Advance periodontitis. Can you tell how to do the treatment @

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Over all its Ginival over growth Gingival hyperplasiaor Gingyval hypertrophy Hyperplasia refers to an increased number ofcells, and hypertrophy refers to an increase in the size of individual cells. Histopatholy differentiates this. Reasons could be -Enlargement associated with systemic diseases or conditions Leukemia -Neoplastic enlargementFalse enlargement. benignneoplasms, such asfibromas,papillomasandgiant cell granulomas -Drug induced enlargement Anticonvulsants(phenytoin,phenobarbital, topiramateandprimidone calcium channel blockers(antihypertensives such asnifedipine,amlodipine, andverapamil). -Inflammatory enlargement -Tissueedemaand infective cellular infiltrationcaused by prolonged exposure tobacteria Please Elicit history very thoroughly..very important Any epileptic seizures...where phenytoin is prescribed for long period..I strogly suspect this. Treatment line Improveoral hygiene ---remove irritative calculus from around the necks of the teeth. Later significantfibroticcomponents that do not respond to and undergo shrinkage go for Gingevectomy (external bevel incision) or LASERS.
Gingival enlargement.. Do proper scaling and curettage, periodontal dressing by local drug delivery (tetracycline ).. Amoxy clav, metron, chx, Gumex.. Ask the pt if she is having any medicines like barbiturates or any else..rule out for any drug induced.. Wait for two weeks, if condition subsides it's ok, else u hv to go for gingivectomy..
Thank you dr
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What is the cause for gingival overgrowth
This is the case of gingival enlargement instead of periodontitis. Please take a proper case history to find out underline cause. Initially you can go for oral hygiene maintenance, calculas removal with root planning. Blood investigation are also needed in this case first of all go for complete blood count & treat the case accordingly.
Thorough oral prophylaxis then follow up... if there's still gingival enlargement then go for surgery..... After prophylaxis keep her on liquid diet, metronidazole ointment to apply locally and betadine mouthwash.... teach her the proper way of brushing teeth.....
ThoroughSupragingival and subgingival scalings curetage tetracycline dressings and lastly Gingivectomy is advised.Tab Ofloxcinand Oranidazole combination and VitBcomplexwith VitC. Antacids are go be give. Ducats the patient for maintain the good oral hygiene.
Drug induced gingival enlargement.. ask for any drug history.. if present then refer to phy for drug substitute.. meanwhile do proper SRP and give CHX mouthwash.. such type of enlargement gen would not subside and later on periodontal surgery is required..
Yes mam ...truly said
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Doctor ask for pt whether she is taking drugs for medical illness or not?....than first do scaling&root planing....followed by rinsing
Recall visit...if it's not subsided than go for gingival surgery
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A patient reported with a similar gingival enlargement in our clinic... after blood investigation v came to know he got leukemia
Gingival hyperplasia. May b drug induced. Ask d pt for drug history... T/t - scaling n root planning . Mouth rinses
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