Wednesday, March 12, 2008

Mast gingivitis

Mast outlined gingivitis gingival tissue is the long-term exposure to local stimulation caused by chronic inflammation, Obviously performance to gingival inflammation swelling, the proliferation of features. Lesions involving the attachment gums. More common in adolescence, above anterior mandibular gingiva labial better to occur. Pathology Disease causes not only cause marginal gingivitis local factors, but will also be mouth-breathing, teeth or occlusion with the abnormal. Adolescent endocrine changes, in particular sex hormone changes, easy to induce the disease. Clinical manifestations gum swelling mast, was scarlet red or dark, soft organizations, probing exit. Spherical gum was protruding nipple (Map 1). The gum swelling can often cover the anterior lip 1 / 3 or more. Because of gingival enlargement, gingival sulcus deepened and formed gingival bag containing food easy to conceal, easy to breed bacteria, poor self-cleaning effect, therefore increase inflammation, a deep sexual secretions. If the lower body resistance, there will be a single or multiple abscess in the gums, particularly in the gingival papilla see more. Map a mast gingivitis symptoms may be inciting gingival bleeding, swell, halitosis, and so on. Lesions late, so gingival hyperplasia fiber texture is more resilient and also reduce the inflammation, known as hypertrophic gingivitis. During the pregnancy gingivitis mast, said pregnancy gingivitis (Pregnancy gingivitis). Sometimes individual bite nipple swelling into spherical often with pedicled, said pregnancy epulis. After childbirth, gingival hyperplasia generally dissipated on its own. Certain systemic diseases can arise gingival hyperplasia or hypertrophy of the change. It should be noted identification, such as : leukemia because leukocytosis, the peripheral intravascular deposition, causing swelling and gingival hypertrophy, Gingival pale color, such as inflammation is associated with congestive margin and bleeding phenomenon. Serious condition, or gingival margin nipple necrosis, and halitosis. Vitamin C deficiency gingivitis. Gingival whole was purple, easy bleeding. Severe, margin necrosis, halitosis obvious. Long-term use of phenytoin satisfied that the patient, there will be the gingival hyperplasia, characterized buccal, lingual gingival hyperplasia is the same, was nodular, quality sound, and color On and difficult hemorrhage (0.59 hectares). Map 2 Oral sodium benzene British soil after gingival hyperplasia (upper) in the treatment of one. Removal of local incentives such as curettage calculus, eliminate food impaction, remove the bad repair, etc., mouth breathing, should address causes to be addressed. Have abnormal occlusion, will be grinding their teeth or change for orthodontic treatment. 2. Drug treatment can be a ~ 3% hydrogen peroxide solution to wash gingival bag containing iodine mixture, or metronidazole, biotechspiramycin film, and gargle with mouthwash, etc.. If abscess at the time, and with the antibacterial drug treatment. 3. Surgical treatment by the above treatment can not restore normal physiological gingival appearance, for gum surgery. Systemic diseases caused by the gingival hypertrophy, it should first conduct systemic disease treatment, coupled with appropriate local therapy. If cause leukemia, a first medical treatment should not lightly for calculus curettage or surgery.

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