Gingival hyperplasia: Difference between revisions
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Revision as of 23:45, 5 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
- 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
Evaluation
Management
- Improve oral hygiene
- Follow up with dentist, oral medicine, or periodontist
- Chlorhexidine Gluconate 0.12% for inflammatory causes
- Stop offending drug
- Treat systemic problem
Disposition
- Treated outpatient