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Page 1
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Gingival Swellings
Differential diagnosis
Amer Ali
College of dentistry, ...
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Infections
• Gingival abscess
• Periodontal abscess
• Pericoronal abscess
• Acute osteomyeliti...
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Infection
Gingival abscess
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infection
Periodontal abscess
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Infection
Pericoronal abscess
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Infection
Acute herpetic gingivostomatitis
Painful, enlarged, and
erythematous palatal gingiva...
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Cystic lesions
• Gingival cyst of the adult
• Eruption cyst
• Peripheral calcifying odontogeni...
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Cystic lesions
Eruption cyst
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Cystic lesions
Glandular odontogenic cystPeripheral calcifying odontogenic cyst
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Tumor like lesions
• Parulis (gum boil)
• Gingival epulis
• Pyogenic granuloma
• Peripheral o...
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Tumor like lesions
Parulis
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Tumor like lesions
Gingival epulis
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Tumor like lesions
Pyogenic granuloma
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Tumor like lesions
Peripheral ossifying fibroma Peripheral giant cell granuloma
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Tumor like lesions
Wegener’s granulomatosis. Hemorrhagic and friable
gingiva (strawberry ging...
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Tumor like lesions
Oral focal mucinosis. Nodular mass arising from the
gingiva between the ma...
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Tumor like lesions
Torus mandibularis. Bilateral lobulated bony protuberances of
the mandibul...
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Developmental or congenital
• Intramucosal melanocytic nevus
• Congenital epulis
• Retrocuspi...
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Developmental or congenital
Congenital epulis
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Developmental or congenital
Intramucosal melanocytic nevus
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Developmental or congenital
Retrocuspid papilla
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Neoplastic - benign
• Papilloma
• Hemangioma
• Lymphangioma
• Peripheral ameloblstoma
• Perip...
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Neoplastic - benign
Peripheral ameloblastoma. Sessile gingival mass
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Neoplastic - benign
Peripheral odontogenic fibroma. This sessile gingival
mass cannot be clin...
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Neoplastic - benign
Bluish color of central giant cell tumor shows its
vascular nature
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Neoplastic - Malignant
• Squamous cell carcinoma
• Fibrosarcoma
• Reticular cell sarcoma
• Me...
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Neoplastic - Malignant
Squamous cell carcinoma
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Neoplastic - Malignant
Metastatic melanoma. Pigmented nodule of the mandibular
gingiva
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Neoplastic - Malignant
HIV-associated Kaposi’s sarcoma (KS). Raised, dark-red enlargement
of ...
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Others, leukemia
Leukemia, diffuse gingival enlargement
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Page 31
Others, leukemia
Leukemia. Extensive hemorrhagic enlargement of the maxillary
and mandibular ...
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Page 32
Others, vitamin C deficiency
Scurvy. Hemorrhagic gingival enlargement (scorbutic
gingivitis) ...
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Others, drug related
Cyclosporine-related gingival hyperplasia. Diffuse,
erythematous, and fi...
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Page 34
Others, drug related
Nifedipine-related gingival hyperplasia. Diffuse, fibrotic
gingival hype...
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Others, drug related
Mild phenytoin-related
gingival hyperplasia.
Gingival enlargement
presen...
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Gingival fibromatosis
Gingival fibromatosis. Significant fibrotic gingival
hyperplasia with r...
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Page 37
References
• Textbook of Oral medicine 2nd ed Anil
Govindrao Ghom
• Oral and Maxillofacial Pa...
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Page 38
References
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Gingival swellings differential diagnosis

useful file contain list of most common causes of gingival swelling (enlargement)

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Gingival swellings differential diagnosis

  1. 1. Powerpoint Templates Page 1 Powerpoint Templates Gingival Swellings Differential diagnosis Amer Ali College of dentistry, university of Kufa
  2. 2. Powerpoint Templates Page 2 Infections • Gingival abscess • Periodontal abscess • Pericoronal abscess • Acute osteomyelitis • Acute herpetic gingivostomatitis
  3. 3. Powerpoint Templates Page 3 Infection Gingival abscess
  4. 4. Powerpoint Templates Page 4 infection Periodontal abscess
  5. 5. Powerpoint Templates Page 5 Infection Pericoronal abscess
  6. 6. Powerpoint Templates Page 6 Infection Acute herpetic gingivostomatitis Painful, enlarged, and erythematous palatal gingiva Painful, enlarged, and erythematous facial gingiva.
  7. 7. Powerpoint Templates Page 7 Cystic lesions • Gingival cyst of the adult • Eruption cyst • Peripheral calcifying odontogenic cyst • Glandular odontogenic cyst
  8. 8. Powerpoint Templates Page 8 Cystic lesions Eruption cyst
  9. 9. Powerpoint Templates Page 9 Cystic lesions Glandular odontogenic cystPeripheral calcifying odontogenic cyst
  10. 10. Powerpoint Templates Page 10 Tumor like lesions • Parulis (gum boil) • Gingival epulis • Pyogenic granuloma • Peripheral ossifying fibroma • Peripheral giant cell granuloma • Wegener’s granulomatosis • Focal mucinosis • Mandibula tori • Exostosis
  11. 11. Powerpoint Templates Page 11 Tumor like lesions Parulis
  12. 12. Powerpoint Templates Page 12 Tumor like lesions Gingival epulis
  13. 13. Powerpoint Templates Page 13 Tumor like lesions Pyogenic granuloma
  14. 14. Powerpoint Templates Page 14 Tumor like lesions Peripheral ossifying fibroma Peripheral giant cell granuloma
  15. 15. Powerpoint Templates Page 15 Tumor like lesions Wegener’s granulomatosis. Hemorrhagic and friable gingiva (strawberry gingivitis).
  16. 16. Powerpoint Templates Page 16 Tumor like lesions Oral focal mucinosis. Nodular mass arising from the gingiva between the mandibular first and second molars.
  17. 17. Powerpoint Templates Page 17 Tumor like lesions Torus mandibularis. Bilateral lobulated bony protuberances of the mandibular lingual alveolar ridge.
  18. 18. Powerpoint Templates Page 18 Developmental or congenital • Intramucosal melanocytic nevus • Congenital epulis • Retrocuspid papilla
  19. 19. Powerpoint Templates Page 19 Developmental or congenital Congenital epulis
  20. 20. Powerpoint Templates Page 20 Developmental or congenital Intramucosal melanocytic nevus
  21. 21. Powerpoint Templates Page 21 Developmental or congenital Retrocuspid papilla
  22. 22. Powerpoint Templates Page 22 Neoplastic - benign • Papilloma • Hemangioma • Lymphangioma • Peripheral ameloblstoma • Peripheral odontogenic fibroma • Granular cell myoblastoma • Central Giant Cell Tumor
  23. 23. Powerpoint Templates Page 23 Neoplastic - benign Peripheral ameloblastoma. Sessile gingival mass
  24. 24. Powerpoint Templates Page 24 Neoplastic - benign Peripheral odontogenic fibroma. This sessile gingival mass cannot be clinically distinguished from the common peripheral ossifying fibroma.
  25. 25. Powerpoint Templates Page 25 Neoplastic - benign Bluish color of central giant cell tumor shows its vascular nature
  26. 26. Powerpoint Templates Page 26 Neoplastic - Malignant • Squamous cell carcinoma • Fibrosarcoma • Reticular cell sarcoma • Melanoma • Malignant lymphoma • HIV associated kaposi’s sarcoma • Malignant hemangioendothelioma • Metastatic tumors like metastatic melanoma
  27. 27. Powerpoint Templates Page 27 Neoplastic - Malignant Squamous cell carcinoma
  28. 28. Powerpoint Templates Page 28 Neoplastic - Malignant Metastatic melanoma. Pigmented nodule of the mandibular gingiva
  29. 29. Powerpoint Templates Page 29 Neoplastic - Malignant HIV-associated Kaposi’s sarcoma (KS). Raised, dark-red enlargement of the mandibular anterior facial gingiva on the left side.
  30. 30. Powerpoint Templates Page 30 Others, leukemia Leukemia, diffuse gingival enlargement
  31. 31. Powerpoint Templates Page 31 Others, leukemia Leukemia. Extensive hemorrhagic enlargement of the maxillary and mandibular gingivae.
  32. 32. Powerpoint Templates Page 32 Others, vitamin C deficiency Scurvy. Hemorrhagic gingival enlargement (scorbutic gingivitis) because of capillary fragility
  33. 33. Powerpoint Templates Page 33 Others, drug related Cyclosporine-related gingival hyperplasia. Diffuse, erythematous, and fibrotic gingival hyperplasia.
  34. 34. Powerpoint Templates Page 34 Others, drug related Nifedipine-related gingival hyperplasia. Diffuse, fibrotic gingival hyperplasia
  35. 35. Powerpoint Templates Page 35 Others, drug related Mild phenytoin-related gingival hyperplasia. Gingival enlargement present predominantly in the interdental papillae. Phenytoin-related gingival hyperplasia. Significant erythematous gingival hyperplasia is covering portions of the crowns of numerous teeth.
  36. 36. Powerpoint Templates Page 36 Gingival fibromatosis Gingival fibromatosis. Significant fibrotic gingival hyperplasia with resultant delayed eruption of numerous teeth.
  37. 37. Powerpoint Templates Page 37 References • Textbook of Oral medicine 2nd ed Anil Govindrao Ghom • Oral and Maxillofacial Pathology 3rd edition • Contemporary Oral and Maxillofacial Surgery, Sixth Edition- Hupp, James R
  38. 38. Powerpoint Templates Page 38 References

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useful file contain list of most common causes of gingival swelling (enlargement)

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