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Plasma cell gingivitis in an adult (histologically verified). Plasma cell gingivitis [ 1 ] [ 2 ] is a rare condition, [ 3 ] appearing as generalized erythema (redness) and edema (swelling) of the attached gingiva , occasionally accompanied by cheilitis (lip swelling) or glossitis (tongue swelling). [ 4 ]
Dental plaque is considered a biofilm adhered to the tooth surface. It is a meticulously formed microbial community, that is organised to a particular structure and function. [12] Plaque is rich in species, given the fact that about 1000 different bacterial species have been recognised using modern techniques. [13]
Gingivitis is a non-destructive disease that causes inflammation of the gums; [1] ulitis is an alternative term. [2] The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms (also called plaque) that are attached to tooth surfaces, termed plaque-induced gingivitis.
Gingival enlargement has a multitude of causes. The most common is chronic inflammatory gingival enlargement, when the gingivae are soft and discolored. This is caused by tissue edema and infective cellular infiltration caused by prolonged exposure to bacterial plaque, and is treated with conventional periodontal treatment, such as scaling and root planing.
As gingivitis progresses further and is not treated, it may progress into periodontitis. Periodontal disease is when the gums surrounding the teeth become swollen causing surrounding plaque to build up. If left untreated can cause the teeth to become loose due to weak gums. Periodontal disease can compromise factors such as: [4] Gingiva
For the periodontal pocket to form, several elements need to be present. It all starts with the dental plaque [tone]. The invasion of the bacteria from the plaque eventually triggers inflammatory response. This in turn results in the gradual destruction of the tissues surrounding the teeth, known as the periodontium. [6]
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