Gingival Enlargements Quiz
41 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What are the three classifications of gingival enlargement based on location?

Localized, generalized, and marginal.

According to the content, what are the three classifications of gingival enlargement based on distribution?

Papillary, diffuse, and isolated.

In Grade II gingival enlargement, which areas of the gingiva are affected?

The papilla and marginal gingiva.

What is the primary microscopic finding in gingivitis caused by an infection, such as streptococcus?

<p>Intense leukocyte infiltration and edema in the connective tissue.</p> Signup and view all the answers

According to the content, what is a common cause of focal hyperplastic gingivitis?

<p>Elevated levels of estrogen and other hormones.</p> Signup and view all the answers

What is the common term for gingivitis seen during puberty and pregnancy?

<p>Pubertal gingivitis and pregnancy gingivitis, respectively.</p> Signup and view all the answers

Besides the gingiva, where else can irritation fibromas be found?

<p>Lips, buccal mucosa, and the edges of the tongue.</p> Signup and view all the answers

What are the primary roles of the extrinsic muscles in the tongue's function?

<p>The extrinsic muscles primarily enable the tongue to move in various directions, facilitating functions such as speaking and swallowing.</p> Signup and view all the answers

Describe the significance of the chorda tympani in relation to the tongue.

<p>The chorda tympani, a branch of the facial nerve, is essential for carrying taste sensations from the anterior two-thirds of the tongue.</p> Signup and view all the answers

Explain how the tongue contributes to oral hygiene.

<p>The tongue aids in oral hygiene by physically removing food debris and bacteria from the gums and teeth due to its high mobility.</p> Signup and view all the answers

What are the two surfaces of the tongue and their respective locations?

<p>The two surfaces of the tongue are the dorsal surface, which includes the oral and pharyngeal parts, and the ventral surface, which is limited to the oral cavity.</p> Signup and view all the answers

Identify the primary arteries supplying blood to the tongue and their significance.

<p>The primary arteries are the lingual artery, dorsal lingual artery, deep lingual artery, and sublingual artery, which are crucial for supplying oxygenated blood to support tongue functions.</p> Signup and view all the answers

What is the histological characteristic that can be observed in Peripheral Ossifying Fibroma?

<p>It may contain bone and cementum tissue.</p> Signup and view all the answers

What clinical appearance is typically associated with Pyogenic Granuloma?

<p>It appears as a discrete spherical tumor, ulcerated and red with purulent exudation.</p> Signup and view all the answers

What is the primary treatment for Peripheral Giant Cell Granuloma?

<p>The primary treatment involves surgical excision.</p> Signup and view all the answers

In which patient demographic is Inflammatory Fibrous Hyperplasia commonly seen?

<p>It is typically seen in elderly patients.</p> Signup and view all the answers

What are the key clinical features of Vitamin Deficiency Gingival Enlargement?

<p>It is characterized by marginal gingivitis, scattered bleeding areas, and widespread edema.</p> Signup and view all the answers

What is the common characteristic of drug-induced gingival enlargements?

<p>They form false pockets around the tooth crowns.</p> Signup and view all the answers

Which condition is often associated with hypertrichosis and craniofacial anomalies?

<p>Hereditary Gingival Fibromatosis.</p> Signup and view all the answers

What medication is known to induce gingival enlargement and fibrosis?

<p>Phenytoin (Dilantin) is one of the known medications.</p> Signup and view all the answers

What clinical manifestations are observed in individuals with gingivitis caused by mouth breathing?

<p>The gingiva appears swollen, red, dry, and shiny.</p> Signup and view all the answers

What byproduct of malignant fibroblasts can lead to aggressive tissue damage?

<p>Fibrosarcoma.</p> Signup and view all the answers

What is the recommended treatment for recurrence in drug-induced gingival enlargements?

<p>Gingivectomy and gingivoplasty.</p> Signup and view all the answers

What type of lesion is typically treated by excision following the irritation from dentures?

<p>Epulis Fissuratum is the lesion treated in this manner.</p> Signup and view all the answers

What differentiation exists between Peripheral and Central Giant Cell Granuloma?

<p>Peripheral occurs on the gingiva, while Central occurs in the bone.</p> Signup and view all the answers

In which part of the jaw is fibrosarcoma typically seen?

<p>In the mandible.</p> Signup and view all the answers

What symptoms might indicate the presence of leukemia in the body?

<p>Fever, fatigue, and swelling of the spleen and lymph nodes.</p> Signup and view all the answers

How does drug-induced gingival enlargement differ in reaction to oral hygiene?

<p>It is more severe in individuals with poor oral hygiene.</p> Signup and view all the answers

What are common oral manifestations found with leukemic hyperplasia?

<p>Gingival enlargement, necrosis, and bleeding around the teeth.</p> Signup and view all the answers

What role does cyclosporine play in relation to gingival enlargement?

<p>It can cause fibrosis not only in the gingiva but also in other organs.</p> Signup and view all the answers

What challenging oral health issues might children with hereditary gingival fibromatosis face?

<p>They may experience epilepsy and mental retardation.</p> Signup and view all the answers

What is a significant characteristic of actinic cheilitis that distinguishes it from other forms?

<p>The significant characteristic of actinic cheilitis is that it can transform into cancer due to epithelial atypia.</p> Signup and view all the answers

Describe the acute phase symptoms of actinic cheilitis.

<p>In the acute phase of actinic cheilitis, symptoms include erythema, edema, and sensitivity.</p> Signup and view all the answers

What triggers contact cheilitis and how is it typically treated?

<p>Contact cheilitis is triggered by certain substances like lipsticks and toothpaste; treatment involves eliminating the allergenic substances.</p> Signup and view all the answers

What is the primary complaint of patients suffering from exfoliative cheilitis?

<p>The primary complaint of patients with exfoliative cheilitis is a burning sensation on the lips.</p> Signup and view all the answers

What are the potential etiological factors contributing to exfoliative cheilitis?

<p>Etiological factors for exfoliative cheilitis include Candida albicans, oral sepsis, stress, and habitual lip-biting.</p> Signup and view all the answers

How does chronic actinic cheilitis differ from its acute phase?

<p>Chronic actinic cheilitis is characterized by atrophy and keratosis over the entire lower lip, unlike the acute symptoms.</p> Signup and view all the answers

What treatment options have shown limited efficacy for exfoliative cheilitis?

<p>Local and systemic steroids, cauterization, and cryosurgery have shown limited efficacy for exfoliative cheilitis.</p> Signup and view all the answers

Why is actinic cheilitis considered a precancerous lesion?

<p>Actinic cheilitis is deemed precancerous because it involves epithelial atypia that may lead to cancer.</p> Signup and view all the answers

In what demographic is exfoliative cheilitis more commonly observed?

<p>Exfoliative cheilitis is more commonly observed in young women.</p> Signup and view all the answers

What immediate measure is recommended for contact cheilitis?

<p>The immediate measure for contact cheilitis is the elimination of the substances causing the allergy.</p> Signup and view all the answers

Flashcards

Gingival Enlargements

An increase in the volume of the gum or excessive growth of the gum

Classification of Gingival Enlargements by Location

Localized: Affects a specific area. Generalized: Affects the entire gum tissue. Marginal: Only affects the gum edge.

Classification of Gingival Enlargements by Distribution

Papillary: Enlargement of the gum between teeth. Diffuse: Enlargement of the entire gum area. Isolated: Enlargement in a single area.

Gingival Enlargement Grades

Grade 0: No enlargement. Grade I: Limited enlargement between teeth. Grade II: Enlargement of the gum edge and between teeth. Grade III: Enlargement covers most of the tooth.

Signup and view all the flashcards

Gingivitis

Caused by local irritants like plaque, tartar, poor fillings, and poor oral hygiene.

Signup and view all the flashcards

Focal Hyperplastic Gingivitis

Caused by excessive estrogen and other hormones during puberty and pregnancy.

Signup and view all the flashcards

Irritation Fibroma (Focal Fibrous Hyperplasia)

A non-cancerous growth that can occur on the gums, lips, cheeks, and tongue, characterized by a firm, fibrous texture with no color change.

Signup and view all the flashcards

Tongue sections: Oral vs. Pharyngeal

The tongue is divided into two main sections: the anterior two-thirds located in the oral cavity and the posterior one-third located in the pharyngeal region.

Signup and view all the flashcards

What does the tongue do?

The tongue is a muscular organ responsible for crucial functions like speech, chewing, digestion, taste, and even protecting the body.

Signup and view all the flashcards

Tongue anatomy: Parts and surfaces

The tongue has a root, body, and tip. It also has two surfaces: dorsal and ventral.

Signup and view all the flashcards

Tongue Muscles: Extrinsic vs. Intrinsic

The tongue muscles are divided into two types: extrinsic muscles control the tongue's position and intrinsic muscles change its shape.

Signup and view all the flashcards

Arteries supplying the tongue

The lingual artery, dorsal lingual artery, deep lingual artery, and sublingual artery supply blood to the tongue.

Signup and view all the flashcards

Peripheral Ossifying Fibroma

A fibrous growth, possibly originating from the periosteum or periodontal ligament, containing bone and cementum tissue. Typically found interdentally, more common in women, and requires excision.

Signup and view all the flashcards

Pyogenic Granuloma

A tumor-like gingival enlargement caused by minor trauma. It appears as a discrete, spherical, ulcerated, and red lesion with purulent exudation. Treatment involves surgical excision.

Signup and view all the flashcards

What is Drug-Induced Gingival Enlargements?

Gingival enlargement that starts from the space between teeth and covers the teeth, often caused by poor oral hygiene.

Signup and view all the flashcards

Peripheral Giant Cell Granuloma

A lesion that can be either pedunculated or attached to a wide base, found on the gingiva. If found in the bone, it is called central giant cell granuloma. Both have the same histological appearance and are treated surgically.

Signup and view all the flashcards

What is Drug-Induced Gingival Enlargements: Localized?

A type of gingival enlargement caused by medications like Dilantin and Nifedipine.

Signup and view all the flashcards

Atypical Gingivitis (Plasma Cell Gingivostomatitis)

A type of gingivitis characterized by red, friable, easily bleeding gingiva. Primarily affects the marginal and attached gingiva.

Signup and view all the flashcards

Inflammatory Fibrous Hyperplasia (Epulis Fissuratum)

A gingival enlargement caused by irritation from poorly fitted dentures. It is typically seen in elderly patients and presents with easy bleeding and swelling.

Signup and view all the flashcards

What is Drug-Induced Gingival Enlargements: Systemic?

A type of gingival enlargement caused by medications like Cyclosporine, affecting not just gums but also other organs.

Signup and view all the flashcards

What is Treatment options for Drug-Induced Gingival Enlargements?

Treatment for Drug-Induced Gingival Enlargements, focusing on local methods as patients cannot always stop medication.

Signup and view all the flashcards

C-Vitamin Deficiency Gingival Enlargement

Gingival enlargement caused by a deficiency of Vitamin C. It presents with marginal gingivitis, bleeding with slight provocation, pseudomembrane formation, scattered bleeding areas, edema, and collagen degeneration.

Signup and view all the flashcards

What is Hereditary Gingival Fibromatosis?

A genetic condition characterized by excessive gum tissue growth, potentially accompanied by other conditions.

Signup and view all the flashcards

Gingivitis in Mouth Breathers

Gingivitis caused by mouth breathing or open lips, mostly affecting the anterior gingiva in young people. The gingiva appears swollen, red, dry, and shiny.

Signup and view all the flashcards

Drug-Induced Gingival Enlargements

Gingival enlargements caused by medications like phenytoin, cyclosporine, and nifedipine. Dental plaque and gingival irritation exacerbate the enlargements.

Signup and view all the flashcards

What is Treatment options for Hereditary Gingival Fibromatosis?

Treatment for Hereditary Gingival Fibromatosis, aiming to remove excess gum tissue with a potential for later recurrence.

Signup and view all the flashcards

What is Fibrosarcoma?

A type of malignant tumor originating from fibroblasts, characterized by aggressive growth and tissue damage.

Signup and view all the flashcards

Fibroma

The lesion can remain the same size for many years. Accurate diagnosis requires a histopathological examination, as mesenchymal lesions can have a similar clinical appearance. If the lesion is on the gingiva, it is also called peripheral fibroma. Treatment involves local excision.

Signup and view all the flashcards

What is Malignant Fibrous Histiocytoma?

A type of malignant tumor similar to fibrosarcoma, commonly affecting the upper jaw and sinus, with a high potential for spreading.

Signup and view all the flashcards

What is Leukemia?

A severe blood disorder affecting white blood cells, leading to various health complications.

Signup and view all the flashcards

What is Leukemia Hyperplasia?

A type of oral manifestation in Leukemia, featuring gum enlargement, necrosis, and bleeding around the teeth.

Signup and view all the flashcards

Actinic Cheilitis

A type of cheilitis characterized by hardness and crust formation on the lower lip, epithelial atypia, and potential transformation into cancer.

Signup and view all the flashcards

Contact Cheilitis

A condition caused by allergens like lipstick, medications, toothpaste, foods, or lip creams, resulting in lip irritation and peeling.

Signup and view all the flashcards

Perioral Dermatitis

A condition that mainly affects the vermilion border of the lips, causing irritation and peeling. It can extend beyond the lip and cause eczema-like irritation around the mouth.

Signup and view all the flashcards

Exfoliative Cheilitis

A type of cheilitis characterized by fissures, desquamation (peeling), and hemorrhagic crust formation on the lips. It is often associated with factors like Candida albicans, oral sepsis, stress, and lip-biting.

Signup and view all the flashcards

Burning Sensation in Exfoliative Cheilitis

A common symptom of Exfoliative Cheilitis, described as a burning sensation in the affected area.

Signup and view all the flashcards

Treatment for Exfoliative Cheilitis

The most common approach to treating Exfoliative Cheilitis involves targeting the underlying causes. This includes eliminating predisposing factors like stress, lip-biting, and fungal infections.

Signup and view all the flashcards

Antifungal Ointments

A treatment option for Exfoliative Cheilitis that involves applying antifungal ointments to combat fungal infections.

Signup and view all the flashcards

Precancerous Nature of Actinic Cheilitis

Actinic Cheilitis is considered a precancerous lesion.

Signup and view all the flashcards

Sunscreen Prevention for Actinic Cheilitis

Sunscreens can help prevent Actin Cheilitis.

Signup and view all the flashcards

Topical Steroid Treatment for Contact Cheilitis

Topical steroids, such as 1% hydrocortisone cream, are used for temporary relief in Contact Cheilitis.

Signup and view all the flashcards

Study Notes

Gingival Enlargements

  • Definition: An increase in the volume of the gum or excessive gum growth.
  • Classification by Location:
    • Localized
    • Generalized
    • Marginal
  • Classification by Distribution:
    • Papillary
    • Diffuse
    • Isolated
  • Gingival Enlargement Grades:
    • Grade 0: No signs of enlargement.
    • Grade I: Enlargement limited to the interdental papilla.
    • Grade II: Enlargement includes the papilla and marginal gingiva.
    • Grade III: Enlargement covers three-quarters or more of the crown.
  • Normal Gingiva: Light pink color, strip-like shape, distinguished from redder vestibular mucosa.
  • Gingivitis:
    • Causes: Plaque, tartar buildup, poor restorations, poor oral hygiene.
    • Infective Gingivitis: Infection (streptococcus), intense leukocyte infiltration, edema, red, swollen, painful gingiva; antibiotics used in treatment.
  • Focal Hyperplastic Gingivitis:
    • Hormonal-related, typically in puberty and pregnancy.
    • Elevated estrogen and hormone levels.
    • Inflammatory and fibrous enlargement in the interdental papilla.
  • Irritation Fibroma (Focal Fibrous Hyperplasia):
    • Seen in adults on gingiva, lips, buccal mucosa, tongue edges.
    • No color change.
    • Can persist for years, mesenchymal lesion, similar clinical appearance to other gingival lesions.
    • Local excision treatment.
  • Peripheral Ossifying Fibroma:
    • Fibrous proliferation possibly originating from periosteum or periodontal ligament.
    • Bone and cementum tissue histologically.
    • Firm, pedunculated or non-pedunculated, interdental papilla origin.
    • More common in women, excision recommended.
  • Pyogenic Granuloma:
    • Tumor-like gingival enlargement, ulcerated and red with possible purulent exudation.
    • Discrete spherical tumor.
    • Surgical excision treatment.
  • Peripheral Giant Cell Granuloma:
    • Pedunculated or attached to a wide base.
    • Occurs on gingiva, or in the bone (central giant cell granuloma).
    • Surgical excision treatment.
  • Atypical Gingivitis (Plasma Cell Gingivostomatitis):
    • Location: Marginal and attached gingiva.
    • Features: Red, friable, easily bleeding.
  • Inflammatory Fibrous Hyperplasia (Epulis Fissuratum):
    • Caused by poorly fitting dentures.
    • Seen in upper and lower buccal and labial vestibules.
    • Characterized by bleeding.
  • Vitamin C Deficiency:
    • Marginal gingivitis, bleeding, pseudomembrane, surface necrosis, scattered bleeding, collagen degradation.
  • Mouth Breathers:
    • Often seen in young people.
    • Anterior gingiva swelling, redness, dryness, shininess.
  • Drug-Induced Gingival Enlargements:
    • Phenytoin (Dilantin), cyclosporine, nifedipine
    • Dental plaque and gingival irritation exacerbate.
    • Enlargements start from interdental papilla, cover teeth.
    • Gingivectomy and gingivoplasty for functional/cosmetic reasons; maintenance of high oral hygiene.
  • Hereditary Gingival Fibromatosis:
    • Excessive hair (hypertrichosis), craniofacial deformities, epilepsy, mental retardation.
    • Diffuse gingival hyperplasia; enlarged gingiva cover crowns of teeth.
  • Malignant Fibrous Neoplasms (Fibrosarcoma, Fibrous Histiocytoma):
    • Aggressive, tissue damage. Originates from bone (mandible, maxilla).
    • Early sign in children.
    • Poor prognosis, radical excision and/or jaw resection treatment.
  • Leukemic Hyperplasia:
    • Blood cell malignancy (acute).
    • Fever, fatigue, spleen/lymph node swelling, petechial bleeding, often fatal within weeks.
  • Angular Cheilitis:
    • Corner of mouth inflammation.
    • Often associated with dentures or oral glossitis.
    • Painful, erythematous/fissured.
    • Multifactorial etiology, local/systemic predisposing factors.
  • Actinic Cheilitis:
    • Sun exposure.
    • Epithelial atypia, crusts, hardness, possible cancer development.
    • Erythema, edema, sensitivity, peeling (acute); atrophy/keratosis (chronic).
  • Contact Cheilitis:
    • Irritation/peeling.
    • Lips irritated by lipsticks, medications, toothpaste, foods.
    • Allergic reactions.
  • Perioral Dermatitis:
    • Eczema-like irritation around mouth.
    • Vermilion border irritation typically.
    • Treatment: Removal of irritants.
  • Exfoliative Cheilitis:
    • Fissures, desquamation, hemorrhagic crusts.
    • Lower lip, typically.
    • Candida albicans, oral sepsis, stress.
    • Treatment: Eliminate predisposing factors; antifungal ointments.
  • Geographic Tongue:
    • Desquamation of filiform papillae.
    • Red patches on tongue; map-like appearance.
    • Factors: Stress, nutrition, heredity.
  • Fissured Tongue:
    • One or more fissures on tongue surface.
    • Genetic/congenital; can be associated with Down's syndrome.
  • Hairy Tongue:
    • Elongated filiform papillae, abnormal appearance.
    • Could be yellow or black.
    • Color from exogenous pigments.
  • Median Rhomboid Glossitis:
    • Red-white, flat or nodular, middle of tongue.
  • Condyloma Acuminatum:
    • Wart-like lesions; on tongue dorsum.
  • Tongue Disorders:
    • Tongue Paralysis (Glossoplegia): CNS lesions—tongue turns towards healthy side.
    • Tongue Spasm/Tremor: Facial nerve spasms/tremors.
    • Anesthesia: Nerve damage resulting in numbness/loss of sensation.
    • Paresthesia: Abnormal tingling, burning, or pricking sensation.
  • Tongue Pain (Glossodynia): Pain, itching, burning in the tongue.
    • Factors: Nutrition, anemia, cancer phobia, metal poisoning, Burning Mouth Syndrome.
  • Taste Disorders:
    • Hypogeusia (reduced) or ageusia (absent) taste.
    • Can be from peripheral lesions (tongue mucosa, nose, middle ear).
    • Late-stage syphilis, trauma to chorda tympani, middle-ear surgery, radiation treatments

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

Gingival Enlargements PDF

Description

Test your knowledge on gingival enlargements, including their definitions, classifications by location and distribution, and grading system. Learn the causes of gingivitis and how hormonal changes can affect gum health. Analyze different types and grades of gingival enlargement in this informative quiz.

More Like This

Gingival Enlargement: Causes and Effects
40 questions

Gingival Enlargement: Causes and Effects

AuthoritativeVirginiaBeach8658 avatar
AuthoritativeVirginiaBeach8658
Gingival Enlargements Overview
41 questions
Gingival Enlargements Overview
48 questions
Use Quizgecko on...
Browser
Browser