Several gingival indices have been proposed in literature, all of which have. Gingival flap definition of gingival flap by medical. The gingival index loe and silness, 1963 was created for the. The clinical appearance is similar to a traditional fibroma except the surface can appear somewhat bosselated or papillary. Surgical management of gingival overgrowth pocket dentistry. A fibroma occurs as a result of a chronic repair process that includes granulation tissue and scar formation resulting in a submucosal fibrous mass. Free gingiva definition of free gingiva by medical dictionary. How to remove gingival polyp doctor answers on healthcaremagic. The diagnosis of these lesions is essential for their successful management and of the patient as a whole. 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. 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. Prescription of calcium channel blockers is relatively common, making it difficult to determine the true incidence of druginduced gingival enlargement. Gingival hyperplasia is an overgrowth of gum tissue around the teeth.
Pdf laser assisted excision of gingival polyp in a. The term gingival overgrowth will be used for the remainder of this chapter. Jan 23, 2012 free gingival groove muco gingival junction attached gingiva 14. The treatment is removal of the irritant and excision. Learn about gingival polyp from patients first hand experiences and trusted online health resources, including common treatments and medications. 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. Deffinition gingival enlargement refers to excessive growth of the gums, and may also be known as gingival hyperplasia or hypertrophy. Meso and ectodermal inflammatory gingival hyperplasia have been illustrated and discussed. A fibroepithelial polyp or fibrous hyperplasia is the most common benign soft tissue tumor seen in the oral cavity. The study of gingival polyp has been mentioned in research publications which can be found using our bioinformatics tool below. Disease bioinformatics research of gingival polyp has been linked to neoplasms, gingival neoplasms, congenital epulis, giant cell granuloma, gingival diseases. In addition, the apex of the free gingival margin of the lateral incisor teeth relative to the gingival zeniths of. Treatment of severe physiologic gingival pigmentation with free gingival autograft.
Gingival enlargement is one of the frequent features of gingival diseases. Gingival masses are commonly encountered in clinical practice and can be a result of many conditions one of them could be metaplasia. They consist of mucosal tissue that covers the alveolar processes of the maxilla and mandible and finish at the neck of each tooth. Gingival hyperplasia related body system vision respiratory lymphatic dental hearing digestive integumentary skin endocrine cardiovascular nervous musculoskeletal. Gingival epithelium definition of gingival epithelium by.
Dec 11, 2016 photos of gingival fibromas are provided below. This distinction allows a clinical diagnosis and defines a treatment protocol designed to minimize recurrence. 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. 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. 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. It could be silky, smooth and spongy or perhaps knotty. This condition is also known as gingival overgrowth, hypertrophic gingivitis or gingival hypertrophy. The diabetesoral health connection indian health service.
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. A pulp polyp can vary in coloration from a whitish pink color to an intense red color. Gingival hyperplasia is an enlargement or overgrowth of the gum tissue, also known as the gingiva, around the necks of the teeth. Herein, we report a case of 17yearold mexican male with an asymptomatic nodule on the gingiva. Gingival surgical techniques gingival surgical procedures. Disease bioinformatics research of gingival fibroepithelial polyp has been linked to gingival polyp, granuloma, gingival neoplasms, fibroma, giant cell granuloma. Gingival tissue management introduction an objective of restorative dental procedures is the placement of dental materials to restore teeth to proper form and function. Surgical esthetic correction for gingival pigmentation. Apr 30, 2014 reactive gingival lesions that extend into a large carious lesion of an adjacent tooth may resemble a pulp polyp. The study of gingival fibroepithelial polyp has been mentioned in research publications which can be found using our bioinformatics tool below. Gingival hyperplasia treatment, symptoms, causes, pictures. The goal of modern dentistry is to provide patients with a holistic solution by providing functional restoration. Anatomical relationship of normal gingiva in facial view a and in crosssection b.
It has been designated by such terms as gingivomatosis, elephantiasis, idiopathic fibromatosis, hereditary gingival hyperplasia, and congenital familial fibromatosis. Pdf on jul 20, 2015, butchi babu and others published laser assisted excision of gingival polyp in a pediatric patient. The surgical treatment is the definitive therapy of the druginduced gingival. The study of gingival polyp has been mentioned in research publications which can. Historically, the epithelial compartment was thought to provide only a physical barrier to infection and the underlying gingival attachment. Gingival diseases modified by medications classification of gingival diseases is a significant part of an intraoral examination. Program, promoting treatment of gum disease for members with dm and cvd. Read on to learn the facts about the condition, what causes it and how it is. In clinical dentistry, patients frequently report with isolatedregional or generalized gingival enlargements, which could fall under varied presentations. Usually, the swollen pulp polyp might be noticed pushing from the exterior of the tooth from a just one or perhaps carious lesion. What cause gingival polyp doctor answers on healthcaremagic.
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 histopathology of inflammatory gingival enlargement. A pulp polyp, also known as chronic hyperplastic pulpitis, is a productive i. Gingival hyperplasia is a medical condition in which the gums increase in size. Dale kressin dvm, favd, davdc and animal dentistry and oral surgery specialists, llc treats gingival hyperplasia in oshkosh, green bay, glendale, greenfield. March 19, 2020 the gingiva is the anatomical term for gums. Metaplasia is defined as the replacement of the lining of an organ with the type of lining normally found at another site. Causes of pulp polyps and dental pulp polyp treatment. Some of the most commonly encountered exophytic gingival lesions are the irritation fibroma, peripheral ossifying fibroma, pyogenic granuloma, and peripheral giant cell granuloma. Lowpower photomicrograph of a pulp polyp demonstrating inflamed fibrovascular tissue that is lined by stratified squamous epithelium hematoxylin and eosin, original magnification x40. Provides 100% reimbursement for out of pocket costs for srps and recalls. With the increase in preventive and restorative dentistry, there is also an increase in the iatrogenic conditions that occur in modern dental practice. 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.
Provide definition an overgrowth of the soft tissue of the gums, often seen in patients treated with phenytoin dilantin for seizure disorders. The surgical treatment is the definitive therapy of the druginduced gingival overgrowth, although the recurrence. Gingival overgrowth, gingival hyperplasia, gingival enlargement and gingival hypertrophy are terms that are used interchangeably and incorrectly in the literature. There are several types available, which will be discussed further down but two of the most important ones are the one induced by. Gingival flap definition of gingival flap by medical dictionary. Axell reported that fibromas have a prevalence of 3. 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. Jan 17, 2015 gingival overgrowth is often seen in patients who mouthbreathe. 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.
Drug induced gingival enlargement article pdf available in journal of chemical and pharmaceutical research 81. 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. 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. Gingival polyp information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues. The retrocuspid papilla is a circumscribed nodule resembling a fibroma located on the gingiva lingual to the mandibular cuspid. Definition of gingival polyp in the titi tudorancea encyclopedia. There are many anticonvulsants, immunosuppressants and calcium channel blockers that may lead to gingival enlargement in varied presentations table table1 1 and figure figure7. This article revises the existing knowledge of different types of enlargements and highlights some important diagnostic. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The retrocuspid papilla is considered to be a normal anatomic structure and should not be mistaken for a fibroma. Gingival zenith positions and levels of the maxillary. Proper usage and sense of the wordphrase gingival polyp. Chondroid metaplasia in a fibroepithelial polyp of gingiva.
Gingival tissue management by indiandentalacademy issuu. Gingival enlargements and localized gingival overgrowths. How to remove gingival polyp etiology of gingival polyp download here free healthcaremagic app to ask a doctor. Bcbs of ma provides 100% coverage of srps, and prophylaxes every 3 months, which dont count towards the yearly maximum. 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. Localized reactive gingival enlargements 5, 6 constitute a group of epulides with a number of distinguishing features that clinically separate them from plaque. Cureus laserassisted excision of gingival overgrowth in.
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. Contents definition etiology classification clinical picture treatment questions 1262014 2 3. Cureus laserassisted excision of gingival overgrowth in an. The characteristic of a dental pulp polyp can range considerably. Information about gingival polyp in the titi tudorancea encyclopedia. There are a number of causes for this condition, but its often a symptom of poor oral hygiene or a side effect of using. In mouthbreathers there is increased lip separation and decreased coverage of the teeth by the upper lip fig 33. 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. Gingival polyp risks, symptoms and leading causes treato. Gingival enlargement is an increase in the size of the gingiva gums. A closely related term is epulis, denoting a localized. This entity is observed more frequently in young children and seems to regress with age. This case report will highlight one such case where a tooth was diagnosed as having a gingival overgrowth through a perforation.
Curettage removal of the gingival wall of a periodontal pocket to separate diseased soft tissue. See your dentist for consultation, diagnosis and treatment. Part of oral mucosa that covers the alveolar processes of the jaws and surrounds the necks of the teeth. Free gingiva definition of free gingiva by medical. There is a variant of fibroma referred to as a giant cell type fibroma. Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications.
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