Gingival Overgrowth Workbook PDF

**Gingival Overgrowth** **Julie Watson** **Student name: Nicole Olliver** **Introduction** This handbook is to be used in conjunction with your lecture and power point on **Gingival Overgrowth** The Power point/presentation thus far would have covered: - Definition of gingival overgrowth -...

**Gingival Overgrowth** **Julie Watson** **Student name: Nicole Olliver** **Introduction** This handbook is to be used in conjunction with your lecture and power point on **Gingival Overgrowth** The Power point/presentation thus far would have covered: - Definition of gingival overgrowth - How to differentiate between overgrowth or hyperplasia - Pathological processes of enlargement - Classification of gingival overgrowth - Location and distribution of gingival overgrowth - Scoring guide of gingival overgrowth - Drug groups commonly associated with drug induced gingival overgrowth You will need to complete the workbook to meet the intended learning outcomes. **This is intended as self directed learning.** - - - - - - Please complete the table below: +-----------------------+-----------------------+-----------------------+ | **Drug Group** | **Medical Condition** | **Drug Name** | +=======================+=======================+=======================+ | **Calcium Channel | Hypertension\ | Amlodipine\ | | Blocker** | Cardiac Diseases | Nifedipine | +-----------------------+-----------------------+-----------------------+ | **Anticonvulsant** | Epilepsy | Phenytoin\ | | | | Carbamazepine | +-----------------------+-----------------------+-----------------------+ | **Anticonvulsant** | Down Syndrome\ | Phenytoin | | | Parkinson's Disease | | +-----------------------+-----------------------+-----------------------+ | **Immunosuppressant** | Organ transplant and | Tacrolimus | | | Autoimmune Disorders | | +-----------------------+-----------------------+-----------------------+ | **Calcium Channel | Cardiac Arrhythmia | Felodipine\ | | Blockers** | | Cardizem | | | | | | | | Dilacort | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **1.** | **True or False.** | **1 Mark** | | | | | | | **Cellular | | | | hyperplasia is an | | | | increase in the | | | | number of individual | | | | cells.** | | +=======================+=======================+=======================+ | **True\ | | | | ** | | | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **2.** | **Complete the | **2 Marks** | | | statement:** | | | | | | | | **Gingival | | | | enlargement or | | | | overgrowth is the | | | |...... and....... of | | | | the gingiva** | | +=======================+=======================+=======================+ | **Proliferation and | | | | Intensification** | | | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **3.** | **True or False:** | **1 Mark** | | | | | | | **Cellular hypotrophy | | | | is an increase in the | | | | size of the | | | | individual cell** | | +=======================+=======================+=======================+ | **True** | | | +-----------------------+-----------------------+-----------------------+ **4. Match up the word with its correct definition: 4 Marks** A. Diffuse B. Discrete --------------- ---------------- c\. Papillary D. Generalised Involving the gingivae throughout the mouth D An isolated enlargement such as an abscess B --------------------------------------------- --- ---------------------------------------------------------------------------- --- Confined to the interdental papillae C Involving the gingival margins, attached gingivae and interdental papillae A +-----------------------+-----------------------+-----------------------+ | **5.** | **List 5 instructions | **5 Marks** | | | you may give to a | | | | patient suffering | | | | with DIGO to improve | | | | their plaque | | | | control** | | +=======================+=======================+=======================+ | - **Use a soft | | | | toothbrush x2 | | | | daily** | | | | | | | | - **Interdental | | | | cleaning once a | | | | day- floss or | | | | interdental | | | | brushes** | | | | | | | | - **Regular | | | | check-ups/ | | | | reviews to | | | | monitor | | | | condition** | | | | | | | | - **Possible change | | | | of medication | | | | with patients | | | | GP** | | | | | | | | - **Single tufted | | | | brush** | | | +-----------------------+-----------------------+-----------------------+ +-----------------------+-----------------------+-----------------------+ | **6.** | **List 5 compromising | **5 Marks** | | | factors that the | | | | presence of DIGO | | | | could be having on | | | | your patient** | | +=======================+=======================+=======================+ | - **Pain/ | | | | discomfort when | | | | speaking or | | | | eating** | | | | | | | | - **Aesthetic | | | | concerns** | | | | | | | | - **Risk of | | | | periodontal | | | | disease and tooth | | | | decay is | | | | increased** | | | | | | | | - **Difficulties | | | | maintaining good | | | | oral hygiene** | | | | | | | | - **Halitosis** | | | +-----------------------+-----------------------+-----------------------+ **7. Match the Grade with its correct definition: 4 Marks** A. Grade 1 B. Grade 0 ------------- ------------ c\. Grade 2 D. Grade 3 Enlargement involves papilla and gingival margins 2 Enlargement covers three quarters or more of the crown of the tooth 3 --------------------------------------------------- --- --------------------------------------------------------------------- --- Enlargement confined to the interdental papillae 1 No signs of gingival enlargement 0 +-----------------------+-----------------------+-----------------------+ | **8.** | **List 4 descriptors | **4 Marks** | | | that you would | | | | include when | | | | completing your | | | | contemporaneous notes | | | | for a patient | | | | presenting with | | | | DIGO** | | +=======================+=======================+=======================+ | - **If the | | | | overgrowth is | | | | Localised or | | | | generalised** | | | | | | | | - **Appearance | | | | including colour | | | | and texture** | | | | | | | | - **Oral health | | | | status** | | | | | | | | - **Possible | | | | medication that | | | | is causing the | | | | overgrowth** | | | +-----------------------+-----------------------+-----------------------+ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ **9.** **A patient presents with DIGO due to taking Amlodipine. What alternative medication might be available that doesn't cause this. Include 2 examples** **2 Marks** -------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------- ------------- **Lisinopril- Angiotensin-Converting Enzyme Inhibitor\ \ Losartan- Angiotensin ll Receptor Blockers** ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ **10. Which statement is correct: 1 Mark?** +-----------------------+-----------------------+-----------------------+ | Plaque is a | | Plaque is a | | mineralised film | | protective film. | | covering the teeth. | | | | | | It prevents cavities | | It can be supra | | by covering the tooth | | gingival or sub | | surface, thus | | gingival | | preventing sugar | | | | attacks. | +=======================+=======================+=======================+ | Plaque is always an | / | Plaque is an | | exacerbating factor | | innocuous substance | | | | and can be left in | | | | situ | +-----------------------+-----------------------+-----------------------+