Gingival hyperplasia: Difference between revisions
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**Restorative and Orthodontic Applicances | **Restorative and Orthodontic Applicances | ||
*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> | *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, | **Anti-convulsants ([[Phenytoin]], [[Valproate]], etc.) | ||
**Immunosuppressants (Cyclosporine, Tacrolimus, etc.) | **Immunosuppressants ([[Cyclosporine]], [[Tacrolimus]], etc.) | ||
**Calcium channel blockers (Nifedipine, Amlodipine, etc.) | **Calcium channel blockers ([[Nifedipine]], [[Amlodipine]], etc.) | ||
*Congenital Hyperplasia | *Congenital Hyperplasia | ||
*Systemic causes of Hyperplasia | *Systemic causes of Hyperplasia | ||
**Leukemia | **[[Leukemia]] | ||
**Granulomatous disease | **Granulomatous disease | ||
***Granulomatosis with | ***[[Granulomatosis with polyangiitis]] | ||
***Sarcoidosis | ***[[Sarcoidosis]] | ||
**Pyogenic granuloma | **Pyogenic granuloma | ||
**Pregnancy | **[[Pregnancy]] | ||
**Warts | **Warts | ||
**Lymphoproliferative disease | **Lymphoproliferative disease | ||
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==See Also== | ==See Also== | ||
[[Dental Problems]] | |||
==References== | ==References== | ||
Revision as of 23:25, 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, Valproate, etc.)
- Immunosuppressants (Cyclosporine, Tacrolimus, etc.)
- Calcium channel blockers (Nifedipine, Amlodipine, etc.)
- Congenital Hyperplasia
- Systemic causes of Hyperplasia
- 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
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.