Gingival hyperplasia

Introduction The disease can be a manifestation of a gum of a systemic disease, or it can be a manifestation of a side effect of a drug after taking certain drugs. Clinical symptoms: Spontaneous gingivitis is a hereditary disease found in hereditary gingival fibromatosis and tuberous sclerosis. It begins to develop more than young children, with diffuse hypertrophy on the gums and partly covering the teeth. Some drugs can cause gingival hyperplasia, such as phenytoin for the treatment of epilepsy, hyperplasia of the gums after long-term use, hypertrophy and hyperplasia of the gums at the root of the teeth.

Cause

The performance of the gums of systemic diseases can also be the performance of drug side effects after taking certain drugs.

1. The diseases that cause hyperplasia of the gums mainly include chronic gingivitis, puberty gingivitis, gingivitis during pregnancy, drug-induced gingival hyperplasia, gingival fibromatosis, gingival tumor, gingival malignant tumor and other diseases.

2, chronic gingivitis, gingival tumors and local stimulating factors such as plaque, calculus, poor prosthesis, etc., and adolescent gingivitis, gingivitis during pregnancy, although local stimuli are still the main reason.

3, drug-induced gingival hyperplasia patients due to systemic disease, long-term use of certain drugs caused by fibrosis and volume increase of the gums.

4. Some patients with gingival fibromatosis have a family history, but some have no family history. A family history may be autosomal dominant or recessive.

an examination

Check for gingival hyperplasia:

1, oral dental examination: thickening of the gingival margin, gingival papilla blunt, spherical, color can be bright red, dark red or pink.

2, imaging examination: hyperplasia caused by chronic gingivitis. The performance of the alveolar absorption of the alveolar crest. X-ray films of gingival hyperplasia caused by dental pulpoma showed local alveolar bone resorption or periodontal ligament widening.

3, according to the history of medical history / medication history, gum color, shape, texture, hyperplasia, etc. for diagnosis.

Differential diagnosis

General gingival hyperplasia should be distinguished from spontaneous gingival hyperplasia.

Spontaneous gingivitis is a hereditary disease found in hereditary gingival fibromatosis and tuberous sclerosis. It begins to develop more than young children, with diffuse hypertrophy on the gums and partly covering the teeth. Some drugs can cause gingival hyperplasia, such as phenytoin for the treatment of epilepsy, hyperplasia of the gums after long-term use, hypertrophy and hyperplasia of the gums at the root of the teeth. Check for gingival hyperplasia.

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