement?
What role do individual characteristics play in drug-influenced gingival enlargements?
What role do individual characteristics play in drug-influenced gingival enlargements?
Which of the following is not considered a local risk factor for gingival diseases?
Which of the following is not considered a local risk factor for gingival diseases?
Which type of gingival disease is characterized by conditions independent of dental biofilm?
Which type of gingival disease is characterized by conditions independent of dental biofilm?
What is one expected outcome for periodontal health concerning plaque-associated diseases?
What is one expected outcome for periodontal health concerning plaque-associated diseases?
What characteristic distinguishes drug-influenced gingival enlargement from inflammatory reactions?
What characteristic distinguishes drug-influenced gingival enlargement from inflammatory reactions?
Which pattern is commonly observed in drug-influenced gingival enlargement?
Which pattern is commonly observed in drug-influenced gingival enlargement?
What is the most prevalent age group affected by drug-influenced gingival enlargement?
What is the most prevalent age group affected by drug-influenced gingival enlargement?
Which factor is NOT associated with drug-influenced gingival enlargement?
Which factor is NOT associated with drug-influenced gingival enlargement?
Which bacterial origin is associated with specific infections that can lead to gingival diseases?
Which bacterial origin is associated with specific infections that can lead to gingival diseases?
Which of the following viral infections is known to cause gingival conditions?
Which of the following viral infections is known to cause gingival conditions?
What type of gingival enlargement involves only the enlargement of the gingival papilla?
What type of gingival enlargement involves only the enlargement of the gingival papilla?
What is a common autoimmune disease that can manifest in the gingiva?
What is a common autoimmune disease that can manifest in the gingiva?
Which statement about localized and generalized gingivitis is true?
Which statement about localized and generalized gingivitis is true?
What differentiates non-dental biofilm-induced gingival diseases from plaque-induced gingivitis?
What differentiates non-dental biofilm-induced gingival diseases from plaque-induced gingivitis?
Which genetic or developmental disorder is linked to gingival diseases?
Which genetic or developmental disorder is linked to gingival diseases?
What is the characteristic of the BOP score in generalized gingivitis?
What is the characteristic of the BOP score in generalized gingivitis?
Which systemic condition is categorized under granulomatous inflammatory conditions associated with gingival disease?
Which systemic condition is categorized under granulomatous inflammatory conditions associated with gingival disease?
Which viral pathogen is known for causing conditions that may affect the gingiva?
Which viral pathogen is known for causing conditions that may affect the gingiva?
Which hypersensitivity reaction can lead to gingival disease?
Which hypersensitivity reaction can lead to gingival disease?
Which of the following is a condition with associated systemic involvement that leads to gingival disease?
Which of the following is a condition with associated systemic involvement that leads to gingival disease?
Which condition is classified as a reactive process involving gingival diseases?
Which condition is classified as a reactive process involving gingival diseases?
Which type of oral pigmentation is specifically linked to smoking habits?
Which type of oral pigmentation is specifically linked to smoking habits?
Which of the following is a neoplasm that can be a premalignant condition in the oral cavity?
Which of the following is a neoplasm that can be a premalignant condition in the oral cavity?
What type of lesion results from physical or mechanical trauma to the gingiva?
What type of lesion results from physical or mechanical trauma to the gingiva?
Which of the following is a systemic manifestation that can be associated with fungal infections like candidosis?
Which of the following is a systemic manifestation that can be associated with fungal infections like candidosis?
Which of the following conditions is primarily a drug-induced pigmentation of the gingiva?
Which of the following conditions is primarily a drug-induced pigmentation of the gingiva?
What type of lesion can occur due to thermal insults to the gingiva?
What type of lesion can occur due to thermal insults to the gingiva?
Which of the following describes a peripheral giant cell granuloma?
Which of the following describes a peripheral giant cell granuloma?
What is a common symptom of Vitamin C deficiency?
What is a common symptom of Vitamin C deficiency?
Which of the following is NOT a thermal insult to the mucosa?
Which of the following is NOT a thermal insult to the mucosa?
What characterizes frictional keratosis?
What characterizes frictional keratosis?
Which of the following is a characteristic of a standard periodontal probe as per ISO 21672?
Which of the following is a characteristic of a standard periodontal probe as per ISO 21672?
What is gingival pigmentation also known as?
What is gingival pigmentation also known as?
Which of the following is a potential future research need regarding gum diseases?
Which of the following is a potential future research need regarding gum diseases?
Which chemical agent could cause surface sloughing in the oral mucosa?
Which chemical agent could cause surface sloughing in the oral mucosa?
What is the recommended tip diameter for the ISO periodontal probe?
What is the recommended tip diameter for the ISO periodontal probe?
What is characteristic of hereditary gingival fibromatosis?
What is characteristic of hereditary gingival fibromatosis?
Which condition is associated with ulceration and crater formation in the gingiva?
Which condition is associated with ulceration and crater formation in the gingiva?
What is the major clinical manifestation of candidosis?
What is the major clinical manifestation of candidosis?
Which hypersensitivity reaction can cause lichenoid lesions in the gingiva?
Which hypersensitivity reaction can cause lichenoid lesions in the gingiva?
What clinical characteristic is common with pemphigus vulgaris?
What clinical characteristic is common with pemphigus vulgaris?
What can characterize Crohn's disease in the oral cavity?
What can characterize Crohn's disease in the oral cavity?
Leukoplakia is defined as which of the following?
Leukoplakia is defined as which of the following?
What is a common presentation of gingival squamous cell carcinoma?
What is a common presentation of gingival squamous cell carcinoma?
Flashcards
Local Risk Factors
Local Risk Factors
Factors that increase plaque buildup at specific sites in the mouth, hindering plaque removal and promoting inflammation.
Subgingival restoration margins
Subgingival restoration margins
Elevated areas around fillings or crowns, where plaque is easily trapped and hard to remove (increasing risk of gum diseases).
Hyposalivation
Hyposalivation
Reduced saliva flow making it harder to rinse away plaque bacteria (which can cause inflammation).
Dental Biofilm-Induced Gingival Diseases
Dental Biofilm-Induced Gingival Diseases
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Drug-influenced gingival enlargements
Drug-influenced gingival enlargements
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Antiepileptic Drugs
Antiepileptic Drugs
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Calcium channel blockers
Calcium channel blockers
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Oral dryness
Oral dryness
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Drug-induced Gingival Enlargement
Drug-induced Gingival Enlargement
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Gingival Enlargement Patterns
Gingival Enlargement Patterns
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Anterior Gingiva
Anterior Gingiva
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Gingival Enlargement Onset
Gingival Enlargement Onset
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Gingival Enlargement and Bone Loss
Gingival Enlargement and Bone Loss
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Types of Gingival Enlargement
Types of Gingival Enlargement
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Localized Gingivitis
Localized Gingivitis
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Generalized Gingivitis
Generalized Gingivitis
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Gingival Diseases: Plaque-Induced
Gingival Diseases: Plaque-Induced
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Hereditary Gingival Fibromatosis
Hereditary Gingival Fibromatosis
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Neisseria Gonorrhoeae
Neisseria Gonorrhoeae
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Treponema Palliduma
Treponema Palliduma
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Mycobacterium Tuberculosis
Mycobacterium Tuberculosis
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Contact Allergy
Contact Allergy
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Plasma Cell Gingivitis
Plasma Cell Gingivitis
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Erythema Multiforme
Erythema Multiforme
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Epulis
Epulis
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Fibrous Epulis
Fibrous Epulis
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Calcifying Fibroblastic Granuloma
Calcifying Fibroblastic Granuloma
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Peripheral Giant Cell Granuloma
Peripheral Giant Cell Granuloma
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Leukoplakia
Leukoplakia
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Erythroplakia
Erythroplakia
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Squamous Cell Carcinoma
Squamous Cell Carcinoma
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Amalgam Tattoo
Amalgam Tattoo
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Scurvy
Scurvy
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Frictional Keratosis
Frictional Keratosis
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Chemical Insults to Gums
Chemical Insults to Gums
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Thermal Insults to Gums
Thermal Insults to Gums
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Gingival Pigmentation
Gingival Pigmentation
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Early Gum Disease Detection
Early Gum Disease Detection
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Gum Disease Susceptibility
Gum Disease Susceptibility
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ISO Periodontal Probe
ISO Periodontal Probe
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Necrotizing Periodontal Diseases
Necrotizing Periodontal Diseases
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Hand-Foot-and-Mouth Disease
Hand-Foot-and-Mouth Disease
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Candidosis (Thrush)
Candidosis (Thrush)
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Pemphigus Vulgaris
Pemphigus Vulgaris
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Crohn's Disease
Crohn's Disease
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Study Notes
Dental Clinical Practice 2: Non-Dental Biofilm-Induced Gingival Diseases
- This presentation focuses on gingival diseases and conditions resulting from non-dental biofilms, as opposed to plaque-induced gingivitis.
Learning Objectives
- List the local etiological factors of dental biofilm-induced gingival diseases.
- Interpret the classification of non-dental biofilm-induced gingival conditions and diseases.
- List the outcomes for periodontal health for plaque-associated periodontal diseases.
- Describe the types of non-dental biofilm-induced gingival diseases.
- Summarize future research needs for classifying and diagnosing gingival diseases and conditions.
Local Risk Factors/Predisposing Factors
- Local risk factors encourage plaque accumulation at specific sites by inhibiting its removal during oral hygiene or creating a biological niche for increased plaque accumulation.
- Examples include: prominent subgingival restoration margins, which facilitate plaque accumulation and hinder mechanical removal; and oral dryness/hyposalivation, leading to reduced cleansing of tooth surfaces, increased gingival inflammation, and reduced biofilm removal. The causes of dry mouth include certain medications, Sjogren's syndrome, and mouth breathing.
Drug-Influenced Gingival Enlargements
- Certain medications, including antiepileptic drugs, calcium channel blockers, immunoregulating drugs, and high-dose oral contraceptives, can affect gingival tissue size.
- Plaque bacteria and the specific medication are necessary for drug-influenced gingival conditions.
- Gingival enlargements may occur but not in every individual taking the drug, suggesting specific characteristics play a role.
- Clinical manifestations of the gum enlargement may differ at various sites/patients, sometimes with little to no clinically visible gingivitis.
Common Clinical Characteristics of Drug-Influenced Gingival Enlargements
- Enlargement patterns differ between patients likely due to genetic predisposition.
- Anterior gingiva is more frequently affected.
- Enlargement often presents within three months of drug use, potentially with or without bone loss.
- No observed association with attachment loss or tooth mortality.
- Clinical and histological characteristics appear indistinguishable.
Classification of Gingivitis
- Gingivitis in an Intact Periodontium: Probing attachment loss and radiographic bone loss are absent; BOP scores vary between localized (≤10%) and generalized (>30%).
- Gingivitis in a Reduced Periodontium Without a History of Periodontitis: Probing attachment loss and potential radiographic bone loss are present; BOP scores again vary between localized (≤10%) and generalized (>30%); probing depths (all sites) are less than or equal to 3mm.
Outcomes of Periodontal Health for Plaque-Associated Periodontal Disease
- Various periodontal health outcomes exist depending on whether the periodontium is intact or reduced and the presence of gingivitis. Variables considered include bleeding on probing, normal gingival sulcus depth, normal bone heights, modifying factors, and predisposing factors.
Non-Dental Biofilm-Induced Gingival Diseases
- Plaque-induced gingivitis is common; non-dental-induced gingivitis is less common but significantly impacts patients.
- Non-dental biofilm-induced gingival lesions can represent systemic conditions.
Gingival Diseases: Non-Dental Plaque-Induced
- Genetic/developmental disorders
- Specific infections (bacterial, viral, fungal)
- Inflammatory and immune conditions/lesions
- Reactive processes
- Neoplasms
- Endocrine, nutritional, and metabolic diseases
- Traumatic lesions
- Chemical/toxic insults
- Gingival pigmentation/melanoplakia
Future Research Needs
- Developing simple tests (e.g., saliva-based) to detect early gum disease signs.
- Identifying factors contributing to gum disease susceptibility.
- Understanding differences among various types of gum diseases.
- Standardizing periodontal probe use to improve diagnostic accuracy and consistency, using the ISO 21672 probe specifications including tip diameter (0.5 mm), structure (cylindrical tine), constant force limiter (0.25 N), scale (15 mm with markings), and taper (1.75°).
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Description
This quiz covers non-dental biofilm-induced gingival diseases, exploring local etiological factors and their classification. It also addresses outcomes for periodontal health and highlights future research needs in the field. Test your knowledge on these important aspects of dental clinical practice.
