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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.
Subgingival microorganisms (those that exist under the gum line) colonize the periodontal pockets and cause further inflammation in the gum tissues and progressive bone loss. Examples of secondary causes are those things that, by definition, cause microbic plaque accumulation, such as restoration overhangs and root proximity.
A periodontal abscess involves a greater dimension of the gum tissue, extending apically and adjacent to a periodontal pocket. A pericoronal abscess may occur during an acute episode of pericoronitis in the soft tissue surrounding the crown of a partially or fully erupted tooth, usually around a partially erupted and impacted mandibular third ...
Diabetes: "Gum disease and diabetes have a bidirectional relationship, meaning that gum disease can make it harder to control blood sugar levels, and uncontrolled diabetes can increase the risk of ...
Chronic periodontitis is initiated by Gram-negative tooth-associated microbial biofilms that elicit a host response, which results in bone and soft tissue destruction. In response to endotoxin derived from periodontal pathogens, several osteoclast-related mediators target the destruction of alveolar bone and supporting connective tissue such as the periodontal ligament.
A periodontal pocket can become an infected space and may result in an abscess formation with a papule on the gingival surface. Incision and drainage of the abscess may be necessary, as well as systemic antibiotics; placement of local antimicrobial delivery systems within the periodontal pocket to reduce localized infections may also be considered.
Inflammation and/or swelling of the gums/gingiva [3] [7] Not necessarily any signs of pain but experiencing pain is possible [1] Difficulties in speaking, oftentimes can lead to speech disorders [1] Other dental and oral problems [4] In some cases, Hereditary Gingival Fibromatosis may cause bleeding from the gums, or gum ulcerations.
Periodontitis is a form of gum disease that affects approximately 90% of adults globally. It is associated with other chronic inflammatory conditions, and can progress to the point that it can ...
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