Gingival hyperplasia: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
[[File:gingivitis.jpg|thumb|Inflammatory Gingival Hyperplasia]] | |||
==Background== | ==Background== | ||
*Gingival Hyperplasia/hypertrophy main causes are inflammatory, drug-induced, or systemic | *Gingival Hyperplasia/hypertrophy main causes are inflammatory, drug-induced, or systemic | ||
| Line 13: | Line 15: | ||
**Poor oral hygiene and plaque retention | **Poor oral hygiene and plaque retention | ||
**Restorative and Orthodontic Applicances | **Restorative and Orthodontic Applicances | ||
*Drug Induced hyperplasia | *Drug Induced hyperplasia<ref>Bharti V et al. Drug-induced gingival overgrowth: The nemesis of gingiva unravelled. Journal of Indian Society of Periodontology. 2013;17(2):182-187. doi:10.4103/0972-124X.113066.</ref> | ||
**Anti-convulsants (Phenytoin, Sodium Valproate, etc.) | **Anti-convulsants (Phenytoin, Sodium Valproate, etc.) | ||
**Immunosuppressants (Cyclosporine, Tacrolimus, etc.) | **Immunosuppressants (Cyclosporine, Tacrolimus, etc.) | ||
| Line 31: | Line 33: | ||
***Papilloma, Fibroma, Giant Cell granuloma | ***Papilloma, Fibroma, Giant Cell granuloma | ||
*Periodontitis | *Periodontitis | ||
==Management== | ==Management== | ||
*Improve oral hygiene | *Improve oral hygiene<ref>Dahlen G et al. The effect of supragingival plaque control on the subgingival microbiota in subjects with periodontal disease. J Clin Periodontol. 1992;19:802–9.</ref> | ||
*Follow up with dentist, oral medicine, or periodontist | *Follow up with dentist, oral medicine, or periodontist | ||
*Chlorhexidine Gluconate 0.12% for inflammatory causes | *Chlorhexidine Gluconate 0.12% for inflammatory causes<ref> | ||
Pundir AJ et al. Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach. Journal of Indian Society of Periodontology. 2014;18(3):311-315. doi:10.4103/0972-124X.134567.</ref> | |||
*Stop offending drug | *Stop offending drug | ||
*Treat systemic problem | *Treat systemic problem | ||
| Line 44: | Line 44: | ||
==Disposition== | ==Disposition== | ||
*Treated outpatient | *Treated outpatient | ||
**Periodontal debridement, gingivectomy, laser surgery<ref>Mavrogiannis M et al. The efficacy of three different surgical techniques in the management of drug-induced gingival overgrowth. J Clin Periodontol. 2006;33:677–82.</ref> | |||
==See Also== | ==See Also== | ||
| Line 53: | Line 54: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:ENT]] | [[Category:ENT]] | ||
[[Category:Symptoms]] | [[Category:Symptoms]] | ||
Revision as of 23:13, 7 October 2017
Background
- Gingival Hyperplasia/hypertrophy main causes are inflammatory, drug-induced, or systemic
Clinical Features
- Swollen gums
- Bright red or purple
- +/- bleeding and easily bleed with probing
- Poor oral hygiene
Differential Diagnosis
- Inflammatory hyperplasia
- Gingivitis
- Poor oral hygiene and plaque retention
- Restorative and Orthodontic Applicances
- Drug Induced hyperplasia[1]
- Anti-convulsants (Phenytoin, Sodium Valproate, etc.)
- Immunosuppressants (Cyclosporine, Tacrolimus, etc.)
- Calcium channel blockers (Nifedipine, Amlodipine, etc.)
- Congenital Hyperplasia
- Systemic causes of Hyperplasia
- Leukemia
- Granulomatous disease
- Granulomatosis with polyangitis
- Sarcoidosis
- Pyogenic granuloma
- Pregnancy
- Warts
- Lymphoproliferative disease
- Paraneoplastic syndrome
- Benign Neoplasms
- Papilloma, Fibroma, Giant Cell granuloma
- Periodontitis
Management
- Improve oral hygiene[2]
- Follow up with dentist, oral medicine, or periodontist
- Chlorhexidine Gluconate 0.12% for inflammatory causes[3]
- Stop offending drug
- Treat systemic problem
Disposition
- Treated outpatient
- Periodontal debridement, gingivectomy, laser surgery[4]
See Also
External Links
References
- ↑ Bharti V et al. Drug-induced gingival overgrowth: The nemesis of gingiva unravelled. Journal of Indian Society of Periodontology. 2013;17(2):182-187. doi:10.4103/0972-124X.113066.
- ↑ Dahlen G et al. The effect of supragingival plaque control on the subgingival microbiota in subjects with periodontal disease. J Clin Periodontol. 1992;19:802–9.
- ↑ Pundir AJ et al. Treatment of drug-induced gingival overgrowth by full-mouth disinfection: A non-surgical approach. Journal of Indian Society of Periodontology. 2014;18(3):311-315. doi:10.4103/0972-124X.134567.
- ↑ Mavrogiannis M et al. The efficacy of three different surgical techniques in the management of drug-induced gingival overgrowth. J Clin Periodontol. 2006;33:677–82.