Apr 30, 2014 reactive gingival lesions that extend into a large carious lesion of an adjacent tooth may resemble a pulp polyp. The gingival index loe and silness, 1963 was created for the. The measurement of the state of oral hygiene by silnessloe plaque index is. Regardless of the etiology, when gingival hyperplasia occurs, greater than normal the measurement in a prepathological state periodontal probing measurements can be read. Free gingiva definition of free gingiva by medical. Gingival hyperplasia related body system vision respiratory lymphatic dental hearing digestive integumentary skin endocrine cardiovascular nervous musculoskeletal.
Gingival flap definition of gingival flap by medical dictionary. It is an increase in the size of the gingival tissues and thus the term overgrowth is many times used in place of the term hyperplasia. See your dentist for consultation, diagnosis and treatment. Some of the most commonly encountered exophytic gingival lesions are the irritation fibroma, peripheral ossifying fibroma, pyogenic granuloma, and peripheral giant cell granuloma. The characteristic of a dental pulp polyp can range considerably. Anatomical relationship of normal gingiva in facial view a and in crosssection b. Information about gingival polyp in the titi tudorancea encyclopedia. Idiopathic gingival fibromatosis is a rare condition of undetermined cause. Gingival hyperplasia is an enlargement or overgrowth of the gum tissue, also known as the gingiva, around the necks of the teeth. With the increase in preventive and restorative dentistry, there is also an increase in the iatrogenic conditions that occur in modern dental practice. Jan 23, 2012 free gingival groove muco gingival junction attached gingiva 14.
Dale kressin dvm, favd, davdc and animal dentistry and oral surgery specialists, llc treats gingival hyperplasia in oshkosh, green bay, glendale, greenfield. Program, promoting treatment of gum disease for members with dm and cvd. A fibroma occurs as a result of a chronic repair process that includes granulation tissue and scar formation resulting in a submucosal fibrous mass. Pulpal diseases are broadly divided into reversible and irreversible pulpitis and are based on the ability of the inflamed dental pulp to return to a hea. Gingival hyperplasia treatment, symptoms, causes, pictures. Treatment of severe physiologic gingival pigmentation with free gingival autograft. Chondroid metaplasia in a fibroepithelial polyp of gingiva. In clinical dentistry, patients frequently report with isolatedregional or generalized gingival enlargements, which could fall under varied presentations. This means that when a probe is placed at the gingival margin in a healthy mouth, it can be inserted up to three millimeters into the sulcus formed. Prescription of calcium channel blockers is relatively common, making it difficult to determine the true incidence of druginduced gingival enlargement. Surgical management of gingival overgrowth pocket dentistry. Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications.
A fibroepithelial polyp or fibrous hyperplasia is the most common benign soft tissue tumor seen in the oral cavity. This condition is also known as gingival overgrowth, hypertrophic gingivitis or gingival hypertrophy. It could be silky, smooth and spongy or perhaps knotty. Gingival polyp information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. Disease bioinformatics research of gingival polyp has been linked to neoplasms, gingival neoplasms, congenital epulis, giant cell granuloma, gingival diseases. The treatment is removal of the irritant and excision. This article revises the existing knowledge of different types of enlargements and highlights some important diagnostic. Gingival overgrowth, gingival hyperplasia, gingival enlargement and gingival hypertrophy are terms that are used interchangeably and incorrectly in the literature. The location of the gingival zenith in a mediallateral position relative to the vertical tooth axis of the maxillary anterior teeth remains to be clearly defined. Gingival zenith positions and levels of the maxillary. Gingival tissue management introduction an objective of restorative dental procedures is the placement of dental materials to restore teeth to proper form and function. There are a number of causes for this condition, but its often a symptom of poor oral hygiene or a side effect of using. Provides 100% reimbursement for out of pocket costs for srps and recalls. Gingival masses are commonly encountered in clinical practice and can be a result of many conditions one of them could be metaplasia.
The diagnosis of these lesions is essential for their successful management and of the patient as a whole. Read on to learn the facts about the condition, what causes it and how it is. March 19, 2020 the gingiva is the anatomical term for gums. A pulp polyp, also known as chronic hyperplastic pulpitis, is a productive i. In addition, the apex of the free gingival margin of the lateral incisor teeth relative to the gingival zeniths of the adjacent proximal teeth remains undetermined. The clinical appearance is similar to a traditional fibroma except the surface can appear somewhat bosselated or papillary. There is a variant of fibroma referred to as a giant cell type fibroma. How to remove gingival polyp etiology of gingival polyp download here free healthcaremagic app to ask a doctor. Learn about gingival polyp from patients first hand experiences and trusted online health resources, including common treatments and medications. This entity is observed more frequently in young children and seems to regress with age. Jan 17, 2015 gingival overgrowth is often seen in patients who mouthbreathe. Gingival tissues histology ch 10 flashcards quizlet. What cause gingival polyp doctor answers on healthcaremagic.
Cureus laserassisted excision of gingival overgrowth in. Meso and ectodermal inflammatory gingival hyperplasia have been illustrated and discussed. Disease bioinformatics research of gingival fibroepithelial polyp has been linked to gingival polyp, granuloma, gingival neoplasms, fibroma, giant cell granuloma. In mouthbreathers there is increased lip separation and decreased coverage of the teeth by the upper lip fig 33. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Gingival hyperplasia is an overgrowth of gum tissue around the teeth. Gingival polyp risks, symptoms and leading causes treato. The surgical treatment is the definitive therapy of the druginduced gingival.
Gingival epithelium definition of gingival epithelium by. There are many anticonvulsants, immunosuppressants and calcium channel blockers that may lead to gingival enlargement in varied presentations table table1 1 and figure figure7. Gingival diseases modified by medications classification of gingival diseases is a significant part of an intraoral examination. They consist of mucosal tissue that covers the alveolar processes of the maxilla and mandible and finish at the neck of each tooth. May 21, 2010 in many lesions, the original free gingival margin can be seen running across the lesion and this defines the site of origin, the dominant direction of growth supra or subgingival and the likely disruption to the attached gingiva and mucogingival junction during any subsequent surgical procedure. The study of gingival polyp has been mentioned in research publications which can. Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth. Historically, the epithelial compartment was thought to provide only a physical barrier to infection and the underlying gingival attachment.
Curettage removal of the gingival wall of a periodontal pocket to separate diseased soft tissue. The relation between the various types of hyperplastic gingival lesions has been stressed, and it has been shown that lesions such as puberty gingivitis, pregnancy gingivitis, granuloma gravidarum, granuloma pyogenicum, and giant cell epulis are inflammatory in nature and they all have a similar. Axell reported that fibromas have a prevalence of 3. Definition of gingival polyp in the titi tudorancea encyclopedia. The retrocuspid papilla is considered to be a normal anatomic structure and should not be mistaken for a fibroma.
Deffinition gingival enlargement refers to excessive growth of the gums, and may also be known as gingival hyperplasia or hypertrophy. It has been designated by such terms as gingivomatosis, elephantiasis, idiopathic fibromatosis, hereditary gingival hyperplasia, and congenital familial fibromatosis. Contents definition etiology classification clinical picture treatment questions 1262014 2 3. Gingival surgical techniques gingival surgical procedures. Lowpower photomicrograph of a pulp polyp demonstrating inflamed fibrovascular tissue that is lined by stratified squamous epithelium hematoxylin and eosin, original magnification x40. A dental pulp polyp or long term hyperplastic pulpitis, is the inflamed pinkish swollen tissue mass which can be observed increasing into the oral cavity from an wide open area on the external surfaces of the tooth. Cureus laserassisted excision of gingival overgrowth in an. Metaplasia is defined as the replacement of the lining of an organ with the type of lining normally found at another site. Surgical esthetic correction for gingival pigmentation. Gingival flap definition of gingival flap by medical. Gingival enlargement is one of the frequent features of gingival diseases. This case report will highlight one such case where a tooth was diagnosed as having a gingival overgrowth through a perforation. Gingival enlargement is an increase in the size of the gingiva gums.
The diabetesoral health connection indian health service. Dec 11, 2016 photos of gingival fibromas are provided below. Gingival structure, function, and the latest research february 1, 2016 by lifeline cell technology the gingiva or gums is the tissue that surrounds and protects the teeth and underlying bone. Free gingiva definition of free gingiva by medical dictionary. Usually, the swollen pulp polyp might be noticed pushing from the exterior of the tooth from a just one or perhaps carious lesion. Gingival hyperplasia is a medical condition in which the gums increase in size. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. Causes of pulp polyps and dental pulp polyp treatment. Pdf laser assisted excision of gingival polyp in a. A pulp polyp can vary in coloration from a whitish pink color to an intense red color.
A gingival pocket presents when the marginal gingiva experiences an edematous reaction, whether due to localized irritation and subsequent inflammation, systemic issues, or drug induced gingival hyperplasia. Drug induced gingival enlargement article pdf available in journal of chemical and pharmaceutical research 81. Localized reactive gingival enlargements 5, 6 constitute a group of epulides with a number of distinguishing features that clinically separate them from plaque. How to remove gingival polyp doctor answers on healthcaremagic.
Several gingival indices have been proposed in literature, all of which have. Thus there may be a decrease in saliva, which reduces the natural cleansing plaque removal processes. Bcbs of ma provides 100% coverage of srps, and prophylaxes every 3 months, which dont count towards the yearly maximum. The gingival sulcus is the shallow crevice around the tooth bounded by the surface of the tooth on one side and the epithelium lining of the free margin of the gingiva on the other side fig. A closely related term is epulis, denoting a localized. The study of gingival polyp has been mentioned in research publications which can be found using our bioinformatics tool below. Signs and symptoms related to gingival enlargement are seen within 24 mo of initiation of drug intake. Etiology of gingival polyp download here free healthcaremagic app to ask a doctor all the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. Gingival tissue management by indiandentalacademy issuu. Gingival enlargements and localized gingival overgrowths. The goal of modern dentistry is to provide patients with a holistic solution by providing functional restoration. There are several types available, which will be discussed further down but two of the most important ones are the one induced by different medication and the one.
The pulp polyp, also known as chronic hyperplastic pulpitis or proliferative pulpitis, is an uncommon and specific type of inflammatory hyperplasia that is associated with a nonvital tooth. The term gingival overgrowth will be used for the remainder of this chapter. There are several types available, which will be discussed further down but two of the most important ones are the one induced by. Provide definition an overgrowth of the soft tissue of the gums, often seen in patients treated with phenytoin dilantin for seizure disorders. Gingival hyperplasia related body system vision respiratory lymphatic dental hearing digestive integumentary skin endocrine cardiovascular nervous musculoskeletal genitourinary blood what is it. Herein, we report a case of 17yearold mexican male with an asymptomatic nodule on the gingiva. Additional instructions and trouble shooting are included with the game. In addition, the apex of the free gingival margin of the lateral incisor teeth relative to the gingival zeniths of. This distinction allows a clinical diagnosis and defines a treatment protocol designed to minimize recurrence. These are found in the oral cavity or mouth of a human being surrounding part of the teeth.
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