Chapter 4

Question 1

What is distinctive pattern of gingival inflammation, most cases related to hypersensitivity (Big Red chewing gum), and patients usually experience a rapid onset of sore mouth?

Answer 1

Plasma Cell Gingivitis

Question 2

1. Used to describe gingival epithelium that spontaneously sloughs or can be removed with minor manipulation and it’s a clinical diagnosis, not a pathologic diagnosis. Biopsy required?
2. Differential includes (Important, should know at least three).

Answer 2

1. Desquamative Gingivitis

2. Lichen Planus, Mucous membrane pemphigoid, Pemphigus vulgaris, Systemic lupus erythematosis, and Hypersensitivity.

Question 3

What is abnormal growth of gingival tissues secondary to use of systemic medication? **(Cyclosporine (transplant therapy) ~25%, Phenytoin (anticonvulsant) ~50%, Nifedipine (calcium channel blocker) ~25)

Answer 3

Drug-related gingival hyperplasia

Question 4

What is slowly progressive gingival enlargement caused by a collagenous overgrowth of the gingival fibrous connective tissue and familial or idiopathic? **(Can also be seen with Hypertrichosifs, Generalized aggressive periodontitis, Epilepsy, Mental retardation, Growth hormone deficiency, and retention of deciduous teeth)

Answer 4

Gingival Fibromatosis

Question 5

1. What is an inflammation of the gingival tissues in association with some loss of both the attachment of the PDL and bony support?
2. What can increase chances for chronic periodontitis?

Answer 5

1. Periodontitis

2. Advanced age, Smoking, Diabetes, Osetoporosis, HIV infection and Lower socioeconomic level.

Question 6

1. What is an inflammatory process that arises within the tissues, surrounding the crown of a partially erupted tooth?
2. Where is it most common?

Answer 6

1. Pericornitis

2. Mandibular 3rd molars

Question 7

1. What is autosomal recessive, is a mutation and loss of function of Cathepsin C gene (on chromosome 11), and predominantly demonstrate oral and dermatologic manifestations?
2. What are examples of of these manifestations?

Answer 7

1. Papillon-Lefevre Syndrome
   2.
   o Accelerated periodontitis (defect in neutrophil function)
   
   • Teeth “floating in air”
   • Actinobacillus actinomycetemcomitans
     o Palmar plantar keratotis (tylosis)