36yrs/F pt c/o swelling left upper posterior back teeth region since one year gradually increased to present size interfering with occlusion no relevant medical history, not on any medication ,opg reveals no significant bone loss,excisional biopsy done by gingvectomy. Differential Diagnosis??
Generally it 4 types as we commonly know. Inflamatory/ Heriditary/ Drug induced/ Systemic causes Inflammatory- no bone loss. Drug induced- Not specific May be Heriditary....need family history. Hereditary Gingival Fibromatosis mostly Rare & usually develops during childhood, although cases may not become evident until adulthood. Repeated surgical removals may be required as its recurrent in nature. This condition presents as a slowgrowing generalized or localized. Non-tender, firm, pale pink gingival enlargement Systemic Causes....I know few, that may cause localized and/or generalized gingival enlargement such as pregnancy, hormonal imbalances, and leukemia. Need through & detailed investigation. Definitely some link which is getting missed
Gingival hypertrophy/ hyperplasia D/D- Drug history- Antiepileptics ( Phenytoin), Nifidipine, Chronic arthritis, cyclosporine. Chronic gingivitis. Hereditary gingival fibromatosis. Leukemia Pregnancy &other dishormonal conditions. Suggest- Biopsy n HPE for confirmation. Please do inform what it came out as...
SUGGESTIVE of.. UNILATERAL GINGIVAL . FIBROMATOSIS WITH LOCALIZED AGGRESSIVE PERIODONTITIS ADVISABLE.... X. RAY H. P. E
Gum hyper with impacted teeth Eup
Although the information are so well defined.... Plz share the opg
Drug induced Gingival hyperplasia Biopsy Mouthwash
I think it's inflammatory enlargement. Do thorough scaling and root planing. And follow up.... Give Antibiotics and mouth wash
Non inflammatory fibrous gingival enlarge ment
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