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Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
Gingival enlargements
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Gingival enlargements

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  • 1. GINGIVAL ENLARGEMENTS 1/26/2014 Flt.lt. Rumal Gunaratne 1
  • 2. Contents Definition Etiology Classification Clinical picture Treatment Questions 1/26/2014 2
  • 3. DEFFINITION Gingival enlargement refers to excessive growth of the gums, and may also be known as gingival hyperplasia or hypertrophy. 1/26/2014 3
  • 4. What are the possible causes? 1/26/2014 4
  • 5. • Poor dental hygiene • Smoking, mouth breathing and overcrowded teeth • Systemic diseases • Hormonal states: pregnancy, puberty; • Nutritional deficiency: scurvy (vitamin C deficiency); • Medications • Genetic conditions, often present at birth (all rare conditions) • Blood conditions such as acute leukaemia 1/26/2014 5
  • 6. According to etiological and pathological changes Classification According to location and distribution 1/26/2014 6
  • 7. According to etiological and pathological changes Inflammatory enlargement • Acute • Chronic 1/26/2014 Drug-induced enlargement or Non inflammatory gingival enlargement Enlargement associated with systemic diseases • Conditioned enlargement • Systemic diseases causing gingival enlargements Neoplastic Enlargement False Enlargement 7
  • 8. According to location and distribution Localized 1/26/2014 Generalized Marginal Papillary Diffuse Discrete 8
  • 9. Gingival abscess Pericoronal abscess Acute inflammatory enlargement Periodontal abscess Periapical abscess 1/26/2014 9
  • 10. Gingival Abscess 1/26/2014 10
  • 11. Periodontal abscess 1/26/2014 11
  • 12. Pericoronal abscess 1/26/2014 12
  • 13. Periapical abscess 1/26/2014 13
  • 14. 1/26/2014 14
  • 15. Localized 1/26/2014 15
  • 16. Generalized 1/26/2014 16
  • 17. Calcium channel blockers immunosuppressa nt's Nifedipine Cyclosporine Anti-convulsants Phenytoin 1/26/2014 Drug-induced enlargement or Non inflammatory gingival enlargement Idiopathic Gingival Fibromatosis 17
  • 18. Phenytoin 1/26/2014 18
  • 19. Cyclosporine 1/26/2014 19
  • 20. Nifedipine 1/26/2014 20
  • 21. Congenital familial fibromatosis Gingivomatosis Idiopathic Gingival Fibromatosis Elephantiasis gingivae Hereditary 1/26/2014 21
  • 22. Idiopathic Gingival Fibromatosis 1/26/2014 22
  • 23. Enlargements associated with systemic diseases Conditional enlargement Systemic diseases causing gingival enlargments 1/26/2014 • Pregnancy • Puberty • Vitamin C deficiency • Plasma cell gingivitis • Non-specific conditioned enlargment (Granuloma pyogenicum) • Leukemia • Granulomatous diseases 23
  • 24. pregnancy 1/26/2014 24
  • 25. puberty 1/26/2014 25
  • 26. Vitamin C deficiency 1/26/2014 26
  • 27. Plasma cell gingivitis 1/26/2014 27
  • 28. Non-specific conditioned enlargement (Granuloma pyogenicum) 1/26/2014 28
  • 29. Leukemia 1/26/2014 29
  • 30. Neoplastic enlargements Benign tumors 1/26/2014 Malignant tumors 30
  • 31. Benign 1/26/2014 31
  • 32. Fibroma 1/26/2014 32
  • 33. Papilloma 1/26/2014 33
  • 34. Peripheral giant cell granuloma 1/26/2014 34
  • 35. leukoplakia 1/26/2014 35
  • 36. Gingival cyst 1/26/2014 36
  • 37. Malignant 1/26/2014 37
  • 38. Squamous cell carcinoma 1/26/2014 38
  • 39. Malignant melanoma 1/26/2014 39
  • 40. Treatment 1/26/2014 40
  • 41. Scoring of gingival enlargement Grade 0 Grade 1 Grade 2 • No sign of gingival enlargement • Enlargement confined to the interdental papilla • Enlargement involves papilla and marginal gingiva • Enlargement covers three quarters or more of the crown Grade 3 1/26/2014 41
  • 42. Questions 1/26/2014 42
  • 43. THANK YOU 1/26/2014 43

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