There are three types: O Gingival abscess O Pericoronal abscess O Periodontal abscess. 5. O Among all the abscesses of the periodontium. “Regional” enlargements refer to involvement of gingiva around three or more . Histopathological examination of gingival/periodontal/pericoronal abscess may. The periodontal abscess is an acute destructive process in the periodontium the gingival sulcus or other periodontal sites and not arising from the tooth pulp.

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The comparative effects of azathioprine and cyclosporin on some gingivw health parameters of renal transplant patients. By knowing the existence of common and rare presentations of gingival enlargement, one can keep a broad view when formulating a differential diagnosis of localized isolated, discrete, regional or generalized gingival enlargement.

Abscess presenting as localized gingival enlargement. Although considered as inflammatory, the exact mechanism of enlargement in mouth breathers is not clear.

Support Center Support Center. Primary oral tuberculous lesions are very rare, but when they occur they are usually seen in younger age. Calcium channel blockers[ 15 ]. Usually, this will be therapy for periodontal disease, such as oral hygiene instruction and periodontal scaling.

Presents in adults as smooth surfaced mass, often ulcerated and grows from beneath the gingival margin. The most serious condition associated with gingival enlargement in this category would be acute myeloid leukemia.


Reactive lesions of the gingiva. Most often the lesion is painless. Patients usually complain about burning sensation on eating hot and spicy food. Growths of the gingiva and palate; connective tissue tumors. D ICD – Primary tuberculous osteomyelitis of the mandible.

Gingival enlargement unveiling sarcoidosis: Gingival abscess, near gingival margin or papilla; B: Primary tuberculous gingival enlargement: Clinical Periodontology and Implant Dentistry.

They occur particularly in anterior region in young patients or in posterior mouth during mixed dentition phase and in adults.

How Do I Manage a Patient with Periodontal Abscess? | jcda

The etiology of this entity is difficult to establish, but it is considered to be a hypersensitivity reaction with affluent plasma cells seen histologically. Among commonly encountered drug induced gingival enlargement DIGO gingivx, those due to immunosuppressive agent gkngiva cyclosporine, appear more vascularized than phenytoin induced[ 17 ].

The clinician should have an open mind and consider all possibilities before coming to the final diagnosis of the condition at hand. This highly vascular lesion is characterized by purplish red-color and absez tendency to bleed.

A clinicopathological study of cases. It may present as a specific entity or as a part of syndrome. Published online Sep When not involved by secondary inflammation, the enlargement looks like mulberry shape, firm, pink and resilient with minute lobulations and no bleeding on probing.

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Surface necrosis with pseudomembrane formation are also frequently seen[ 36 ]. Often the pericoronal flap covering distal most mandibular teeth might become inflamed and swollen.


In these cases, it becomes difficult to associate duration of occurrence of enlargement with related drug history.

Birth Defects Orig Artic Ser. The management following the acute phase involves removing any residual infection, and abxes the factors that lead to the formation of the periodontal abscess. Zimmerman-Laband syndrome[ 18 ]. A deep periodontal abscess might be less obvious. The prevalence of periodontal abscess is relatively high and it affects the prognosis of the tooth.

It will be absent in edentulous areas and will disappear in areas where teeth are extracted. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician.

When pus forms, the pressure increases, with increasing pain, until it spontaneously drains and relieves the pain. Another potential cause occurs when bases periodontal pocket is scaled incompletely. There are four types of abscesses that can involve the periodontal tissues: A fatal case of rapid gingival enlargement: Hypopigmentation, mental retardation and writhing movement of hand and legs. Based on distribution they can be localized or generalized.