Blending in the gingival esthetic components of symmetrical levels, forma degree of scallop, and the amount of gingival display see part ii with the restorative mechanical prerequisites of incisavocclusa1 reduction, preparation length, and adequate sound tooth structure see part iii provides key guidelines for therapy. Gingival enlargement can be caused by a number of various stimuli, and. Gingival enlargement also known as gingival hyperplasia, gingival hypertrophy, gingival overgrowth, hypertrophic gingivitis which is caused with the increase in the size of gingiva is called as gingival enlargement. This paper describes a subset of reactive lesions of the gingiva6. Pdf laser assisted excision of gingival polyp in a. Surgical approach to drug induced gingival enlargement in renal transplant patients case report christina popova, antoaneta mlachkova department of periodontology, faculty of dental medicine, medical university sofia, bulgaria journal of imab annual proceeding scientific papers 2007, vol. Depending on the ages in which they develop, the cysts are classified into gingival cyst of newborn or infant and gingival cyst of. Site the hyperplasia is generalized throughout the mouth, but it is most severe in maxillary and mandibular anterior region.
For more information on how to use laverne, please read the how to guide. Pdf recurring sessile fibroepithelial polyp of palatal. The diagnosis of these lesions is essential for their successful management and of the patient as a whole. Infection of the pdl becomes possible when detachment of the gingival fibers from the tooth in a luxation injury allows invasion of microorganisms from the oral cavity along the root to infect the pdl.
Tissue consistency and texture in gingivitis foundations. A case report focal fibrous gingival hyperplasia iosr journal. Introduction gingival enlargement is a common feature of gingival disease and may be caused by fibrous overgrowth or gingival inflammation or a combination of two. This level may simply be painted on the face and lingual surfaces of the dental chart. Position of gingival margin and junctional epithelium a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate.
In recent years,flap surgery have been used more often to treat gingival enlargement than gingivectomy. The location of the gingival zenith in a mediallateral position relative to the vertical. 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. Contents definition etiology classification clinical picture treatment questions 1262014 2 3. Pdf on jul 20, 2015, butchi babu and others published laser assisted excision of gingival polyp in a pediatric patient. 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.
Historically, localized gingival enlargements have been termed epulides, 4 a term describing pedunculated. Signs and symptoms related to gingival enlargement are seen within 24 mo of initiation of drug intake. Gingival zenith positions and levels of the maxillary. In clinical dentistry, patients frequently report with isolatedregional or generalized gingival enlargements, which could fall under varied presentations. It is inflammation of the pulp due to extensive carious exposure. A specially designed tip is placed vertically into the gingival sulcus, mechanically retracting the tissue. Read on to learn the facts about the condition, what causes it and how it is.
How to deal with gingival polyps doctor answers on. Files are available under licenses specified on their description page. Pulp polyp is also known as chronic hyperplastic pulpitis. This is the first chapter in the 21 protocols training and the 1st chapter in the protocols book. The one study that reported plaque and gingival indexes at the time of insertion found significantly higher failure rates in patients with increased gingival indexes. When compressed air is directed into the furrow easily moved gingival papillae and from the neck of the tooth. Apr 30, 2014 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. Gingival fibroepithelial polyp fibrous epulis fep gingival fibroepithelial polyp gingival fibroepithelial polyp disorder hide descriptions. Gingival enlargement or overgrowth is a common disease of gingiva. The goal of this report includes market estimation that covers industry analysis with its. The treatment is removal of the irritant and excision. Gingival hyperplasia is an overgrowth of gum tissue around the teeth.
It can be seen inside the mouth as small and whitish bulge. Gingival cyst, also known as epsteins pearl, is a type of cysts of the jaws that originates from the dental lamina and is found in the mouth parts. A rapidly expansive recurrent fibroepithelial polyp of the anterior. It is inflammation of the pulp due to extensive carious exposure of the young pulp. Gingival hyperplasia for a problem that is so common, there is really not very much in the veterinary literature on this odd condition, so it seems time for me to tell you a bit about my understanding of gingival hyperplasia, what brings it about, why it is a. Information about gingival polyp in the titi tudorancea. A fibroepithelial polyp commonly occurs on buccal mucosa, the tongue, or the gingiva. Gingival attachment article about gingival attachment by. Where the gingival tissue is fibrotic, resolution of enlargement may not. The gingival index, the plaque index and the retention index systems. The enlargement can be inflammatory,fibrotic or a combination of both. Gingival gum enlargement, also known as gingival hyperplasia or hypertrophy, is an abnormal overgrowth of gingival tissues. The gingival margin, or free gingival crest, at the most superficial part of the marginal gingiva, is also easily seen clinically, and its location should be recorded on a patients chart.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Use of injectableplateletrichfibrin iprf to thicken. Gingival biotype revisitednovel classification and. There are a number of causes for this condition, but its often a symptom of poor oral hygiene or a side effect of using. Learn about gingival polyp from patients first hand experiences and trusted online health resources, including common treatments and medications.
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. The american academy of periodontology classifies gingival disease as a major group of periodontal diseases and distinguishes two main subgroups, those gingival diseases induced by dental plaque and those attributed to other causes. Gingival enlargements and localized gingival overgrowths. This diminishes the healing potential of the supporting tissues. Already demonstrated that the time in that participants. Syed shujaulla1, syeda tawkhira tabasum2, sunil kumar m v3 abstract gingival tissue retraction is an important step in the fabrication of a crown and or bridge. Inflamed gum tissue loses its firm texture, becomes sluggish soft, mobile. Pdf laser assisted excision of gingival polyp in a pediatric patient.
How to remove gingival polyp etiology of gingival polyp download here free healthcaremagic app to ask a doctor. What cause gingival polyp doctor answers on healthcaremagic. Here, we describe the diagnosis and treatment of a 33year old female with a papillomalike atypical enlargement. Gingival hyperplasia is an enlargement or overgrowth of the gum tissue, also known as the gingiva, around the necks of the teeth.
Gingival epithelium definition of gingival epithelium by. Plaque induced inflammation appears to be a general stimulating effect regardless of the mechanism of gingival enlargement. Proper usage and sense of the wordphrase gingival polyp. Position of gingival margin and junctional epithelium. Gingival overgrowths can occur due to various factors, such as inflammation, or rarely without a reason and are significant in periodontology.
The level of free gingival margin in relation to cementoenamel junction fac should be recorded on a dental chart. All the currently available paste systems have a very similar placement protocol. Gingiva project gutenberg selfpublishing ebooks read. Treating patients with druginduced gingival overgrowth. Healthy gums are pale pink or pigmented, and wrap tightly around the neck of the teeth. Gingival diseases modified by medications classification of gingival diseases is a significant part of an intraoral examination. Clinically, gingival fibromatosis may present gingival overgrowth in various degrees. Gingival o vergro wth is caused by three categories of drugs.
Gingival fibroblast definition of gingival fibroblast by. It rarely presents in the gingiva, with the buccal mucosa along the line of occlu. Isolated enlargements are those limited to gingiva adjacent to single or two teeth e. Automated segmentation of gingival diseases from oral images.
They commonly present as bulbous interdental gingival, diffuse swelling of gingival. Gingival and periodontal pockets flashcards quizlet. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Pdf most common benign tumor of oral cavity is fibroepithelial hyperplasia. The study of gingival polyp has been mentioned in research publications which can be found using our bioinformatics tool below. See your dentist for consultation, diagnosis and treatment. There are many anticonvulsants, immunosuppressants and calcium channel blockers that may lead to gingival enlargement in varied presentations table table1 1 and figure figure7. Dec 11, 2016 in this section we focus on focal and generalized gingival enlargements and gingivitis. The lower gingiva includes the mucosa covering the mandible from the gingival buccal gutter to the origins of the mobile mucosa on the floor of the mouth. Sixty adult caucasian subjects were stratified by their gingival biotype gb as defined by the transparency of a prototype doubleended periodontal probe through the. Gingival polyp risks, symptoms and leading causes treato. Classification of gingival diseases is a significant part of an intraoral examination.
Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth. Gingival enlargement classificationdental health tips. Loss of alveolar bone support can be seen on a periapical radiograph fig. When evaluating a gingival enlargement or nodule, it is prudent to take a radiograph of the area to ensure that the lesion is limited to the soft tissue. Deffinition gingival enlargement refers to excessive growth of the gums, and may also be known as gingival hyperplasia or hypertrophy. The causative factors may range from inflammation due to local factors to conditioned enlargement and neoplastic enlargements. Cyclosporin is an immunosuppressant which has been reported to cause gingival enlargement in 2580% of patients. The marginal gingiva is stabilized by the gingival fibers that have no bony support. Laserassisted gingival tissue procedures in esthetic dentistry. Increase fluid because of the inflammatory response can cause gum tissue appear smooth and very shiny fig. Listing a study does not mean it has been evaluated by. Wong 2, otkrist gupta 1, ali muftu 2, pratik shah 1 1 mit media lab.
The ability of soft tissue lasers to control moisture and facilitate hemostasis appears. 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. Due to the unaesthetic appearance of the overgrown gingiva, treatment becomes. The gingiva is composed of fibrous tissue covered by mucous membrane that is firmly attached to the periosteum of the alveolar processes of the mandible and maxilla. Use of injectableplateletrichfibrin i prf to thicken gingival phenotype. The molar tooth of children and young adults is a common site for chronic hyperplastic pulpitis pulp polyp. Lee, dmd, dcd soft tissue lasers are increasing in popularity among clinicians in part due to their potential value in preprosthetic gingival procedures.
Laserassisted gingival tissue procedures in esthetic dentistry ernesto a. There are several causes of gingival enlargement and they can be grouped into four categories. This condition is usually characterized by extensive involvement of the pulp, dictating the extraction. A pulp polyp, also known as chronic hyperplastic pulpitis, is a productive i. How to remove gingival polyp doctor answers on healthcaremagic.
Gingival enlargement the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease. 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. Gingival zenith positions and levels of the maxillary anterior dentition stephen j. Gingival enlargements and localized gingival overgrowths savage.
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. A fibroepithelial polyp is the most common epithelial benign tumor of the oral cavity. 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. Although most of the localized gingival enlargements represent the. Explore more on gingival fibroepithelial polyp below. Gingival polyp treatment gingival fibroepithelial polyp how to remove gingival polyp etiology of gingival polyp download here free healthcaremagic app to ask a doctor.
It has a genetic basis in mutations of the son of sevenless gene 5 see table 2. Druginduced gingival enlargement was first observed in patients who were taking phenytoin for epilepsy, with approximately 50% having gingival overgrowth. Gingival polyp treatment and medication doctors answer. This article revises the existing knowledge of different types of enlargements and highlights some. The surgical treatment is the definitive therapy of the druginduced gingival overgrowth, although the recurrence. Definition gingival hyperplasia is defined as an enlargement of the gingiva that is noninflammatory, produced by factors other than local irritation, and the result of an increased number of cells.
A papillomalike atypical gingival enlargement treated. Ch 10 gingival and dentogingvial junctional tissue flashcards. Surgical management of gingival overgrowth pocket dentistry. Causes of pulp polyps and dental pulp polyp treatment. Such a polyp is of mesodermal origin and it is a pink, red, or white knoblike painless growth that is sessile or pedunculated. Pdf recurring sessile fibroepithelial polyp of palatal gingivaa. Gingival fibroepithelial polyp bioinformatics tool laverne is a handy bioinformatics tool to help facilitate scientific exploration of related genes, diseases and pathways based on cocitations. This is strictly a clinical description of the condition and avoids the erroneous pathologic connotations of terms used in the past such as hypertrophic gingivitis or gingival hyperplasia. Definition of gingival polyp in the titi tudorancea encyclopedia. A fibrotic gingival enlargements occurs in any patients with longstanding gingival hyperplasia phenytoin sodium clinical features gingival hyperplasia may begin as early as two weeks after dilantin therapy. Medicines will not remove polyps but can help with symptoms. Mar 19, 2020 there are two types of gingiva that are clearly recognizable and they are known as the marginal gingiva that is mobile and the attached gingiva. Gingival polyp is a growth that extends from a gingival mucous caused by minor trauma or irritation.
The dental consumables are the products used by patients for the treatment of dental disorders such as tooth restoration, problems associated with gingival tissues and dental impairments. To evaluate the relationship between gingival biotypes and gingival thickness based on probe transparency through the gingival margin and to assess the sensitivity of a novel classification method. A patients diagnosis and treatment rely on proper classification of gingival diseases. Several possible relationships exist between the free gingival and fac.
Mar 01, 20 providing a proper technique is followed these products are simple to use and can be gentler than cord to the gingival tissues. Automated segmentation of gingival diseases from oral images aman rana 1, gregory yauney, lawrence c. All the information, content and live chat provided. Number of etiological factors is associated with its pathogenesis. Proper mucogingival therapy should lead to gingival augmentation and create a vestibule with adequate depth in the regions with insufficient attached gingival tissues 1, 14, 18, 20, 22. Gingival enlargement and its treatment authorstream. D the fibrous epulis and the fibroepithelial polyp. View the article pdf and any associated supplements and figures for a period of 48 hours. All structured data from the file and property namespaces is available under the creative commons cc0 license.
Unlimited viewing of the article pdf and any associated supplements. Gingival retraction using paste systems oral health group. It is hoped that the reader will understand which types of gingival enlargement are amenable to surgical treatment and be aware of alternative key management strategies. Start studying ch 10 gingival and dentogingvial junctional tissue. Determining factors for periodontal disease progression and treatment outcome neha joshi1, manvi chandra agarwal 2, ellora madan, shubhangi gupta3,aditya law3 1senior lecturer, department of periodontics, kothiwal dental college and research centre, moradabad, uttar pradesh, india, 2reader. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Fibroepithelial polyps feps, also known as irritation traumatic. Management of chronic hyperplastic pulpitis in mandibular. Jan 17, 2015 having read this chapter, the reader should be aware of the contemporary surgical techniques used for the surgical management of gingival overgrowth.
1290 1326 1469 1477 241 1135 894 1524 767 141 1004 1083 78 1504 559 112 1245 1061 710 1561 932 915 368 746 936 1521 998 333 343 260 1432 689 204 870 881 68 977 93 778 1085