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Questions and Answers
Which of the following is NOT a local factor that can cause infective gingivitis?
Which of the following is NOT a local factor that can cause infective gingivitis?
- Mouth breathing
- Hormone level alteration (correct)
- Heavy smoking
- Substance abuse
Which of the following is NOT a local factor that can cause infective gingivitis?
Which of the following is NOT a local factor that can cause infective gingivitis?
- Mouth breathing
- Hormone level alteration (correct)
- Heavy smoking
- Substance abuse
Which of the following diseases is NOT included in the differential diagnosis for granulomatous gingivitis?
Which of the following diseases is NOT included in the differential diagnosis for granulomatous gingivitis?
- Wegener's disease
- Lupus (correct)
- Sarcoidosis
- Crohn's disease
Which of the following diseases is NOT included in the differential diagnosis for granulomatous gingivitis?
Which of the following diseases is NOT included in the differential diagnosis for granulomatous gingivitis?
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What is required for diagnosis of granulomatous gingivitis?
What is required for diagnosis of granulomatous gingivitis?
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What is required for diagnosis of granulomatous gingivitis?
What is required for diagnosis of granulomatous gingivitis?
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Study Notes
- Granulomatous gingivitis presents with multiple gingival overgrowth but good oral hygiene.
- Differential diagnosis includes Wegener’s disease, Crohn’s disease, Sarcoidosis, and Orofacial granulomatosis.
- Biopsy-proven evidence is required for diagnosis and treatment requires referral.
- Infective gingivitis has local and systemic underlying causes.
- Local factors include hyposalivation, mouth breathing, heavy smoking, alcoholism, and substance abuse.
- Infectious agents such as bacteria and viruses can also cause gingivitis.
- Systemic factors include immunocompromised or immunosuppression, hormone level alteration, malnutrition, recent illness, stress, and inadequate sleep.
- Hematological malignancy can mimic chronic hyperplastic gingivitis and requires CBCD results for evidence and referral for treatment.
- Phenytoin and drug-related gingival hyperplasia have specific clinical presentations and etiologies.
- Referral is necessary for treatment of all types of gingivitis.
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