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Questions and Answers
What are the three classifications of gingival enlargement based on location?
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?
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?
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?
What is the primary microscopic finding in gingivitis caused by an infection, such as streptococcus?
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According to the content, what is a common cause of focal hyperplastic gingivitis?
According to the content, what is a common cause of focal hyperplastic gingivitis?
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What is the common term for gingivitis seen during puberty and pregnancy?
What is the common term for gingivitis seen during puberty and pregnancy?
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Besides the gingiva, where else can irritation fibromas be found?
Besides the gingiva, where else can irritation fibromas be found?
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What are the primary roles of the extrinsic muscles in the tongue's function?
What are the primary roles of the extrinsic muscles in the tongue's function?
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Describe the significance of the chorda tympani in relation to the tongue.
Describe the significance of the chorda tympani in relation to the tongue.
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Explain how the tongue contributes to oral hygiene.
Explain how the tongue contributes to oral hygiene.
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What are the two surfaces of the tongue and their respective locations?
What are the two surfaces of the tongue and their respective locations?
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Identify the primary arteries supplying blood to the tongue and their significance.
Identify the primary arteries supplying blood to the tongue and their significance.
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What is the histological characteristic that can be observed in Peripheral Ossifying Fibroma?
What is the histological characteristic that can be observed in Peripheral Ossifying Fibroma?
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What clinical appearance is typically associated with Pyogenic Granuloma?
What clinical appearance is typically associated with Pyogenic Granuloma?
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What is the primary treatment for Peripheral Giant Cell Granuloma?
What is the primary treatment for Peripheral Giant Cell Granuloma?
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In which patient demographic is Inflammatory Fibrous Hyperplasia commonly seen?
In which patient demographic is Inflammatory Fibrous Hyperplasia commonly seen?
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What are the key clinical features of Vitamin Deficiency Gingival Enlargement?
What are the key clinical features of Vitamin Deficiency Gingival Enlargement?
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What is the common characteristic of drug-induced gingival enlargements?
What is the common characteristic of drug-induced gingival enlargements?
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Which condition is often associated with hypertrichosis and craniofacial anomalies?
Which condition is often associated with hypertrichosis and craniofacial anomalies?
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What medication is known to induce gingival enlargement and fibrosis?
What medication is known to induce gingival enlargement and fibrosis?
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What clinical manifestations are observed in individuals with gingivitis caused by mouth breathing?
What clinical manifestations are observed in individuals with gingivitis caused by mouth breathing?
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What byproduct of malignant fibroblasts can lead to aggressive tissue damage?
What byproduct of malignant fibroblasts can lead to aggressive tissue damage?
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What is the recommended treatment for recurrence in drug-induced gingival enlargements?
What is the recommended treatment for recurrence in drug-induced gingival enlargements?
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What type of lesion is typically treated by excision following the irritation from dentures?
What type of lesion is typically treated by excision following the irritation from dentures?
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What differentiation exists between Peripheral and Central Giant Cell Granuloma?
What differentiation exists between Peripheral and Central Giant Cell Granuloma?
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In which part of the jaw is fibrosarcoma typically seen?
In which part of the jaw is fibrosarcoma typically seen?
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What symptoms might indicate the presence of leukemia in the body?
What symptoms might indicate the presence of leukemia in the body?
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How does drug-induced gingival enlargement differ in reaction to oral hygiene?
How does drug-induced gingival enlargement differ in reaction to oral hygiene?
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What are common oral manifestations found with leukemic hyperplasia?
What are common oral manifestations found with leukemic hyperplasia?
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What role does cyclosporine play in relation to gingival enlargement?
What role does cyclosporine play in relation to gingival enlargement?
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What challenging oral health issues might children with hereditary gingival fibromatosis face?
What challenging oral health issues might children with hereditary gingival fibromatosis face?
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What is a significant characteristic of actinic cheilitis that distinguishes it from other forms?
What is a significant characteristic of actinic cheilitis that distinguishes it from other forms?
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Describe the acute phase symptoms of actinic cheilitis.
Describe the acute phase symptoms of actinic cheilitis.
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What triggers contact cheilitis and how is it typically treated?
What triggers contact cheilitis and how is it typically treated?
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What is the primary complaint of patients suffering from exfoliative cheilitis?
What is the primary complaint of patients suffering from exfoliative cheilitis?
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What are the potential etiological factors contributing to exfoliative cheilitis?
What are the potential etiological factors contributing to exfoliative cheilitis?
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How does chronic actinic cheilitis differ from its acute phase?
How does chronic actinic cheilitis differ from its acute phase?
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What treatment options have shown limited efficacy for exfoliative cheilitis?
What treatment options have shown limited efficacy for exfoliative cheilitis?
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Why is actinic cheilitis considered a precancerous lesion?
Why is actinic cheilitis considered a precancerous lesion?
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In what demographic is exfoliative cheilitis more commonly observed?
In what demographic is exfoliative cheilitis more commonly observed?
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What immediate measure is recommended for contact cheilitis?
What immediate measure is recommended for contact cheilitis?
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Flashcards
Gingival Enlargements
Gingival Enlargements
An increase in the volume of the gum or excessive growth of the gum
Classification of Gingival Enlargements by Location
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
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
Gingival Enlargement Grades
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Gingivitis
Gingivitis
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Focal Hyperplastic Gingivitis
Focal Hyperplastic Gingivitis
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Irritation Fibroma (Focal Fibrous Hyperplasia)
Irritation Fibroma (Focal Fibrous Hyperplasia)
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Tongue sections: Oral vs. Pharyngeal
Tongue sections: Oral vs. Pharyngeal
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What does the tongue do?
What does the tongue do?
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Tongue anatomy: Parts and surfaces
Tongue anatomy: Parts and surfaces
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Tongue Muscles: Extrinsic vs. Intrinsic
Tongue Muscles: Extrinsic vs. Intrinsic
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Arteries supplying the tongue
Arteries supplying the tongue
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Peripheral Ossifying Fibroma
Peripheral Ossifying Fibroma
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Pyogenic Granuloma
Pyogenic Granuloma
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What is Drug-Induced Gingival Enlargements?
What is Drug-Induced Gingival Enlargements?
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Peripheral Giant Cell Granuloma
Peripheral Giant Cell Granuloma
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What is Drug-Induced Gingival Enlargements: Localized?
What is Drug-Induced Gingival Enlargements: Localized?
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Atypical Gingivitis (Plasma Cell Gingivostomatitis)
Atypical Gingivitis (Plasma Cell Gingivostomatitis)
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Inflammatory Fibrous Hyperplasia (Epulis Fissuratum)
Inflammatory Fibrous Hyperplasia (Epulis Fissuratum)
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What is Drug-Induced Gingival Enlargements: Systemic?
What is Drug-Induced Gingival Enlargements: Systemic?
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What is Treatment options for Drug-Induced Gingival Enlargements?
What is Treatment options for Drug-Induced Gingival Enlargements?
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C-Vitamin Deficiency Gingival Enlargement
C-Vitamin Deficiency Gingival Enlargement
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What is Hereditary Gingival Fibromatosis?
What is Hereditary Gingival Fibromatosis?
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Gingivitis in Mouth Breathers
Gingivitis in Mouth Breathers
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Drug-Induced Gingival Enlargements
Drug-Induced Gingival Enlargements
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What is Treatment options for Hereditary Gingival Fibromatosis?
What is Treatment options for Hereditary Gingival Fibromatosis?
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What is Fibrosarcoma?
What is Fibrosarcoma?
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Fibroma
Fibroma
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What is Malignant Fibrous Histiocytoma?
What is Malignant Fibrous Histiocytoma?
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What is Leukemia?
What is Leukemia?
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What is Leukemia Hyperplasia?
What is Leukemia Hyperplasia?
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Actinic Cheilitis
Actinic Cheilitis
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Contact Cheilitis
Contact Cheilitis
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Perioral Dermatitis
Perioral Dermatitis
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Exfoliative Cheilitis
Exfoliative Cheilitis
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Burning Sensation in Exfoliative Cheilitis
Burning Sensation in Exfoliative Cheilitis
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Treatment for Exfoliative Cheilitis
Treatment for Exfoliative Cheilitis
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Antifungal Ointments
Antifungal Ointments
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Precancerous Nature of Actinic Cheilitis
Precancerous Nature of Actinic Cheilitis
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Sunscreen Prevention for Actinic Cheilitis
Sunscreen Prevention for Actinic Cheilitis
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Topical Steroid Treatment for Contact Cheilitis
Topical Steroid Treatment for Contact Cheilitis
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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.
Other Related Topics
- 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
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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.