Podcast
Questions and Answers
What is cellular hyperplasia?
What is cellular hyperplasia?
- An increase in the number of individual cells. (correct)
- A decrease in the number of individual cells.
- An increase in the size of individual cells.
- A decrease in the size of individual cells.
Which of the following terms describes an isolated enlargement, such as an abscess?
Which of the following terms describes an isolated enlargement, such as an abscess?
- Diffuse
- Generalised
- Discrete (correct)
- Papillary
Which of the following describes gingival enlargement involving the interdental papillae, attached gingiva, and gingival margins?
Which of the following describes gingival enlargement involving the interdental papillae, attached gingiva, and gingival margins?
- Papillary
- Generalised (correct)
- Diffuse
- Discrete
Which of the following is NOT a common instruction for a patient with Drug-Induced Gingival Overgrowth (DIGO)?
Which of the following is NOT a common instruction for a patient with Drug-Induced Gingival Overgrowth (DIGO)?
Which of the following is NOT a potential compromising factor associated with DIGO?
Which of the following is NOT a potential compromising factor associated with DIGO?
Which Grade of DIGO describes enlargement covering three quarters or more of the crown of the tooth?
Which Grade of DIGO describes enlargement covering three quarters or more of the crown of the tooth?
Which of the following is NOT a descriptor that you would typically include in contemporaneous notes for a patient with DIGO?
Which of the following is NOT a descriptor that you would typically include in contemporaneous notes for a patient with DIGO?
Which of the following is NOT a possible cause of DIGO?
Which of the following is NOT a possible cause of DIGO?
What is the primary purpose of this handbook?
What is the primary purpose of this handbook?
Which of the following is NOT a learning outcome covered in this session?
Which of the following is NOT a learning outcome covered in this session?
What is the key difference between gingival overgrowth and hyperplasia?
What is the key difference between gingival overgrowth and hyperplasia?
Which drug group is most commonly linked to drug-induced gingival overgrowth?
Which drug group is most commonly linked to drug-induced gingival overgrowth?
Which of these medical conditions is NOT listed as a potential cause of gingival overgrowth?
Which of these medical conditions is NOT listed as a potential cause of gingival overgrowth?
What is the primary reason for evaluating the impact of gingival overgrowth on a patient's oral health and well-being?
What is the primary reason for evaluating the impact of gingival overgrowth on a patient's oral health and well-being?
What is the main focus of the recommended management for patients with gingival overgrowth?
What is the main focus of the recommended management for patients with gingival overgrowth?
What is the purpose of the scoring guide for gingival overgrowth?
What is the purpose of the scoring guide for gingival overgrowth?
Flashcards
Gingival Overgrowth
Gingival Overgrowth
An abnormal increase in the size of the gums often linked with dental conditions or drug side effects.
Hyperplasia vs Overgrowth
Hyperplasia vs Overgrowth
Hyperplasia refers to an increase in number of cells, whereas overgrowth can refer to growth from various causes.
Pathological Processes
Pathological Processes
The biological mechanisms that lead to gingival enlargement, such as inflammation or drug reactions.
Classification of Gingival Overgrowth
Classification of Gingival Overgrowth
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Assessment Measures
Assessment Measures
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Drug-Induced Gingival Overgrowth
Drug-Induced Gingival Overgrowth
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Clinical Features
Clinical Features
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Impact on Oral Health
Impact on Oral Health
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Cellular hyperplasia
Cellular hyperplasia
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Cellular hypotrophy
Cellular hypotrophy
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Diffuse
Diffuse
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Discrete
Discrete
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Gingival enlargement
Gingival enlargement
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DIGO
DIGO
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Grade 1 Enlargement
Grade 1 Enlargement
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Grade 0 Enlargement
Grade 0 Enlargement
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Study Notes
Gingival Overgrowth
- Gingival overgrowth is a condition characterized by enlargement of the gums.
- It can be differentiated from hyperplasia, and the two are not equivalent.
- It can be caused by various medications (e.g., calcium channel blockers, phenytoin, tacrolimus), and cardiac arrhythmia.
- Various locations and classifications exist.
- Scoring guides are used to assess severity.
- The health of the oral cavity and well-being of the patient can be impacted negatively by the condition.
Definitions Related to Gingival Overgrowth
- Hyperplasia: Increase in the number of cells.
- Hypotrophy: Increase in the size of cells.
- Diffuse Gingival Overgrowth: Involves the entire gingiva throughout the mouth.
- Discrete Gingival Overgrowth: An isolated enlargement, often just an abscess.
- Papillary Gingival Overgrowth: Confined to the interdental papillae.
- Generalised Gingival Overgrowth: Involves the gingival margins, attached gingiva and interdental papillae.
Diagnosing Gingival Overgrowth
- Clinical assessment is crucial.
- Identify clinical features associated with gingival overgrowth.
- Categorize potential causes (e.g., medications).
- Select appropriate assessment measures.
- Evaluate the impact on oral health and patient wellbeing.
Patient Management
- Implement a treatment plan to address the gingival overgrowth and maintain good oral hygiene.
- Recommend potential methods of management based on the individual patient's needs.
Plaque and Oral Health
- Plaque is a mineralized film covering teeth.
- Plaque can be supra or sub gingival.
- Plaque is a protective film that prevents cavities.
- Plaque can also be an exacerbating factor and needs proper management.
Medication Alternatives
- Amlodipine is a medication that can cause gingival overgrowth.
- Discuss alternative medications with patients to avoid adverse effects.
Gingival Overgrowth Grades
- Grade 1: Enlargement involves the papilla and gingival margins.
- Grade 0: No signs of gingival enlargement.
- Grade 2: Enlargement is confined to the interdental papillae.
- Grade 3: Enlargement covers three-quarters or more of the tooth crown.
Patient Instructions
- Provide instructions to patients for improving plaque control, when dealing with gingival overgrowth.
Compromising Factors
- Identify 5 compromising factors of the presence of gingival overgrowth for a specific patient.
Clinical Descriptors
- Note 4 clinical descriptors for contemporaneous notes when a patient is being assessed for gingival overgrowth.
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