Answers
An exaggerated inflammatory response to plaque result-
Leukemia-Associated Gingivitis
ing in increased bleeding and tissue enlargement
pregnancy related mushroom-like growth, not cancerous
Pyogenic Granuloma
or painful. usually regresses after giving birth
inflammatory response of the gingiva to plaque aggravat-
Diabetes-Associated Gingivitis
ed by poorly controlled blood glucose levels
Medications Most Commonly Associated With Gingival Anticonvulsants, Calcium channel blockers, Immunosup-
Enlargement? pressants
Meticulous plaque control can reduce but will not eliminate gingival overgrowth.
An inflammatory response to dental plaque aggravated by
Ascorbic Acid-Deficiency Gingivitis
chronically low ascorbic acid (vitamin C) levels
initial oral infection with the herpes simplex type-1 virus
Primary Herpetic Gingivostomatitis?
(HSV-1). form PAINFUL ulcers
Erythema Multiforme May be due to allergic reaction or infection.
Disease of the skin and mucous membranes. Character-
Lichen Planus
ized by an itchy, swollen rash on the skin or in the mouth
manifestation of immunosuppression. Does not respond
Linear Gingival Erythema
well to improved oral self-care or professional therapy.
two flavor additives known to cause allergic reactions of
Cinnamon and carvone
the gingiva?
short duration; resolves upon professional and good
Acute gingivitis
self-care.
may exist for years without ever progressing to periodon-
Chronic gingivitis
titis; resolves upon professional and good self-care
inflammatory conditions affecting the soft and hard gum
peri-implant gingivitis
tissues around dental implants
, periodontal diseases involving inflammation of the gingi-
Plaque-Induced Gingival diseases
va in response to dental plaque
is plaque induced gingival disease reversible? yes, with good patient self-care
plaque-induced gingival disease radiographs? Reveal no changes in height or character of the bone
plaque initiates the disease and then specific systemic
Gingival diseases modified by systemic factors? factors found in the host modify the disease process.
Example: puberty, pregnancy, diabetes, leukemia
Onset within 3 months, higher prevalence in children,
Gingival diseases modified by medications-Gingival En-
gingiva on anterior sextants most commonly affected. first
largement
observed at the interdental papilla.
manifestation of immunosuppression. Does not respond
Non-Plaque-Induced Gingival lesions
well to improved oral self-care or professional therapy
Pain usually is NOT a symptom. Clinical appearance is NOT
Chronic periodontitis Signs and symptoms a reliable indicator of the presence or severity of chronic
periodontitis
Chronic periodontitis most common form, Irreversible loss of attachment bone.
slight chronic periodontitis no more than 1 to 2mm of clinical attachment loss
moderate chronic periodontitis 3-4 mm of clinical attachment loss
Severe chronic periodontitis 5 mm or more of clinical attachment loss
new signs of destructive periodontitis that reappear after
Recurrent Chronic Periodontitis
therapy
bacterial infection characterized by rapid destruction of
Aggressive Periodontitis
Periodontal ligament, Supporting alveolar bone
what are the three main categories for gingival diseases
systemic, medications, malnutrition.
with modifying factors
the functional system of tissues that surrounds the teeth
Periodontium?
and attaches them to the bone
Gingiva 2/8