Swollen gums

Introduction If the acute periodontitis acute episodes of periodontal swelling can be accompanied by loose teeth. If the gingival swelling caused by acute apical periodontitis can be detected, it can be found to be smashed, cracked, etc., and there is a sense of tooth floating. Patients with swollen gums are often accompanied by bleeding gums, sensation of gums, and bad breath.

Cause

Common causes of gum swelling

Common causes of gum swelling and pain include gingival abscess, periodontal abscess, wisdom tooth pericoronitis or periapical periodontitis. The patient itself often has chronic inflammation. When the body's resistance is reduced, the weather is dry, eating spicy food, or suffering from diabetes, the original chronic inflammation is acute, and the symptoms of gum swelling and pain are most common, which is caused by periodontal abscess. Symptoms, young people often see wisdom teeth pericoronitis.

an examination

Related inspection

Oral endoscopic oral X-ray examination for prenatal oral examination

Gingival swelling examination

The gums are swollen and hypertrophy: they are dark red or dark red, the tissue is soft, and the probing is easy. The gingival papilla is spherical. A swollen gum can often cover 1/3 or more of the anterior lip. Due to the hypertrophy of the gums, the sulcus is deepened to form a sputum bag. The bag is easy to store food, the bacteria are easy to breed, and the self-cleaning effect is poor, so the inflammation is aggravated and there may be deep secretions. If the body's resistance is reduced, single or multiple abscesses may occur, especially in the nipple area. Conscious symptoms may have irritating gum bleeding, bloating, bad breath and the like. In the later stage of the disease, the gingival texture is tough due to fibrosis, and inflammation is also relieved, also known as hypertrophic gingivitis. Hypertrophic gingivitis that occurs during pregnancy is called pregnancy gingivitis (Pregnancygingivitis). Sometimes the individual nipples swell into a globular shape and often have pedicles, called uterine tumors during pregnancy. After childbirth, hypertrophic gums generally resolve on their own. Some systemic diseases can also have hypertrophy or hyperplasia of the gums.

Differential diagnosis

Gingival swelling is confusing

Itching of the gums: The typical symptoms of pulpitis are bleeding gums and gingivitis. Exfoliative gingivitis is a syndrome often associated with oral moss or pemphigus.

Gum bleeding: Gum bleeding is one of the common symptoms in dentistry. In general, gum bleeding is common in the early stages of periodontitis - gingivitis. Gum bleeding does not only occur in dental diseases, it also occurs in other diseases of the body, which may indicate other system diseases, such as leukemia, exposure to radioactive radiation, autoimmune diseases, etc. In recent years, periodontal disease and The relationship between diabetes is increasingly recognized by the medical community.

Gum pain: Gingivitis is caused by bacterial invasion, which is characterized by bleeding gums, redness, pain, and continued development of invasion of hard tissues, resulting in periodontal inflammation.

Gingivitis caused by leukemia: due to leukocytosis, siltation in the peripheral blood vessels, causing swelling and hypertrophy of the gums, pale tingling, such as accompanied by inflammation, congestion and oozing. In severe cases, necrosis occurs in the nipple or gingival margin, and there is bad breath.

Vitamin C deficiency gingivitis: the entire gum is purple-red, easy to bleed. In severe cases, the sputum is necrotic and the bad breath is obvious. Patients who have taken phenytoin for a long time may develop gingival hyperplasia, which is characterized by hyperplasia of the buccal and lingual gingiva, which is nodular, solid, light, and not easy to bleed.

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