Periodontal Diseases

Question 1

Idiopathic gingival alteration
externalized or sulcular epithelium
Majority occurs in people under 20
Appears red, velvety or papillary plaque on facial gingiva
maxillary predilection
solitary mostly
Tx: surgical excision
can recur
possible spontaneous regression

Answer 1

Spongiotic Gingival Hyperplasia

AKA Localized Juvenile Spongiotic Gingival Hyperplasia

Question 2

Mixed bacterial infection (possibly viral component)
contributing factors: stress, poor diet, poor hygiene, immune suppression, smoking
affects young to middle-aged adults
appears punched out interdental papilla, localized or diffuse gingival involvement,
severe pain, oral malodor spontaneous hemorrhage
can spread to adjacent tissues,
TX: debridement, chlorhexidine rinse, broad spectrum antibiotics

Answer 2

Necrotizing ulcerative gingivitis

Question 3

clinical term to describe sloughing of gingival epithelium
associated w/ immune-mediated vesiculobullous diseases
direct immunofluorescent examination or biopsy for definitive diagnosis

Answer 3

desquamative gingivitis

Question 4

abnormal growth of gingival tissues secondary to systemic medications like phenytonin, nifedipine (ca channel blockers), and cyclosporin
diffuse involvement
Tx: removal of offending medication, home plaque control, and surgical therapy

Answer 4

Drug-related gingival hyperplasia

Question 5

slow progressive collagenous overgrowth of the gingiva
isolated or familial
generalized or local
gingiva feels firm and of normal color
delays tooth eruption
other findings: hypertrichosis, epilepsy, intellectual disability
TX: OHI, gingivectomy, selective tooth extractions

Answer 5

Gingival fibromatosis

AKA: fibromatosis gingivae