Gingival Diseases In Children Flashcards
Marginal Gingiva Separated from attached gingiva by
“free gingival groove”
How marginal gingiva of children is is different?
Marginal gingiva of child has ROLLED EDGES in primary dentition
In children it is FLACCID and RETRACTABLE due to immature connective tissue and gingival fibers and increased vascularization
The mean gingival sulcus depth in primary dentition is
2.1mm+/-0.2mm
Comparison of width of attatched gingiva in primary and permanent teeth?
Primary dentition: greatest in incisor region, decreases in cuspids, and increases again in primary molars region.
Permanent dentition: Greatest in incisor region and less posteriorly with least in premolar region.
Stippling?
Stippling of attached gingiva is absent in infancy, increases in some children by five years of age
Because the contact points are broader in primary teeth therefore interdental papilla are?
shorter rounded
t/f In child, connective tissue of gingiva contains more abundant collagen fibers than adult
f
The gingival color of the young child may be——— due to increased vascularity and
thinner epithelium
more reddish
Pre eruption buldge?
Pre-eruption bulge: Gingiva presents firm bulge, slightly blanched and confirms to contour of underlying crown
Eruption Cyst?
Aneruption cystmay occasionally be evident. This fluctuant mass may be filled with blood, and it generally presents as a bluish or deep red enlargement of the gingiva over the erupting tooth
Common sites and treatment for eruption cyst are?
The most common sites : Primary first molars and Permanent first molars.
Treatment: Many resolve without treatment, but they may be marsupialized if they are painful or interfere with occlusion
Normal prominence Of gingival margin?
Prominence of gingival margin especially over maxillary anteriors is normal till the teeth are fully erupted
Symptoms related to teething most commonly include ——
decreased appetite, biting, drooling, gum rubbing, irritability, and abnormal temperature
Whats the Relation of Periodontal Status to Malocclusion?
There is an association between abnormal tooth position and gingivitis.
Crowding in the mixed dentition can often make plaque and food removal more difficult, thereby leading to an increased incidence of gingivitis.
Severe changes may include gingival enlargement, discoloration, occasional ulceration, and the formation of deep pockets or pseudopockets.
Generally, gingival health can be restored with orthodontic correction
During the mixed dentition, recession is most often found on the facial aspect of mandibular permanent incisors T/F
T
Late-erupting canines in a crowded dentition may be displaced——
buccally.
Gingivitis is common in children and adolescents, affects —-% of children who are more than 7 years old.
70
Plaque induced gingivitis of children Inflammation is generally limited to the —– gingiva with undetectable loss of bone or connective tissue attachment
marginal
Severe gingivitis is relatively common in children T/F
F
Numerous studies indicate that marginal gingivitis is the most common form of periodontal disease and starts in early childhood.
Chronic gingivitis is childhood Lesions generally have relatively few plasma cells, and they resemble the early nondestructive, nonprogressive lesions that are seen in adults. T/F
TRUE
why gingivitis in children rarely progresses to periodontitis
?
Gingivitis in children differs from adult gingivitis in that the response is dominated by T lymphocytes, with few B lymphocytes and plasma cells in the infiltrate.
Gingivitis in children differs from adult gingivitis in that the response is dominated by – lymphocytes, with few–lymphocytes and plasma cells in the infiltrate.
T,B
Calculus deposits in children?
Calculus deposits are uncommon in infants and toddlers,
About 9% of 4- to 6-year-old children exhibit calculus deposits.
By the age of 7 to 9 years, 18% of children present with calculus deposits.
By the age of 10 to 15 years, 33% to 43% have some calculus formation.
Eruption Gingivitis?
A temporary type of gingivitis.
Gingivitis associated with tooth eruption is frequent.
Tooth eruption does not cause gingivitis.
It may be caused by a greater risk of plaque accumulation in areas of shedding primary teeth and erupting permanent teeth, since oral hygiene may be difficult or even unpleasant to perform.
The inflammatory changes accentuate the normal prominence of the gingival margin and create the impression of a marked gingival enlargement.
C/F Of Localized Prepubertal Periodontitis?
Localized prepubertal periodontitis (LPP) is localized attachment loss and alveolar bone loss only in the primary dentition in an otherwise healthy child.
appears to arise around or before 4 years of age.
the bone loss is usually seen on radiographs around the primary molars and/or incisors
