Gingival Health and Diseases Quiz

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Questions and Answers

Which condition is categorized as a manifestation of systemic candidosis?

Sarcoidosis (correct)

Erythroplakia

Smoker's melanosis

Fibrous epulis

What type of epulis is characterized by a calcified growth originating from the periodontal ligament?

Peripheral giant cell granuloma

Vascular epulis

Calcifying fibroblastic granuloma (correct)

Fibrous epulis

Which type of lesion is caused by thermal insults to the gingiva?

Drug-induced pigmentation

Erythroplakia

Burns to gingiva (correct)

Frictional keratosis

Which of the following is a type of drug-induced pigmentation in gingival tissues?

Melanoplakia Signup and view all the answers

What is the primary classification of a reactive process that can lead to gingival enlargement?

Epulides Signup and view all the answers

Which of the following is NOT considered a neoplasm of the gingiva?

Fibrous epulis Signup and view all the answers

Which vitamin deficiency is associated with gingival disease known as scurvy?

Vitamin C Signup and view all the answers

What is an example of a traumatic lesion that may affect gingival health?

Frictional keratosis Signup and view all the answers

What is a clinical manifestation of hereditary gingival fibromatosis?

Generalized fibrous gingival enlargement Signup and view all the answers

Which condition is typically associated with ulcers that can result in considerable tissue destruction?

Necrotizing periodontal diseases Signup and view all the answers

What is a characteristic feature of candidosis?

Nodular clinical manifestations Signup and view all the answers

Which autoimmune disease is characterized by intraepithelial bullae affecting the gingiva?

Pemphigus vulgaris Signup and view all the answers

What appearance is noted in the oral mucosa in Crohn's disease?

Cobblestone appearance Signup and view all the answers

What describes the lesions associated with fibrous epulis?

Exophytic smooth-surfaced pink masses Signup and view all the answers

Squamous cell carcinoma of the gingiva typically presents with which feature?

Non-healing ulcerations Signup and view all the answers

Which of the following conditions is NOT a type of hypersensitivity reaction?

Hereditary gingival fibromatosis Signup and view all the answers

What local risk factor facilitates plaque accumulation due to anatomical features?

Prominent subgingival restoration margins Signup and view all the answers

What condition is primarily characterized by reduced salivary flow contributing to gingival inflammation?

Hyposalivation Signup and view all the answers

Which of the following medications is most associated with gingival enlargement?

Phenytoin Signup and view all the answers

What role do plaque bacteria play in drug-induced gingival responses?

They are necessary for a gingival response. Signup and view all the answers

Which condition leads to an increased risk of plaque accumulation due to medication usage?

Xerostomia Signup and view all the answers

What type of drug is known to cause gingival enlargements?

Antiepileptic drugs Signup and view all the answers

Which factor is likely to inhibit plaque removal during daily oral hygiene?

Prominent tooth anatomy Signup and view all the answers

What is the primary symptom of Vitamin C deficiency known as scurvy?

Enhanced gingival bleeding Signup and view all the answers

What common clinical condition results in decreased cleansing of tooth surfaces?

Oral dryness Signup and view all the answers

Which of the following is a characteristic feature of frictional keratosis?

Irremovable white plaques Signup and view all the answers

What is a possible effect of thermal insults on the mucosa?

Erythematous lesions Signup and view all the answers

Which chemical agents can lead to surface slough or ulceration of the oral mucosa?

Hydrogen peroxide Signup and view all the answers

What is a key characteristic of gingival pigmentation known as melanoplakia?

Brownish to black pigmentation Signup and view all the answers

What aspect of periodontal probes is suggested to require standardization?

Tip diameter and features Signup and view all the answers

What is a potential research need in the field of gum disease?

Developing saliva tests for early signs Signup and view all the answers

Which of the following is NOT a recommended characteristic of a global standard periodontal probe?

Ability to measure temperature Signup and view all the answers

Which bacterium is associated with bacterial origin gingival diseases?

Porphyromonas gingivalis Signup and view all the answers

Which virus is commonly associated with gingival conditions?

Herpes simplex virus (HSV) Signup and view all the answers

What characterizes localized gingivitis?

Inflammation limited to a specific area Signup and view all the answers

Which autoimmune disease is linked to inflammatory conditions in the mouth?

Lupus erythematosus Signup and view all the answers

Where is the most common location for drug-induced gingival enlargement?

Maxillary anterior region Signup and view all the answers

What must be true for gingival enlargement to be considered drug-related?

It must be reversible upon discontinuation of the medication Signup and view all the answers

How does generalized gingival enlargement typically present?

Diffuse, symmetrical overgrowth of the gingiva Signup and view all the answers

Which condition does not typically affect the gingiva, despite being an infection?

HIV infection Signup and view all the answers

Study Notes

Systemic Candidiasis

Manifestation: Oral candidiasis

Epulis

Calcified Growth: Fibrous epulis

Thermal Insults

Lesion Type: Gingival burns

Drug-Induced Pigmentation

Type: Melanosis

Gingival Enlargement

Primary Classification: Reactive process

Neoplasm of the Gingiva

Not a Neoplasm: Peripheral giant cell granuloma

Vitamin Deficiency

Scurvy: Vitamin C deficiency

Traumatic Lesion

Example: Gingival laceration

Hereditary Gingival Fibromatosis

Clinical Manifestation: Exaggerated gingival overgrowth

Ulcers

Associated Condition: Recurrent aphthous stomatitis

Candidiasis

Characteristic Feature: White plaques that can be scraped off

Autoimmune Disease

Intraepithelial Bullae: Pemphigoid

Crohn's Disease

Oral Mucosa Appearance: Cobblestone appearance

Fibrous Epulis

Lesions: Localized, firm swellings

Squamous Cell Carcinoma of the Gingiva

Presentation: Ulcerated, raised lesion

Hypersensitivity Reactions

Not a Hypersensitivity Reaction: Drug-induced gingival enlargement

Local Risk Factor

Plaque Accumulation: Tooth morphology

Xerostomia

Characteristic: Reduced salivary flow

Medications Associated with Gingival Enlargement

Most Associated: Calcium channel blockers

Plaque Bacteria and Drug-Induced Gingival Responses

Role: Exacerbate inflammatory response

Medication Usage and Plaque Accumulation

Condition: Xerostomia

Drugs Causing Gingival Enlargements

Type: Anticonvulsants

Plaque Removal Inhibition

Factor: Dental appliances

Vitamin C Deficiency

Primary Symptom: Bleeding gums

Common Clinical Condition

Decreased Cleansing: Poor oral hygiene

Frictional Keratosis

Characteristic Feature: White, thickened lesions

Thermal Insults on Mucosa

Effect: Burns

Chemical Agents

Surface Slough or Ulceration: Acids

Melanopakia

Key Characteristic: Brown to black pigmentation

Periodontal Probes

Standardization: Tip design

Gum disease Research

Research Need: Predictive biomarkers

Global Standard Periodontal Probe

Not a Recommended Characteristic: Sharp tip

Bacterial Origin Gingival Diseases

Associated Bacterium: Porphyromonas gingivalis

Gingival Conditions

Associated Virus: Herpes simplex virus

Localized Gingivitis

Characteristic: Inflammation limited to specific teeth

Autoimmune Disease and Oral Inflammation

Linked Disease: Behçet's disease

Drug-Induced Gingival Enlargement

Most Common Location: Anterior teeth

Requirement: Reversible after medication discontinuation

Generalized Gingival Enlargement

Presentation: Symmetrical enlargement

Infection Not Affecting Gingiva

Condition: Herpes simplex virus infection

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Description

Test your knowledge on various conditions and lesions affecting gingival health. This quiz covers topics such as systemic candidosis, drug-induced pigmentation, and hereditary conditions related to the gums. Perfect for students and professionals in dentistry and oral health.