Podcast
Questions and Answers
What is the key difference in color and shape between normal gingiva and the vestibular mucosa?
What is the key difference in color and shape between normal gingiva and the vestibular mucosa?
Normal gingiva is light pink and strip-like, while the vestibular mucosa is redder.
Describe the microscopic characteristics of gingiva in cases of infective gingivitis.
Describe the microscopic characteristics of gingiva in cases of infective gingivitis.
The gingiva shows intense leukocyte infiltration and edema in the connective tissue.
What are the primary hormonal factors associated with focal hyperplastic gingivitis and when during a person's life is it likely to occur?
What are the primary hormonal factors associated with focal hyperplastic gingivitis and when during a person's life is it likely to occur?
Elevated levels of estrogen and other hormones, typically during puberty and pregnancy, are the primary factors.
Besides hormonal imbalances, what is one other common cause of focal hyperplastic gingivitis or gingival enlargements?
Besides hormonal imbalances, what is one other common cause of focal hyperplastic gingivitis or gingival enlargements?
Signup and view all the answers
What clinical features distinguish focal hyperplastic gingivitis from other forms of gingivitis?
What clinical features distinguish focal hyperplastic gingivitis from other forms of gingivitis?
Signup and view all the answers
According to the given text, what is the main difference between focal fibrous hyperplasia and other types of gingivitis?
According to the given text, what is the main difference between focal fibrous hyperplasia and other types of gingivitis?
Signup and view all the answers
How is gingival enlargement graded when it covers three-quarters or more of the tooth crown?
How is gingival enlargement graded when it covers three-quarters or more of the tooth crown?
Signup and view all the answers
What is a 'false pocket' in the context of gingival enlargements, and what specific type of gingivitis is associated with this condition?
What is a 'false pocket' in the context of gingival enlargements, and what specific type of gingivitis is associated with this condition?
Signup and view all the answers
Why should periodontal treatments be planned before chemotherapy?
Why should periodontal treatments be planned before chemotherapy?
Signup and view all the answers
What is another term for a traumatic neuroma?
What is another term for a traumatic neuroma?
Signup and view all the answers
Where is the most common location for a traumatic neuroma in the oral cavity?
Where is the most common location for a traumatic neuroma in the oral cavity?
Signup and view all the answers
What does the anamnesis often include for a patient with a traumatic neuroma?
What does the anamnesis often include for a patient with a traumatic neuroma?
Signup and view all the answers
What is another name for a congenital granular gingival tumor?
What is another name for a congenital granular gingival tumor?
Signup and view all the answers
Besides angular stomatitis and Perleche, what is another term for angular cheilitis?
Besides angular stomatitis and Perleche, what is another term for angular cheilitis?
Signup and view all the answers
What is a common clinical characteristic of angular cheilitis?
What is a common clinical characteristic of angular cheilitis?
Signup and view all the answers
What concentration of sodium hypochlorite is used to disinfect acrylic dentures?
What concentration of sodium hypochlorite is used to disinfect acrylic dentures?
Signup and view all the answers
A lesion on the gingiva is also referred to as what specific type of fibroma?
A lesion on the gingiva is also referred to as what specific type of fibroma?
Signup and view all the answers
Name one of the two tissues, besides fibrous tissue, that may be found histologically in a peripheral ossifying fibroma.
Name one of the two tissues, besides fibrous tissue, that may be found histologically in a peripheral ossifying fibroma.
Signup and view all the answers
What is the primary factor that causes pyogenic granuloma of the gingiva?
What is the primary factor that causes pyogenic granuloma of the gingiva?
Signup and view all the answers
A gingival lesion that is described as either pedunculated or having a wide base might be what kind of granuloma?
A gingival lesion that is described as either pedunculated or having a wide base might be what kind of granuloma?
Signup and view all the answers
What is another term for inflammatory fibrous hyperplasia resulting from ill-fitting dentures?
What is another term for inflammatory fibrous hyperplasia resulting from ill-fitting dentures?
Signup and view all the answers
What vitamin deficiency is directly associated with the gingival changes characterized by marginal gingivitis, bleeding, and pseudomembrane formation?
What vitamin deficiency is directly associated with the gingival changes characterized by marginal gingivitis, bleeding, and pseudomembrane formation?
Signup and view all the answers
What unique characteristic of gingivitis in mouth breathers can describe the clinical appearance of their gingiva?
What unique characteristic of gingivitis in mouth breathers can describe the clinical appearance of their gingiva?
Signup and view all the answers
Name one of the three pharmacological drugs known to cause gingival fibroblast proliferation.
Name one of the three pharmacological drugs known to cause gingival fibroblast proliferation.
Signup and view all the answers
What is the main characteristic that differentiates Fissured Tongue from Geographic Tongue?
What is the main characteristic that differentiates Fissured Tongue from Geographic Tongue?
Signup and view all the answers
Why does Hairy Tongue sometimes have a black appearance?
Why does Hairy Tongue sometimes have a black appearance?
Signup and view all the answers
Which specific type of cheilitis is characterized by epithelial atypia and the potential to transform into cancer?
Which specific type of cheilitis is characterized by epithelial atypia and the potential to transform into cancer?
Signup and view all the answers
What is the main difference in treatment approaches between Geographic Tongue and Hairy Tongue?
What is the main difference in treatment approaches between Geographic Tongue and Hairy Tongue?
Signup and view all the answers
What are the acute phase symptoms of actinic cheilitis?
What are the acute phase symptoms of actinic cheilitis?
Signup and view all the answers
Explain the connection between food debris and halitosis in Fissured Tongue.
Explain the connection between food debris and halitosis in Fissured Tongue.
Signup and view all the answers
Besides lipsticks, name two other common substances that can cause allergic contact cheilitis?
Besides lipsticks, name two other common substances that can cause allergic contact cheilitis?
Signup and view all the answers
What is the clinical manifestation of Geographic Tongue and how does it get its name?
What is the clinical manifestation of Geographic Tongue and how does it get its name?
Signup and view all the answers
What is the primary treatment for simple cases of contact cheilitis?
What is the primary treatment for simple cases of contact cheilitis?
Signup and view all the answers
Describe the location and appearance of Median Rhomboid Glossitis.
Describe the location and appearance of Median Rhomboid Glossitis.
Signup and view all the answers
In perioral dermatitis, where is irritation typically limited to?
In perioral dermatitis, where is irritation typically limited to?
Signup and view all the answers
What are the three components of Melkersson-Rosenthal Syndrome?
What are the three components of Melkersson-Rosenthal Syndrome?
Signup and view all the answers
What descriptive term is used for the type of crust formation seen in exfoliative cheilitis?
What descriptive term is used for the type of crust formation seen in exfoliative cheilitis?
Signup and view all the answers
What is the main complaint reported by patients with exfoliative cheilitis?
What is the main complaint reported by patients with exfoliative cheilitis?
Signup and view all the answers
What type of tongue lesion can be associated with Down's Syndrome and why is it important to maintain good oral hygiene in this case?
What type of tongue lesion can be associated with Down's Syndrome and why is it important to maintain good oral hygiene in this case?
Signup and view all the answers
What is the recommended treatment approach for exfoliative cheilitis?
What is the recommended treatment approach for exfoliative cheilitis?
Signup and view all the answers
What are the two distinct surfaces of the tongue called, and how do they differ?
What are the two distinct surfaces of the tongue called, and how do they differ?
Signup and view all the answers
Identify the four extrinsic muscles of the tongue.
Identify the four extrinsic muscles of the tongue.
Signup and view all the answers
What is the role of the chorda tympani in relation to the tongue?
What is the role of the chorda tympani in relation to the tongue?
Signup and view all the answers
List the main arteries supplying blood to the tongue.
List the main arteries supplying blood to the tongue.
Signup and view all the answers
How does the tongue contribute to oral hygiene?
How does the tongue contribute to oral hygiene?
Signup and view all the answers
What lymphatic nodes are involved in draining lymph from the tongue?
What lymphatic nodes are involved in draining lymph from the tongue?
Signup and view all the answers
Explain how the tongue aids in the developmental processes of the jaw.
Explain how the tongue aids in the developmental processes of the jaw.
Signup and view all the answers
In which animal is thermal regulation through the tongue most pronounced, and what is the significance?
In which animal is thermal regulation through the tongue most pronounced, and what is the significance?
Signup and view all the answers
Study Notes
Gingival Enlargements
- Gingival enlargement is an increase in gum volume or excessive gum growth.
- Classification by location: localized, generalized, marginal
- Classification by distribution: papillary, diffuse, isolated
- Gingival enlargement grades:
- Grade 0: no enlargement
- Grade I: limited to interdental papilla
- Grade II: includes papilla and marginal gingiva
- Grade III: covers more than three-quarters of the crown
- Normal gingiva is light pink and strip-like, distinguished from the redder vestibular mucosa
- Causes of gingivitis: plaque, tartar, poor restorations, poor oral hygiene
- Infective gingivitis: infection (e.g., streptococcus) causes intense leukocyte infiltration and edema in connective tissue; gingiva is red, swollen, painful; treated with antibiotics
- Focal hyperplastic gingivitis: often related to hormonal status (puberty, pregnancy); caused by elevated estrogen and other hormones; results in inflammatory and fibrous enlargement of interdental papilla
- Other lesions: irritation fibromas, peripheral ossifying fibroma, pyogenic granuloma, peripheral giant cell granuloma, atypical gingivitis (plasma cell gingivostomatitis), inflammatory fibrous hyperplasia (epulis fissuratum)
Additional Gingival Conditions
- C-vitamin deficiency: characterized by marginal gingivitis, bleeding, pseudomembrane formation, surface necrosis, scattered bleeding, widespread edema, and collagen degeneration
- Gingivitis in mouth breathers: gingiva is swollen, red, dry, and shiny, most often affecting anterior gingiva in young people
- Drug-induced gingival enlargements: phenytoin (dilantin), cyclosporine, nifedipine; dental plaque and gingival irritation exacerbate enlargements; enlargement starts from the interdental papilla, can involve the entire crown, more severe in those with poor oral hygiene
- Hereditary gingival fibromatosis: excessive hair, craniofacial deformities, epilepsy, mental retardation; diffuse gingival hyperplasia, covering crowns of teeth, often accompanied by other anomalies (corneal dystrophy, deafness, nail defects)
- Malignant fibrous neoplasms: aggressive and cause tissue damage; fibrosarcoma and malignant fibrous histiocytoma; rapid progression and metastasis; treated with radical excision or jaw resection
- Leukemic hyperplasia: malignant disease of white blood cells; acute in children and young people; often results in death within a few weeks; petechial bleeding
Other Oral Conditions
- Exfoliative cheilitis: fissures, desquamation, hemorrhagic crusts; factors include Candida albicans, oral sepsis, stress, and lip-biting; yellow-white or ulcerated and can cover the entire lip
- Angular cheilitis (angular stomatitis): acute and chronic inflammation of skin and adjacent mucosa at corners of mouth, bilateral; often seen in individuals over 50, especially those with dentures and women
- Actinic cheilitis: usually in men exposed to sunlight; epithelial atypia, can transform into cancer; characterized by hardness, crust formation on lower lip; chronic actinic cheilitis results from atrophy and keratosis over the entire lower lip
- Contact cheilitis: irritation of lips from contact with certain substances like lipsticks, medications, toothpaste, or lip creams
- Perioral dermatitis: irritation limited to the vermilion border; can extend to surrounding skin; eczema-like; treated by eliminating causing substances
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz covers the various classifications and grades of gingival enlargement, an important aspect of oral health. It explores causes and characteristics of different types of gingivitis, including infective and focal hyperplastic gingivitis. Test your understanding of gingival health and its implications on overall well-being.