Gingival Enlargements Overview

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Questions and Answers

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.

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?

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?

Local irritations like plaque formation, tartar buildup, poor restorations and poor oral hygiene are common causes. Signup and view all the answers

What clinical features distinguish focal hyperplastic gingivitis from other forms of gingivitis?

The gingiva is enlarged, firm, fibrous and often covers parts of the teeth crowns. 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?

Focal fibrous hyperplasia does not exhibit a color change in the affected area. Signup and view all the answers

How is gingival enlargement graded when it covers three-quarters or more of the tooth crown?

It is graded as Grade III. 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?

A false pocket is created by the enlarged gingiva, without bone loss, and is often associated with focal hyperplastic gingivitis. Signup and view all the answers

Why should periodontal treatments be planned before chemotherapy?

The text does not state this, and thus the question is unanswerable. Signup and view all the answers

What is another term for a traumatic neuroma?

amputation neuroma Signup and view all the answers

Where is the most common location for a traumatic neuroma in the oral cavity?

around the mental foramen Signup and view all the answers

What does the anamnesis often include for a patient with a traumatic neuroma?

a history of nerve severance Signup and view all the answers

What is another name for a congenital granular gingival tumor?

congenital epulis Signup and view all the answers

Besides angular stomatitis and Perleche, what is another term for angular cheilitis?

There is no other term in the text. Signup and view all the answers

What is a common clinical characteristic of angular cheilitis?

erythematous fissures at the corners of the mouth Signup and view all the answers

What concentration of sodium hypochlorite is used to disinfect acrylic dentures?

The text does not mention a specific concentration. Only that hypochlorite solution should be used. Signup and view all the answers

A lesion on the gingiva is also referred to as what specific type of fibroma?

peripheral 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.

bone or cementum Signup and view all the answers

What is the primary factor that causes pyogenic granuloma of the gingiva?

minor trauma 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?

Peripheral giant cell granuloma Signup and view all the answers

What is another term for inflammatory fibrous hyperplasia resulting from ill-fitting dentures?

epulis fissuratum or denture irritation Signup and view all the answers

What vitamin deficiency is directly associated with the gingival changes characterized by marginal gingivitis, bleeding, and pseudomembrane formation?

Vitamin C deficiency Signup and view all the answers

What unique characteristic of gingivitis in mouth breathers can describe the clinical appearance of their gingiva?

dry and shiny Signup and view all the answers

Name one of the three pharmacological drugs known to cause gingival fibroblast proliferation.

phenytoin, cyclosporine, or nifedipine Signup and view all the answers

What is the main characteristic that differentiates Fissured Tongue from Geographic Tongue?

Fissured Tongue is an inherited and congenital anomaly, while Geographic Tongue is an inflammatory condition caused by desquamation of filiform papillae. Signup and view all the answers

Why does Hairy Tongue sometimes have a black appearance?

Exogenous pigments from food, medications, tea, coffee, and smoking can stain the elongated filiform papillae, turning them black, known as "lingua villosa nigra." Signup and view all the answers

Which specific type of cheilitis is characterized by epithelial atypia and the potential to transform into cancer?

Actinic Cheilitis Signup and view all the answers

What is the main difference in treatment approaches between Geographic Tongue and Hairy Tongue?

Geographic Tongue is generally asymptomatic and does not require treatment, while Hairy Tongue treatment is quite difficult and often ineffective. Signup and view all the answers

What are the acute phase symptoms of actinic cheilitis?

Erythema, edema, and sensitivity Signup and view all the answers

Explain the connection between food debris and halitosis in Fissured Tongue.

The deep fissures in Fissured Tongue can trap food debris, providing a breeding ground for bacteria that produce foul odors, leading to halitosis. Signup and view all the answers

Besides lipsticks, name two other common substances that can cause allergic contact cheilitis?

Medications, toothpaste, foods, or lip creams Signup and view all the answers

What is the clinical manifestation of Geographic Tongue and how does it get its name?

Geographic Tongue manifests as red areas (bald spots) on the tongue due to the desquamation of filiform papillae, giving a map-like appearance, hence the name "map tongue." Signup and view all the answers

What is the primary treatment for simple cases of contact cheilitis?

Eliminating the causative substance Signup and view all the answers

Describe the location and appearance of Median Rhomboid Glossitis.

Median Rhomboid Glossitis is located on the midline of the dorsal tongue, in front of the circumvallate papillae. It presents as a flat or nodular, red or red-white lesion. Signup and view all the answers

In perioral dermatitis, where is irritation typically limited to?

Vermilion borders of the lips Signup and view all the answers

What are the three components of Melkersson-Rosenthal Syndrome?

Melkersson-Rosenthal Syndrome consists of Fissured Tongue, Cheilitis granulomatoza (lip swelling), and Unilateral facial paralysis. Signup and view all the answers

What descriptive term is used for the type of crust formation seen in exfoliative cheilitis?

Hemorrhagic Signup and view all the answers

What is the main complaint reported by patients with exfoliative cheilitis?

Burning sensation 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?

Fissured Tongue is more common in individuals with Down's Syndrome, and good oral hygiene is essential to prevent infection and halitosis, as the deep fissures can trap food debris and bacteria. Signup and view all the answers

What is the recommended treatment approach for exfoliative cheilitis?

Eliminate predisposing factors and antifungal ointments Signup and view all the answers

What are the two distinct surfaces of the tongue called, and how do they differ?

The two surfaces are the dorsal and ventral surfaces. The dorsal surface has oral and pharyngeal parts, while the ventral surface is limited to the oral cavity. Signup and view all the answers

Identify the four extrinsic muscles of the tongue.

The extrinsic muscles are the genioglossus, hyoglossus, styloglossus, and palatoglossus. Signup and view all the answers

What is the role of the chorda tympani in relation to the tongue?

The chorda tympani, a branch of the facial nerve, is responsible for carrying taste sensations from the tongue. Signup and view all the answers

List the main arteries supplying blood to the tongue.

The main arteries are the lingual artery, dorsal lingual artery, deep lingual artery, and sublingual artery. Signup and view all the answers

How does the tongue contribute to oral hygiene?

The tongue helps maintain oral hygiene by removing food debris from the gums and between the teeth due to its high mobility. Signup and view all the answers

What lymphatic nodes are involved in draining lymph from the tongue?

The lymphatic drainage involves the submental nodes, submandibular lymph nodes, jugulodigastric nodes, and jugulo-omohyoid nodes. Signup and view all the answers

Explain how the tongue aids in the developmental processes of the jaw.

The muscle pressure of the tongue helps determine the shape of the mandibular arch, playing a critical role in jaw development. Signup and view all the answers

In which animal is thermal regulation through the tongue most pronounced, and what is the significance?

Thermal regulation through the tongue is most pronounced in dogs, where significant heat loss occurs via the tongue. Signup and view all the answers

Flashcards

Gingival Enlargement

Increase in the volume of the gum or excessive gum growth.

Localized Enlargement

Gingival enlargement confined to a specific area.