gingival swellings differential diagnosis

Powerpoint Templates Powerpoint Templates

Gingival Swellings Differential diagnosis

Amer Ali College of dentistry, university of Kufa

http://www.powerpointstyles.com/


Powerpoint Templates

Infections

• Gingival abscess• Periodontal abscess• Pericoronal abscess• Acute osteomyelitis• Acute herpetic gingivostomatitis



InfectionGingival abscess



infectionPeriodontal abscess



Infection Pericoronal abscess



Infection Acute herpetic gingivostomatitis

Painful, enlarged, and erythematous palatal gingiva

Painful, enlarged, and erythematous facial gingiva.



Cystic lesions• Gingival cyst of the adult• Eruption cyst• Peripheral calcifying odontogenic cyst• Glandular odontogenic cyst



Cystic lesionsEruption cyst



Cystic lesionsGlandular odontogenic cystPeripheral calcifying odontogenic cyst



Tumor like lesions• Parulis (gum boil)• Gingival epulis• Pyogenic granuloma• Peripheral ossifying fibroma• Peripheral giant cell granuloma• Wegener’s granulomatosis• Focal mucinosis• Mandibula tori• Exostosis



Tumor like lesionsParulis



Tumor like lesionsGingival epulis



Tumor like lesionsPyogenic granuloma



Tumor like lesions

Peripheral ossifying fibroma Peripheral giant cell granuloma



Tumor like lesionsWegener’s granulomatosis. Hemorrhagic and friable gingiva (strawberry gingivitis).



Tumor like lesionsOral focal mucinosis. Nodular mass arising from the gingiva between the mandibular first and second molars.



Tumor like lesionsTorus mandibularis. Bilateral lobulated bony protuberances of the mandibular lingual alveolar ridge.



Developmental or congenital

• Intramucosal melanocytic nevus• Congenital epulis• Retrocuspid papilla



Developmental or congenital

Congenital epulis



Developmental or congenital Intramucosal melanocytic nevus



Developmental or congenital Retrocuspid papilla



Neoplastic - benign

• Papilloma• Hemangioma• Lymphangioma• Peripheral ameloblstoma• Peripheral odontogenic fibroma• Granular cell myoblastoma• Central Giant Cell Tumor



Neoplastic - benignPeripheral ameloblastoma. Sessile gingival mass



Neoplastic - benignPeripheral odontogenic fibroma. This sessile gingival mass cannot be clinically distinguished from the common peripheral ossifying fibroma.



Neoplastic - benignBluish color of central giant cell tumor shows its vascular nature



Neoplastic - Malignant• Squamous cell carcinoma• Fibrosarcoma• Reticular cell sarcoma• Melanoma• Malignant lymphoma• HIV associated kaposi’s sarcoma• Malignant hemangioendothelioma• Metastatic tumors like metastatic melanoma



Neoplastic - MalignantSquamous cell carcinoma



Neoplastic - MalignantMetastatic melanoma. Pigmented nodule of the mandibular gingiva



Neoplastic - MalignantHIV-associated Kaposi’s sarcoma (KS). Raised, dark-red enlargement of the mandibular anterior facial gingiva on the left side.



Others, leukemia

Leukemia, diffuse gingival enlargement



Others, leukemiaLeukemia. Extensive hemorrhagic enlargement of the maxillary and mandibular gingivae.



Others, vitamin C deficiencyScurvy. Hemorrhagic gingival enlargement (scorbutic gingivitis) because of capillary fragility



Others, drug related Cyclosporine-related gingival hyperplasia. Diffuse, erythematous, and fibrotic gingival hyperplasia.



Others, drug related Nifedipine-related gingival hyperplasia. Diffuse, fibrotic gingival hyperplasia



Others, drug relatedMild phenytoin-related gingival hyperplasia. Gingival enlargement present predominantly in the interdental papillae.

Phenytoin-related gingival hyperplasia.Significant erythematous gingival hyperplasia is covering portions of the crowns of numerous teeth.



Gingival fibromatosisGingival fibromatosis. Significant fibrotic gingival hyperplasia with resultant delayed eruption of numerous teeth.



References

• Textbook of Oral medicine 2nd ed Anil Govindrao Ghom

• Oral and Maxillofacial Pathology 3rd edition• Contemporary Oral and Maxillofacial

Surgery, Sixth Edition- Hupp, James R



References


gingival swellings differential diagnosis

Health & Medicine