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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Among these, diagnostic points are discussed for the more commonly occurring lesions and the very rare and unusual presentation are listed as per the category to which they belong. More commonly, gingival disease manifests as regional or generalized gingival enlargement, which might fall into one of the different types. Painful joint contractures, diffuse thickening of the skin with pearly papules and fleshy nodules and failure to thrive.
A fatal case of rapid gingival enlargement: Ramon syndrome[ 19 ]. Histopathology and electron and immunofluorescence microscopy of gingivitis granulomatosa gintiva with glossitis and cheilitis in a case of Anderson-Fabry disease.
Diagnosis of sarcoidosis is mainly based on exclusion of other non-caseating granulomas forming conditions and other laboratory tests[ 4243 ]. Enlargement of skull, corneal opacities, short peg-shaped poorly formed teeth, hypertrophy of alveolar ridges, anterior open bite.
N Engl J Med. A periodontal abscess occurs alongside a tooth, and is different from the more common  periapical abscesswhich represents the spread of infection from a dead tooth i.
Diagnosis can be made by a positive family history of gingival enlargement. It can be associated with signs and symptoms of bone marrow failure, such as ecchymoses, night sweats, absrs infections and lethargy. Leave this field blank. The clinician should have an open mind and consider all possibilities before coming to the final diagnosis of the condition at hand.
Genetic disorders associated with gingival enlargement: Tuberculosis of the tongue. The overlying gingiva presents with no abnormal clinical features except the massive increase in size of the area; B: This section does not gingkva any sources.
Frequent diagnosis in this category is inflammatory rather than neoplastic and may fall in one of the following group of reactive lesions: Hypopigmentation, mental retardation and writhing movement of hand and legs. Antibiotics are of secondary importance to drainage, which if satisfactory renders antibiotics unnecessary. Otherwise, if pus is already discharging from the periodontal pocket, this can be encouraged by gentle irrigation and scaling of the pocket whilst massaging the soft tissues.
These are inflammatory response to local irritant associated with gingiva.
[Periodontal abscess: etiology, diagnosis and treatment].
Primary oral tuberculous lesions are very rare, but when they occur they are usually seen in younger age. Unusual firm fibrotic gingival enlargements in a patient with hereditary gingival fibromatosis.
Surface necrosis with pseudomembrane formation are also frequently seen[ 36 ]. Gingival overgrowth caused by vitamin C deficiency associated with metabolic syndrome and severe periodontal infection: Periodontal abscesses can develop on the base of persisting periodontitis but can also occur in the absence of periodontitis. Presents in adults as smooth surfaced mass, often ulcerated and grows from beneath the gingival margin. Apart from gingival enlargement other associated features could be oral ulceration, spontaneous gingival bleeding, petechiae, mucosal pallor, herpetic infections and candidiasis.
Published online Sep Periodontal abscesses may be difficult to distinguish from periapical abscesses. The main symptom is pain, which often suddenly appears, and is made worse by biting on the involved tooth, which may feel raised and prominent in the bite. A lateral periodontal cyst projecting labially and causing localized gingival enlargement.
How Do I Manage a Patient with Periodontal Abscess? | jcda
This systematic presentation would be very helpful for the clinicians to arrive at a particular diagnosis. Usual allergens known to be associated with this lesion could be, e. Dwarfism, flexion contractures, hernias, corneal clouding, macroglossia, short mandibular rami, peg-shaped teeth. Abscesses of the periodontium. Drug induced gingival enlargement.
Gingival enlargements: Differential diagnosis and review of literature
Cherubism, seizures, mental deficiency, hypertrichosis, stunted growth, juvenile rheumatoid arthritis. The enlarged gingiva usually is soft and friable, bright red or magenta, with a smooth, abzes surface. Trauma to the tissues, such as serious impact on a tooth or excessive pressure exerted on teeth during orthodontic treatment, can be a possible cause as well.
Periapical abscess, near apex of concerned tooth; D: There may be regional lymphadenitis. Support Center Support Center.
In a typical bimaxillary protrusion case, the enlargement will be limited to palatal aspect of maxillary anteriors and labial aspect of mandibular anteriors.