SlideShare a Scribd company logo
1 of 23
PBL : PERIDONTAL DISEASES IN
CHILDREN AND ADOLESCENCE
BY:
Mennat Allah Alkaram
Under supervision of:
Professor Nagwa Khattab
GINGIVAL DX : CLASSIFICATION
Plaque induced gingivitis
Non plaque induced gingivitis
Associated with dental plaque
only
Diseases modified by
Malnutrition.
Diseases modified by systemic
factors
Diseases modified by
medications
Disease of specific bacterial origin.
Diseases of genetic origin
Diseases of viral origin
Diseases of fungal origin
Manifestations of systemic condition.
Associated with eruption and
exfoliation
Miscellaneous gingival dx
Aphthus ulcer
• Puberty gingivitis:
at pubertal age
Anterior area
Papillae appear bulbous in shape
• Diabetes mellitus associated gingivitis : Hx of
uncontroled DM
Plaque induced gingivitis
HOW TO DIAGNOSE : KEY WORDS
Associated with dental plaque
only
Diseases modified by
Malnutrition.
Diseases modified by systemic
factors
Diseases modified by
medications
Associated with eruption and
exfoliation
In area of erupting tooth (at age of its eruption)
• Eruption Cyst(bluish),Eruption hematoma
(reddish
contains fluid.
upper:(central,E,6)
• Eruption Gingivitis : inflammation
• Pericronitis
• Drug induced gingivitis:
Niphedipin , cyclosporine, Ca channel blocker
Hx of seizures , transplantation , hypertension
• Scorbutic gingivitis:
Hx of vitamin c deficiency ( allergy)
Pain and hemorrhage
Petechiea and ecchymosis
• Bad oral hygien.
HOW TO DIAGNOSE : KEY WORDS
Non plaque induced gingivitis
Disease of specific bacterial origin.
Diseases of genetic origin
Diseases of viral origin
Diseases of fungal origin
Manifestations of systemic condition.
• Primary herpitic gingivostomatits:
Age: (1 – 10 y , peak at 3-5) why?
preceeded by a Prodrom
Vesicles rupture to form ulcers covered by
yellowish pesodomembrane.
• Hx of recurrence
• Prodrom
• Vesicles rupture into open ulcer then followed by
crust formation
• Hx of long term antibutic usage or
immunological disorder.
• White patches that can be rubbed of
leaving bleeding surface.
• Denture associated atrophoc fungal
infection
• Oral candidosis of new born
• Hereditary gingival fibromatosis:
non painful hard fibrous enlargment that
may cover the teeth.
• Acute streptococcal gingivostomatitis:
Smear culture reveal Streptococcal infection.
involves other oral mucus membranes.
Miscellaneous gingival dx
Aphthus ulcer:
Hx of recurrence
White ulcer surrounded by red
margin.
ERUPTION HEMATOMA / CYST
An 18 month infant came to your
practice with reddish inflamed
swelling around the erupting upper
first primary molar.
* What is your diagnosis? And how
to mange his condition?
DENTAL PLAQUE INDUCED GINGIVITIS
A 13 y old patent came to your clinic,
and on clinical examination you
noticed: reddish gingival margin
through out the whole mouth, bleeding
on probing and there was no
attachment loss. Patient reported bad
oral hygiene practice.
* What is your diagnosis and how to
mange the condition ?
PRIMARY HERPETIC GINGIVOSTOMATITIS
3 y old child came to your clinic complaining
from vesicular lesion developed on oral
mucosa, tongue and lips and hemorrhagic
crusting on the lip.
His mother reported a prodromal of fever,
malaise and fibril illness.
• Diagnoses and management.
• Etiology?
ACUTE CANDIDIASIS
2 week old infant presented with a
white pseudo membrane that can
be ripped off leaving hemorrhagic
surface.
 Diagnosis and management?
ACUTE STREPTOCOCCAL GINGIVOSTOMATITIS
 A 19-year-old male presented in department of
oral medicine with a chief complain is painful
ulcers on gingiva and lower lip. He also suffers
from throat pain. The ulcers are very painful
and bleed on any slight movement of tissues.
He had fever for 5 days. Upon examination, sub
mandibular lymph nodes were enlarged and
tender .The patient medical history is non
contributory.
Diagnosis , management and deferential
diagnosis..
Deferential : primary herpetic
gingivostomatitis
RECURRENT APHTHUS ULCER
 A 7y old female patient presented with
painful white ulcer surrounded by red
margin on lower lip mucosa. There was
a history of recurrence.
 Diagnosis and management?
 Precipitating factors?
PHENYTOIN – INDUCED GINGIVAL OVER GROWTH
A 15y old Caucasian male presented with a
chief complaint of: “my gum are swollen
and bleed”. He was first diagnosed with
epilepsy 12y ago. The patient did not brush
his teeth consistently.
 Diagnosis and management
 What is the causative drug?
 Other drugs that may cause the same
condition?
 Deferential diagnosis?
Ca channel blocker – immunosuppressor
cyclosporine
ERUPTION CYST / HEMATOMA
 A 6y old child presented with bluish
swelling in the upper left permanent 1st
molar area.
 Diagnosis and management.
SCORBUTIC GINGIVITIS
 At age 8 years an autistic boy
presented with a 3-month history of
progressively worsening ankle pain,
petechia and ecchymosis and
increasingly inflamed and bleeding
gingiva. The child’s diet was restricted
to a small number of foods and
excluded fruits and vegetables.
 Diagnosis the condition.
HEREDITARY GINGIVAL FIBROMATOSIS
 A 6y old boy presented with enlarged gingival
tissues that interfere with mastication . The
guardian reported that the condition starts
since birth and slowly progress. It’s not painful
except during mastication. Clinical
examination reveal a generalized fibrous
enlargement of gingival tissues that’s covering
the teeth.
 Diagnosis and management?
PUBERTY GINGIVITIS
A 13y old girl presented to your clinic
complaining from enlarged bleeding gum.
Clinical examination reveals gingival
enlargement in anterior segment, the lingual
aspect is un affected and no loss of attachment.
The patient said that she brushes her teeth
every when and while and not on regular daily
bases.
 Diagnosis and management?
 What’s the most likely cause for the condition?
 Deferential diagnosis?
PRIMARY HERPETIC GINGIVOSTOMTITIS
A 15m infant presented with small blisters up
to 1-2mm on oral mucosa , ulcers that’s
covered by yellowish pseudomembranous
surrounded by red margin.
 Diagnosis and management
 Deferential diagnosis?
Herpangina – Hand, foot, mouth disease
PERIODONTAL DISEASES
GENERALIZED AGGRESSIVE PERIODONTITIS
 A 16 y old patient presented with complaint of
generalized tooth mobility. Patient reported
that he brushes his teeth twice daily. Clinical
examination reveal severe generalized
attachment loss.
 Diagnosis and management?
 Describe the radiographic appearance?
Floating in air
appearance
HYPOPHOSPHATASIA
 a 24-month-old patient presented with
mobility of upper primary central and lateral.
The lower anterior are lost. The mother
reported that the lower 2 centrals were lost
at age of 9 months .
Radiograph on the upper anterior segments
reveals alveolar bone resorption and reduced
bone radio-opacity.
Diagnose the condition.
PAPILLON-LEFEVRE SYNDROME
 A 3 y old boy presented with oligodontia ( only
lower Es were there). Clinical examination reveal
a keratosis of hand palms and feet soul. The
mother reported that his tooth had erupted
normally on its chronological time and shaded
prematurely.
 Diagnosis? Cause of the condition?
 Prognosis and condition course?
 Management?
*Inherited autosomal recessive trite.
*1ry teeth erupt normally , lost at age of 4 max. , permanent
teeth erupt normally , lost at age of 14 max.
LOCALIZED AGGRESSIVE PERIODONTITIS
A 17 y old female presented with a
chief complaint of “bleeding gum on
brushing and swollen gingiva in a
specific areas” . Clinical examination
reveal a probing depth of 7 to 10 mm
in several teeth in all four quadrants
and good oral hygiene .
*Diagnosis and management?
*what is the etiologic agent ?
* what’s the most likely teeth to be
affected?
A.A bacteria
Anterior / first primary molars
ANUP
 A patient came to your clinic with punched out dental papilla,
pseudomembranous slough and foul odder.
 Diagnosis and management?
 What are the etiologic factors?
Stress – malnutrition –
bad oral hygiene –
smoking

More Related Content

Similar to pbl peridontal problems in children.pptx

Gardner’s Syndrome: A Report of Two Cases
Gardner’s Syndrome: A Report of Two CasesGardner’s Syndrome: A Report of Two Cases
Gardner’s Syndrome: A Report of Two Casesiosrjce
 
Oral manifestation of Systemic Diseases
Oral manifestation of Systemic DiseasesOral manifestation of Systemic Diseases
Oral manifestation of Systemic Diseasesbawar992
 
Gingival and Periondantal diseases in children
 Gingival and Periondantal diseases in children Gingival and Periondantal diseases in children
Gingival and Periondantal diseases in childrenDr.Shagun Agarwal
 
Nursing bottle caries and rampant caries
Nursing bottle caries and rampant cariesNursing bottle caries and rampant caries
Nursing bottle caries and rampant cariesrashmisukh
 
Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...
Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...
Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...Dr. Harsh Shah
 
CLINICAL_DIAGNOSIS.pptx
CLINICAL_DIAGNOSIS.pptxCLINICAL_DIAGNOSIS.pptx
CLINICAL_DIAGNOSIS.pptxmalti19
 
Dentigerous cyst in maxilla in a young girl
Dentigerous cyst in maxilla in a young girlDentigerous cyst in maxilla in a young girl
Dentigerous cyst in maxilla in a young girlMausumi Iqbal
 
Gingival and periodontal diseases in children
Gingival and periodontal diseases in childrenGingival and periodontal diseases in children
Gingival and periodontal diseases in childrenKarishma Sirimulla
 
Case history & diagnosis in periodontics /certified fixed orthodontic course...
Case history & diagnosis in periodontics  /certified fixed orthodontic course...Case history & diagnosis in periodontics  /certified fixed orthodontic course...
Case history & diagnosis in periodontics /certified fixed orthodontic course...Indian dental academy
 
Case history & diagnosis in periodontics /certified fixed orthodontic course...
Case history & diagnosis in periodontics  /certified fixed orthodontic course...Case history & diagnosis in periodontics  /certified fixed orthodontic course...
Case history & diagnosis in periodontics /certified fixed orthodontic course...Indian dental academy
 
Role of diagnosis and treatment planning in pediatric dentistry
Role of diagnosis and treatment planning in pediatric dentistryRole of diagnosis and treatment planning in pediatric dentistry
Role of diagnosis and treatment planning in pediatric dentistrylamiselghareb
 
Periodontal Disease PowerPoint
Periodontal Disease PowerPointPeriodontal Disease PowerPoint
Periodontal Disease PowerPointKatieHenkel1
 

Similar to pbl peridontal problems in children.pptx (20)

Gardner’s Syndrome: A Report of Two Cases
Gardner’s Syndrome: A Report of Two CasesGardner’s Syndrome: A Report of Two Cases
Gardner’s Syndrome: A Report of Two Cases
 
Chahat o.s.
Chahat o.s.Chahat o.s.
Chahat o.s.
 
Case history
Case historyCase history
Case history
 
Clinical diagnosis
Clinical diagnosisClinical diagnosis
Clinical diagnosis
 
Long case osmf
Long case osmfLong case osmf
Long case osmf
 
Oral manifestation of Systemic Diseases
Oral manifestation of Systemic DiseasesOral manifestation of Systemic Diseases
Oral manifestation of Systemic Diseases
 
Gingival and Periondantal diseases in children
 Gingival and Periondantal diseases in children Gingival and Periondantal diseases in children
Gingival and Periondantal diseases in children
 
Nursing bottle caries and rampant caries
Nursing bottle caries and rampant cariesNursing bottle caries and rampant caries
Nursing bottle caries and rampant caries
 
Orodental
OrodentalOrodental
Orodental
 
Conditioned gingivitis
Conditioned gingivitisConditioned gingivitis
Conditioned gingivitis
 
Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...
Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...
Developmentally disabled child (Cerebral palsy, Epilepsy,down's syndrome, men...
 
CLINICAL_DIAGNOSIS.pptx
CLINICAL_DIAGNOSIS.pptxCLINICAL_DIAGNOSIS.pptx
CLINICAL_DIAGNOSIS.pptx
 
Dentigerous cyst in maxilla in a young girl
Dentigerous cyst in maxilla in a young girlDentigerous cyst in maxilla in a young girl
Dentigerous cyst in maxilla in a young girl
 
Gingival and periodontal diseases in children
Gingival and periodontal diseases in childrenGingival and periodontal diseases in children
Gingival and periodontal diseases in children
 
Case history & diagnosis in periodontics /certified fixed orthodontic course...
Case history & diagnosis in periodontics  /certified fixed orthodontic course...Case history & diagnosis in periodontics  /certified fixed orthodontic course...
Case history & diagnosis in periodontics /certified fixed orthodontic course...
 
Case history & diagnosis in periodontics /certified fixed orthodontic course...
Case history & diagnosis in periodontics  /certified fixed orthodontic course...Case history & diagnosis in periodontics  /certified fixed orthodontic course...
Case history & diagnosis in periodontics /certified fixed orthodontic course...
 
Role of diagnosis and treatment planning in pediatric dentistry
Role of diagnosis and treatment planning in pediatric dentistryRole of diagnosis and treatment planning in pediatric dentistry
Role of diagnosis and treatment planning in pediatric dentistry
 
Periodontal Disease PowerPoint
Periodontal Disease PowerPointPeriodontal Disease PowerPoint
Periodontal Disease PowerPoint
 
rampant caries
rampant cariesrampant caries
rampant caries
 
Glossitis 1
Glossitis 1Glossitis 1
Glossitis 1
 

More from Mennat Allah Alkaram

Chronology of odontogenesis and age determination from radiograph.pptx
Chronology of odontogenesis and age determination from radiograph.pptxChronology of odontogenesis and age determination from radiograph.pptx
Chronology of odontogenesis and age determination from radiograph.pptxMennat Allah Alkaram
 
management of traumatic dental injuries in children.pptx
management of traumatic dental injuries in children.pptxmanagement of traumatic dental injuries in children.pptx
management of traumatic dental injuries in children.pptxMennat Allah Alkaram
 
Local Anesthetic techniques for child dental patient.pptx
Local Anesthetic techniques for child dental patient.pptxLocal Anesthetic techniques for child dental patient.pptx
Local Anesthetic techniques for child dental patient.pptxMennat Allah Alkaram
 
Morphological differences between permanent and deciduous teeth.pptx
Morphological differences between permanent and deciduous teeth.pptxMorphological differences between permanent and deciduous teeth.pptx
Morphological differences between permanent and deciduous teeth.pptxMennat Allah Alkaram
 
Development of normal dental occlusion in children.pptx
Development of normal dental occlusion in children.pptxDevelopment of normal dental occlusion in children.pptx
Development of normal dental occlusion in children.pptxMennat Allah Alkaram
 
Odontogenesis and its related anomiles.pptx
Odontogenesis and its related anomiles.pptxOdontogenesis and its related anomiles.pptx
Odontogenesis and its related anomiles.pptxMennat Allah Alkaram
 
Space Management in dental child patient.pptx
Space Management in dental child patient.pptxSpace Management in dental child patient.pptx
Space Management in dental child patient.pptxMennat Allah Alkaram
 
Management of Children with special health care needs
Management of Children with special health care needsManagement of Children with special health care needs
Management of Children with special health care needsMennat Allah Alkaram
 

More from Mennat Allah Alkaram (8)

Chronology of odontogenesis and age determination from radiograph.pptx
Chronology of odontogenesis and age determination from radiograph.pptxChronology of odontogenesis and age determination from radiograph.pptx
Chronology of odontogenesis and age determination from radiograph.pptx
 
management of traumatic dental injuries in children.pptx
management of traumatic dental injuries in children.pptxmanagement of traumatic dental injuries in children.pptx
management of traumatic dental injuries in children.pptx
 
Local Anesthetic techniques for child dental patient.pptx
Local Anesthetic techniques for child dental patient.pptxLocal Anesthetic techniques for child dental patient.pptx
Local Anesthetic techniques for child dental patient.pptx
 
Morphological differences between permanent and deciduous teeth.pptx
Morphological differences between permanent and deciduous teeth.pptxMorphological differences between permanent and deciduous teeth.pptx
Morphological differences between permanent and deciduous teeth.pptx
 
Development of normal dental occlusion in children.pptx
Development of normal dental occlusion in children.pptxDevelopment of normal dental occlusion in children.pptx
Development of normal dental occlusion in children.pptx
 
Odontogenesis and its related anomiles.pptx
Odontogenesis and its related anomiles.pptxOdontogenesis and its related anomiles.pptx
Odontogenesis and its related anomiles.pptx
 
Space Management in dental child patient.pptx
Space Management in dental child patient.pptxSpace Management in dental child patient.pptx
Space Management in dental child patient.pptx
 
Management of Children with special health care needs
Management of Children with special health care needsManagement of Children with special health care needs
Management of Children with special health care needs
 

Recently uploaded

Đề tieng anh thpt 2024 danh cho cac ban hoc sinh
Đề tieng anh thpt 2024 danh cho cac ban hoc sinhĐề tieng anh thpt 2024 danh cho cac ban hoc sinh
Đề tieng anh thpt 2024 danh cho cac ban hoc sinhleson0603
 
DEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUM
DEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUMDEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUM
DEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUMELOISARIVERA8
 
會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文
會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文
會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文中 央社
 
MOOD STABLIZERS DRUGS.pptx
MOOD     STABLIZERS           DRUGS.pptxMOOD     STABLIZERS           DRUGS.pptx
MOOD STABLIZERS DRUGS.pptxPoojaSen20
 
Andreas Schleicher presents at the launch of What does child empowerment mean...
Andreas Schleicher presents at the launch of What does child empowerment mean...Andreas Schleicher presents at the launch of What does child empowerment mean...
Andreas Schleicher presents at the launch of What does child empowerment mean...EduSkills OECD
 
BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...
BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...
BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...Nguyen Thanh Tu Collection
 
24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...
24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...
24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...Nguyen Thanh Tu Collection
 
TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...
TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...
TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...Nguyen Thanh Tu Collection
 
OSCM Unit 2_Operations Processes & Systems
OSCM Unit 2_Operations Processes & SystemsOSCM Unit 2_Operations Processes & Systems
OSCM Unit 2_Operations Processes & SystemsSandeep D Chaudhary
 
PSYPACT- Practicing Over State Lines May 2024.pptx
PSYPACT- Practicing Over State Lines May 2024.pptxPSYPACT- Practicing Over State Lines May 2024.pptx
PSYPACT- Practicing Over State Lines May 2024.pptxMarlene Maheu
 
The Liver & Gallbladder (Anatomy & Physiology).pptx
The Liver &  Gallbladder (Anatomy & Physiology).pptxThe Liver &  Gallbladder (Anatomy & Physiology).pptx
The Liver & Gallbladder (Anatomy & Physiology).pptxVishal Singh
 
An Overview of the Odoo 17 Knowledge App
An Overview of the Odoo 17 Knowledge AppAn Overview of the Odoo 17 Knowledge App
An Overview of the Odoo 17 Knowledge AppCeline George
 
Major project report on Tata Motors and its marketing strategies
Major project report on Tata Motors and its marketing strategiesMajor project report on Tata Motors and its marketing strategies
Major project report on Tata Motors and its marketing strategiesAmanpreetKaur157993
 
會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽
會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽
會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽中 央社
 
When Quality Assurance Meets Innovation in Higher Education - Report launch w...
When Quality Assurance Meets Innovation in Higher Education - Report launch w...When Quality Assurance Meets Innovation in Higher Education - Report launch w...
When Quality Assurance Meets Innovation in Higher Education - Report launch w...Gary Wood
 
How To Create Editable Tree View in Odoo 17
How To Create Editable Tree View in Odoo 17How To Create Editable Tree View in Odoo 17
How To Create Editable Tree View in Odoo 17Celine George
 
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...EADTU
 
SURVEY I created for uni project research
SURVEY I created for uni project researchSURVEY I created for uni project research
SURVEY I created for uni project researchCaitlinCummins3
 
e-Sealing at EADTU by Kamakshi Rajagopal
e-Sealing at EADTU by Kamakshi Rajagopale-Sealing at EADTU by Kamakshi Rajagopal
e-Sealing at EADTU by Kamakshi RajagopalEADTU
 
Scopus Indexed Journals 2024 - ISCOPUS Publications
Scopus Indexed Journals 2024 - ISCOPUS PublicationsScopus Indexed Journals 2024 - ISCOPUS Publications
Scopus Indexed Journals 2024 - ISCOPUS PublicationsISCOPE Publication
 

Recently uploaded (20)

Đề tieng anh thpt 2024 danh cho cac ban hoc sinh
Đề tieng anh thpt 2024 danh cho cac ban hoc sinhĐề tieng anh thpt 2024 danh cho cac ban hoc sinh
Đề tieng anh thpt 2024 danh cho cac ban hoc sinh
 
DEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUM
DEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUMDEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUM
DEMONSTRATION LESSON IN ENGLISH 4 MATATAG CURRICULUM
 
會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文
會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文
會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文會考英文
 
MOOD STABLIZERS DRUGS.pptx
MOOD     STABLIZERS           DRUGS.pptxMOOD     STABLIZERS           DRUGS.pptx
MOOD STABLIZERS DRUGS.pptx
 
Andreas Schleicher presents at the launch of What does child empowerment mean...
Andreas Schleicher presents at the launch of What does child empowerment mean...Andreas Schleicher presents at the launch of What does child empowerment mean...
Andreas Schleicher presents at the launch of What does child empowerment mean...
 
BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...
BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...
BỘ LUYỆN NGHE TIẾNG ANH 8 GLOBAL SUCCESS CẢ NĂM (GỒM 12 UNITS, MỖI UNIT GỒM 3...
 
24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...
24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...
24 ĐỀ THAM KHẢO KÌ THI TUYỂN SINH VÀO LỚP 10 MÔN TIẾNG ANH SỞ GIÁO DỤC HẢI DƯ...
 
TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...
TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...
TỔNG HỢP HƠN 100 ĐỀ THI THỬ TỐT NGHIỆP THPT TOÁN 2024 - TỪ CÁC TRƯỜNG, TRƯỜNG...
 
OSCM Unit 2_Operations Processes & Systems
OSCM Unit 2_Operations Processes & SystemsOSCM Unit 2_Operations Processes & Systems
OSCM Unit 2_Operations Processes & Systems
 
PSYPACT- Practicing Over State Lines May 2024.pptx
PSYPACT- Practicing Over State Lines May 2024.pptxPSYPACT- Practicing Over State Lines May 2024.pptx
PSYPACT- Practicing Over State Lines May 2024.pptx
 
The Liver & Gallbladder (Anatomy & Physiology).pptx
The Liver &  Gallbladder (Anatomy & Physiology).pptxThe Liver &  Gallbladder (Anatomy & Physiology).pptx
The Liver & Gallbladder (Anatomy & Physiology).pptx
 
An Overview of the Odoo 17 Knowledge App
An Overview of the Odoo 17 Knowledge AppAn Overview of the Odoo 17 Knowledge App
An Overview of the Odoo 17 Knowledge App
 
Major project report on Tata Motors and its marketing strategies
Major project report on Tata Motors and its marketing strategiesMajor project report on Tata Motors and its marketing strategies
Major project report on Tata Motors and its marketing strategies
 
會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽
會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽
會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽會考英聽
 
When Quality Assurance Meets Innovation in Higher Education - Report launch w...
When Quality Assurance Meets Innovation in Higher Education - Report launch w...When Quality Assurance Meets Innovation in Higher Education - Report launch w...
When Quality Assurance Meets Innovation in Higher Education - Report launch w...
 
How To Create Editable Tree View in Odoo 17
How To Create Editable Tree View in Odoo 17How To Create Editable Tree View in Odoo 17
How To Create Editable Tree View in Odoo 17
 
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
Transparency, Recognition and the role of eSealing - Ildiko Mazar and Koen No...
 
SURVEY I created for uni project research
SURVEY I created for uni project researchSURVEY I created for uni project research
SURVEY I created for uni project research
 
e-Sealing at EADTU by Kamakshi Rajagopal
e-Sealing at EADTU by Kamakshi Rajagopale-Sealing at EADTU by Kamakshi Rajagopal
e-Sealing at EADTU by Kamakshi Rajagopal
 
Scopus Indexed Journals 2024 - ISCOPUS Publications
Scopus Indexed Journals 2024 - ISCOPUS PublicationsScopus Indexed Journals 2024 - ISCOPUS Publications
Scopus Indexed Journals 2024 - ISCOPUS Publications
 

pbl peridontal problems in children.pptx

  • 1. PBL : PERIDONTAL DISEASES IN CHILDREN AND ADOLESCENCE BY: Mennat Allah Alkaram Under supervision of: Professor Nagwa Khattab
  • 2. GINGIVAL DX : CLASSIFICATION Plaque induced gingivitis Non plaque induced gingivitis Associated with dental plaque only Diseases modified by Malnutrition. Diseases modified by systemic factors Diseases modified by medications Disease of specific bacterial origin. Diseases of genetic origin Diseases of viral origin Diseases of fungal origin Manifestations of systemic condition. Associated with eruption and exfoliation Miscellaneous gingival dx Aphthus ulcer
  • 3. • Puberty gingivitis: at pubertal age Anterior area Papillae appear bulbous in shape • Diabetes mellitus associated gingivitis : Hx of uncontroled DM Plaque induced gingivitis HOW TO DIAGNOSE : KEY WORDS Associated with dental plaque only Diseases modified by Malnutrition. Diseases modified by systemic factors Diseases modified by medications Associated with eruption and exfoliation In area of erupting tooth (at age of its eruption) • Eruption Cyst(bluish),Eruption hematoma (reddish contains fluid. upper:(central,E,6) • Eruption Gingivitis : inflammation • Pericronitis • Drug induced gingivitis: Niphedipin , cyclosporine, Ca channel blocker Hx of seizures , transplantation , hypertension • Scorbutic gingivitis: Hx of vitamin c deficiency ( allergy) Pain and hemorrhage Petechiea and ecchymosis • Bad oral hygien.
  • 4. HOW TO DIAGNOSE : KEY WORDS Non plaque induced gingivitis Disease of specific bacterial origin. Diseases of genetic origin Diseases of viral origin Diseases of fungal origin Manifestations of systemic condition. • Primary herpitic gingivostomatits: Age: (1 – 10 y , peak at 3-5) why? preceeded by a Prodrom Vesicles rupture to form ulcers covered by yellowish pesodomembrane. • Hx of recurrence • Prodrom • Vesicles rupture into open ulcer then followed by crust formation • Hx of long term antibutic usage or immunological disorder. • White patches that can be rubbed of leaving bleeding surface. • Denture associated atrophoc fungal infection • Oral candidosis of new born • Hereditary gingival fibromatosis: non painful hard fibrous enlargment that may cover the teeth. • Acute streptococcal gingivostomatitis: Smear culture reveal Streptococcal infection. involves other oral mucus membranes.
  • 5. Miscellaneous gingival dx Aphthus ulcer: Hx of recurrence White ulcer surrounded by red margin.
  • 6. ERUPTION HEMATOMA / CYST An 18 month infant came to your practice with reddish inflamed swelling around the erupting upper first primary molar. * What is your diagnosis? And how to mange his condition?
  • 7. DENTAL PLAQUE INDUCED GINGIVITIS A 13 y old patent came to your clinic, and on clinical examination you noticed: reddish gingival margin through out the whole mouth, bleeding on probing and there was no attachment loss. Patient reported bad oral hygiene practice. * What is your diagnosis and how to mange the condition ?
  • 8. PRIMARY HERPETIC GINGIVOSTOMATITIS 3 y old child came to your clinic complaining from vesicular lesion developed on oral mucosa, tongue and lips and hemorrhagic crusting on the lip. His mother reported a prodromal of fever, malaise and fibril illness. • Diagnoses and management. • Etiology?
  • 9. ACUTE CANDIDIASIS 2 week old infant presented with a white pseudo membrane that can be ripped off leaving hemorrhagic surface.  Diagnosis and management?
  • 10. ACUTE STREPTOCOCCAL GINGIVOSTOMATITIS  A 19-year-old male presented in department of oral medicine with a chief complain is painful ulcers on gingiva and lower lip. He also suffers from throat pain. The ulcers are very painful and bleed on any slight movement of tissues. He had fever for 5 days. Upon examination, sub mandibular lymph nodes were enlarged and tender .The patient medical history is non contributory. Diagnosis , management and deferential diagnosis.. Deferential : primary herpetic gingivostomatitis
  • 11. RECURRENT APHTHUS ULCER  A 7y old female patient presented with painful white ulcer surrounded by red margin on lower lip mucosa. There was a history of recurrence.  Diagnosis and management?  Precipitating factors?
  • 12. PHENYTOIN – INDUCED GINGIVAL OVER GROWTH A 15y old Caucasian male presented with a chief complaint of: “my gum are swollen and bleed”. He was first diagnosed with epilepsy 12y ago. The patient did not brush his teeth consistently.  Diagnosis and management  What is the causative drug?  Other drugs that may cause the same condition?  Deferential diagnosis? Ca channel blocker – immunosuppressor cyclosporine
  • 13. ERUPTION CYST / HEMATOMA  A 6y old child presented with bluish swelling in the upper left permanent 1st molar area.  Diagnosis and management.
  • 14. SCORBUTIC GINGIVITIS  At age 8 years an autistic boy presented with a 3-month history of progressively worsening ankle pain, petechia and ecchymosis and increasingly inflamed and bleeding gingiva. The child’s diet was restricted to a small number of foods and excluded fruits and vegetables.  Diagnosis the condition.
  • 15. HEREDITARY GINGIVAL FIBROMATOSIS  A 6y old boy presented with enlarged gingival tissues that interfere with mastication . The guardian reported that the condition starts since birth and slowly progress. It’s not painful except during mastication. Clinical examination reveal a generalized fibrous enlargement of gingival tissues that’s covering the teeth.  Diagnosis and management?
  • 16. PUBERTY GINGIVITIS A 13y old girl presented to your clinic complaining from enlarged bleeding gum. Clinical examination reveals gingival enlargement in anterior segment, the lingual aspect is un affected and no loss of attachment. The patient said that she brushes her teeth every when and while and not on regular daily bases.  Diagnosis and management?  What’s the most likely cause for the condition?  Deferential diagnosis?
  • 17. PRIMARY HERPETIC GINGIVOSTOMTITIS A 15m infant presented with small blisters up to 1-2mm on oral mucosa , ulcers that’s covered by yellowish pseudomembranous surrounded by red margin.  Diagnosis and management  Deferential diagnosis? Herpangina – Hand, foot, mouth disease
  • 19. GENERALIZED AGGRESSIVE PERIODONTITIS  A 16 y old patient presented with complaint of generalized tooth mobility. Patient reported that he brushes his teeth twice daily. Clinical examination reveal severe generalized attachment loss.  Diagnosis and management?  Describe the radiographic appearance? Floating in air appearance
  • 20. HYPOPHOSPHATASIA  a 24-month-old patient presented with mobility of upper primary central and lateral. The lower anterior are lost. The mother reported that the lower 2 centrals were lost at age of 9 months . Radiograph on the upper anterior segments reveals alveolar bone resorption and reduced bone radio-opacity. Diagnose the condition.
  • 21. PAPILLON-LEFEVRE SYNDROME  A 3 y old boy presented with oligodontia ( only lower Es were there). Clinical examination reveal a keratosis of hand palms and feet soul. The mother reported that his tooth had erupted normally on its chronological time and shaded prematurely.  Diagnosis? Cause of the condition?  Prognosis and condition course?  Management? *Inherited autosomal recessive trite. *1ry teeth erupt normally , lost at age of 4 max. , permanent teeth erupt normally , lost at age of 14 max.
  • 22. LOCALIZED AGGRESSIVE PERIODONTITIS A 17 y old female presented with a chief complaint of “bleeding gum on brushing and swollen gingiva in a specific areas” . Clinical examination reveal a probing depth of 7 to 10 mm in several teeth in all four quadrants and good oral hygiene . *Diagnosis and management? *what is the etiologic agent ? * what’s the most likely teeth to be affected? A.A bacteria Anterior / first primary molars
  • 23. ANUP  A patient came to your clinic with punched out dental papilla, pseudomembranous slough and foul odder.  Diagnosis and management?  What are the etiologic factors? Stress – malnutrition – bad oral hygiene – smoking