There are three types: O Gingival abscess O Pericoronal abscess O Periodontal abscess. 5. O Among all the abscesses of the periodontium. “Regional” enlargements refer to involvement of gingiva around three or more . Histopathological examination of gingival/periodontal/pericoronal abscess may. The periodontal abscess is an acute destructive process in the periodontium the gingival sulcus or other periodontal sites and not arising from the tooth pulp.
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Typical multiple interproximal enlargements in a anses patient. Enlargement of skull, corneal opacities, short peg-shaped poorly formed teeth, hypertrophy of alveolar ridges, anterior open bite.
[Periodontal abscess: etiology, diagnosis and treatment].
A clinical scoring system for selection of patients for PTEN mutation testing is proposed on the basis of a prospective study of probands. Another potential cause occurs when a periodontal pocket is scaled incompletely.
Abscesses of the periodontium. Other uncommon localized gingival enalargements which could be misdiagnosed as epulis.
This section does not cite any sources. They are frequently friable and soft with a smooth shiny surface and they usually bleed easily.
It is a type of dental abscess. A deep periodontal abscess might be less obvious. This highly vascular lesion is characterized by purplish red-color and its tendency to bleed.
Generalized gingival enlargement associated with leukemia is due to the massive infiltration of leukemic cells in the gingival connective tissue. Gingival enlargement associated with syndromes in different types of genetic disorders.
Presents in adults as smooth surfaced mass, often ulcerated and grows from beneath the gingival margin. Among these, diagnostic points are discussed for the more commonly occurring lesions and the very rare and unusual presentation are listed as per the category to which they belong.
Apart from gingival enlargement other associated features could be oral ulceration, spontaneous gingival bleeding, petechiae, mucosal pallor, herpetic infections and candidiasis. Granulomatous gingivitis in Anderson-Fabry disease. Painful crises on extremities and abdomen, angiokeratomas of skin, labial mucosa and buccal mucosa.
Am J Hum Genet. Sturge-Weber syndrome[ 32 ]. J Clin Pediatr Dent.
Gingival enlargements: Differential diagnosis and review of literature
According to location, enlargements could be marginal, papillary or diffuse. This systematic presentation would be very helpful for the clinicians to arrive at a particular diagnosis. Bleeding may occur extemporaneously or on mild stimulation. There are four types of abscesses that can involve gingiiva periodontal tissues: Clinical they may appear bluish or deep red. Drug influenced gingival overgrowth. Schinzel-Giedion syndrome[ 24 ].
Based on etiopathogenesis, enlargements could be inflammatory, drug bases, those associated with systemic conditions or diseases, neoplastic or false enlargements. It may present as a specific entity or as a part of syndrome.
Most often the lesion is painless. The surface epithelium has varying degrees of intra- and extracellular edema, invasion by leukocytes, and sometimes ulceration. The bulge may progressively increase in size and extent to become generalized.
Carranza’s clinical periodontology 11th ed. Inflammatory gingival enlargement These are inflammatory response to local irritant associated with gingiva.
Abnormal fingers, nails, nose and ears, splenomegaly, hepatomegaly, hyperextensible metacarpophalangeal joints. Primary tuberculous osteomyelitis of the mandible.
Published by Baishideng Publishing Group Inc. Differential diagnosis of gingival enlargement requires thorough dental and medical history, careful evaluation of the type, nature and extent of enlargement and identification of etiologic or predisposing factors. Antibiotics are generally gingia for severe infections, in which there is facial swelling, systemic upset and elevated temperature.
Views Read Edit View history. We recommend the use of systemic antibiotics as a preventive measure of systemic disease or in case of systemic symptoms. A periodontal abscess also termed lateral abscess or parietal abscess is a localized collection of pus i.
Previous studies have suggested that the complete therapy of the periodontitis patients with acute periodontal abse has to do in two stages: This article revises the existing knowledge of different types of enlargements and highlights some important diagnostic features.
J Can Dent Assoc. The enlargement may reduce spontaneously after the delivery, absse complete elimination may require the removal of all local irritants and additional surgical intervention of any fibrotic remnants.
It might bleed on provocation.
Malignant tumors could be squamous cell carcinoma abwes melanoma. Some authors recommend the incision or to establish drainage and irrigation, or a flap surgery, or even extraction of hopeless teeth.
Table 2 Gingival enlargement associated with syndromes in different types of genetic disorders. Gingival enlargement associated with systemic disease Leukemia: Tooth pain and numb chin as the initial presentation of systemic malignancy.