Pdf gingival enlargement is one of the frequent features of gingival diseases. Shape the shape of the gingiva varies considerably depending on the shape of the teeth, their alignment in the arch, the location and size of the area of the proximal contact, the dimensions of the facial and lingual gingival embrasures, and the degree of gingival health blunted gingiva interdental papillae do not fill the entire interdental space and have a more flattened, not. Hereditary gingival fibromatosis dan beberapa kelainan mukokutaneus yang bermanifestasi sebagai peradangan gingiva. Gingival enlargement can be caused by a number of factors, including inflammatory conditions and the side effects of certain medications. Gingiva merupakan bagian dari aparatus pendukung gigi, periodonsium dan membentuk hubungan dengan gigi. Top causes of gingival enlargement and treatment options.
Generalized inflamed nonfibrotic gingival tissues, bleeds readily on probing, patient reports pain, fever, marked fatigue occurs in 30% of acute and 10% of chronic leukemia cases, inflammation pronounced even with little dental plaque, starts in papillae and then involves marginal and attached gingiva, gingival tissues frequently show initial clinical signs of leukemia with a. There are several causes of gingival enlargement and they can be grouped into four categories. It can cover teeth in various degrees, and can lead to aesthetic disfigurement. Figure 1 it consists of creating bleeding points at the level of normal gingiva and then excising the tissue using a 45 degree external beveled incision. Gingival enlargement caused by calcium channel blockers, e. Feb 01, 2017 marginal gingiva the marginal, or unattached, gingiva is the terminal edge or border of the gingiva surrounding the teeth in collarlike fashion 6. Hereditary gingival fibromatosis hgf adalah suatu keadaan yang tidak biasa yang ditandai oleh diffuse gingival enlargement, kadangkadang menutupi sebagian besar permukaan atau seluruh gigi.
These microscopic distinctions are both indicative of a. Marginal gingiva the marginal, or unattached, gingiva is the terminal edge or border of the gingiva surrounding the teeth in collarlike fashion 6. Bleeding may occur extemporaneously or on mild stimulation. Gingival enlargement is an increase in the size of the gingiva gums. Both genetically and pharmacologically induced forms of gingival enlargement exist. Manifestasi awal penyakit ini melibatkan regio orofasial. Pertambahan ukuran gingiva merupakan tanda paling umum dari penyakit gingiva. Gingival enlargement pembesaran gingiva pertumbuhan gingiva yang berlebihan yang disebabkan oleh pertambahan besar size selsel yang dikandungnya hipertrofi, atau pertambahan selselnya hiperplasia.
Gingival enlargement the currently accepted terminology for an increase in the size of the gingiva, is a common feature of gingival disease. Gingival overgrowth may vary from isolated mild enlargement of interdental papilla or a uniform enlargement which may affect either one or both jaws. The importance of keratinized gingiva surrounding dental. Sulkus gingiva yang sehat kedalamanya kurang lebih 2 mm. Gambaran klinisnya disebut hipertropi gingivitis atau hiperplasi ngan warna merah, konsistensi lunak, tepi tumpul dan tidak adanya stipling halus. Penyakit periodontal bersifat khronis, kumulatif dan progresif yang dapat mengakibatkan penderita kehilangan gigi.
Pericoronitis is a local infection of the gingiva surrounding an erupting tooth. Pembengkakan gingival hampir secara universal hasil akumulasi cairan dalam jaringan yaitu edema. Introduction gingival enlargement is a common feature of gingival disease and may be caused by fibrous overgrowth or gingival inflammation or a combination of two. Suzanne swanson, in comprehensive pediatric hospital medicine, 2007. Generalized inflamed nonfibrotic gingival tissues, bleeds readily on probing, patient reports pain, fever, marked fatigue occurs in 30% of acute and 10% of chronic leukemia cases, inflammation pronounced even with little dental plaque, starts in papillae and then involves marginal and attached gingiva, gingival tissues frequently show initial clinical signs of leukemia with a sudden onset. Signs and symptoms related to gingival enlargement are seen within 24 mo of initiation of drug intake.
Histology and surgical augmentation article pdf available in general dentistry 574. Gingival enlargement an overview sciencedirect topics. Gingival gum enlargement, also known as gingival hyperplasia or hypertrophy, is an abnormal overgrowth of gingival tissues. Gingival pigmentation and its treatment modalitites download as pdf file.
The maxillary anterior region is the common site involved. Pembesaran gingiva pada rongga mulut dentias notes. Size a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Prosedur bedah yang melibatkan tulang atau memeriksa bentuk dan. Marginal gingiva umumnya memiliki lebar 1mm, membentuk dinding jaringan lunak dari sulkus gingiva. This article revises the existing knowledge of different types of enlargements and highlights some.
Gingival enlargement negatively affects the quality of life, especially nutritional intake. Clinical stomatology gingival swellings columbia ctl. Enlargement gingiva adalah pertumbuhan gingival yang berlebihan yang disebabkan oleh pertambahan besar selsel yang dikandungnya hipertrofi, atau pertambahan selsel hyperplasia. Druginduced gingival enlargement is the term now used to describe medicationrelated gingival hypertrophy or hyperplasia, a condition commonly induced by three main classes of drugs.
In relation to systemic diseases, gingival enlargement could constitute the intensification of an existing inflammation initiated by dental plaque, or a manifestation of the systemic disease independent of the inflammatory condition of the gingiva. Gingival enlargements inflammation mouth free 30day. The importance of keratinized gingiva surrounding dental implants. Niemiec, dvm davdc favd for decades, the beveled gingivectomy has been the standard for treatment of gingival enlargement. Pembentukan poket yang progressif yang menyebabkan destruksi. The relationship between the width of keratinized gingiva. Gingival enlargement classificationdental health tips. The rftnthcfm treatment of plaqueinduced gingivitis. Pdf treatment of gingival enlargement researchgate. This is strictly a clinical description of the condition and avoids the erroneous pathologic connotations of terms used in the past such as hypertrophic gingivitis or gingival hyperplasia. Perio gingivitis and gingival enlargement flashcards quizlet. Degree of enlargement dependent on patients level of oral hygiene druginduced gingival hyperplasia gender.
Gusi wikipedia bahasa indonesia, ensiklopedia bebas. As the enlargement increases, the gingival tissue becomes lobulated and clefts are seen. The enlarged gingiva usually is soft and friable, bright red or magenta, with a smooth, shiny surface. Nov 19, 2010 idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Pdf on jul 26, 2019, shruti bhatnagar and others published treatment of gingival enlargement find, read and cite all the research you need on. Pembesaran gingiva atau yang sering dikenal dengan istilah gingiva enlargement adalah jaringan gusi membesar secara berlebihan di antara gigi dan atau pada daerah leher gigi. This enlargement was considered due to exaggerated gingival response to local irritation from plaque and calculus, leading to overgrowth of periodontopathic bacteria and alveolar bone loss. Treatment can be in the form of allowing for spontaneous resolution once the etiology is removed, instituting proper dental hygiene, nonsurgical treatment, andor surgical treatment. Terminologi untuk kondisi ini adalah gingival enlargement atau gingival overgrowth.
Gingival enlargement can be induced by three main causes stemming from 1 inflammation, 2 medication, and 3 systemic disease. Gingivitis and periodontitis are the two major forms of in flammatory diseases affecting the periodontium. Adalah sulcus gingiva yang mengalami pendalaman secara patologis. May 11, 2009 adalah sulcus gingiva yang mengalami pendalaman secara patologis. Pengertian gingiva gingiva gusi adalah bagian mukosa di dalam rongga mulut yang mengelilingi gigi dan menutupi lingir ridge alveolar. Plaque induced inflammation appears to be a general stimulating effect regardless of the mechanism of gingival enlargement.
Enlargement of the gingiva, described as idiopathic. Ikat gingiva hal ini menyebabkan respon gingiva thd dental plak menurun shg tjd inflamasi berlebihan pembesaran gingiva yg parah scurvy. In clinical dentistry, patients frequently report with isolatedregional or generalized gingival enlargements, which could fall under varied presentations. Hereditary gingival fibromatosis hgf, also known as idiopathic gingival hyperplasia, is a rare condition of gingival overgrowth. Acute vit c deficiency itself does not cause gingival inflammation, but it does cause hemorrhage, collagen degeneration, and edema of the gingival connective tissue the enlargement is marginal.
Appearance the first change noted is a painless bead like enlargement in the size of the gingiva, starting with one or two interdental papillae. However due to their varied presentations, the diagnosis of. Gingival enlargement is one of the frequent features of gingival diseases. Some of these drugs can cause gingival enlargement. Gingival hyperplasia typically refers to the increase in the number of cells, whereas gingival hypertrophy deals with the increase in cell size.
Gingival enlargement pembesaran gingiva pertumbuhan gingiva. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. Classification on the basis of etiologic factor and pathologic changes inflammatory enlargements aacute bchronic drug induced enlargement enlargements associated with systemic diseases and condition a. Pembesaran gingiva karena peradangan secara klinis disebut gingivitis hipertropi. Gingival enlargement and its treatment authorstream.
Dec 17, 2011 faktor etiologi penyakit gingival dan periodontal. Sehingga merupakan gambaran klinis yang khas dari penyakit periodontal. Gambaran klinisnya disebut hipertropi gingivitis atau hiperplasi gingiva dengan warna merah, konsistensi lunak, tepi tumpul dan tidak adanya stipling atau halus ika andriani, 2009. Pertumbuhan gingiva yang berlebihan yang disebabkan oleh pertambahan besarsize selsel yang dikandungnya. The relationship between the width of keratinized gingiva and gingival health by niklaus p. Gingival enlargement, also mistakenly used synonymously with gingival hypertrophy and gingival hyperplasia, describes a condition that occurs when the size of the gingiva increases. Marginal gingiva free gingival groove shallow linear depression that demarcates fmarginal gingiva from the adjacent attached gingiva about 50% of cases usually about 1mm wide, the marginal gingiva. Healthy gums are pale pink or pigmented, and wrap tightly around the neck of the teeth. Periodontal flap method for treatment of gingival enlargement. The enlargement can be inflammatory,fibrotic or a combination of both. Enlargement of the gingiva, described as idiopathic fibromatosis, is best described as pain upon vertical percussion on the incisal edge of an anterior tooth may indicate the possible presence of extraction of a tooth is contraindicated in the dental office for a patient who 1.
Gingival enlargement pembesaran gingiva pertumbuhan gingiva yang berlebihan yang disebabkan oleh pertambahan besar size selsel yang dikandungnya hipertrofi, atau. Hgf is characterized as a benign, slowly progressive, nonhemorrhagic, fibrous enlargement of keratinized gingiva. Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Klasifikasipenyakit periodontal adalah suatu keadaan peradangan dan degencrasi dari jaringan lunak dan tulang penyangga gigi. Pada 50% kasus, batas marginal gingiva dengan attached gingiva ditandai dengan adanya cerukan dangkal yang disebut free gingival groove. Pembesaran gingiva didefenisikan sebagai suatu keadaan dimana ukuran gingiva bertambah dari normal yang dapat menimbulkan masalah estetis dan kebersihan. The surface of gingiva shows an increasein stippling. In acute necrotizing ulcerative gingivitis also known as trench mouth or vincent angina, the interdental gingival papillae become ulcerated and friable. The diagnosis of these lesions is essential for their successful management and of the patient as a whole. The gingiva line the external surface of the periodontium fig. Dec 23, 2014 gingival enlargement also known as gingival hyperplasia, gingival hypertrophy, gingival overgrowth, hypertrophic gingivitis which is caused with the increase in the size of gingiva is called as gingival enlargement. Their primary etiology is bacterial plaque, which can initiate destruction of the gingival tissues and periodontal attachment apparatus. The gingiva is the pinkcolored keratinized mucosa that surrounds the teeth.
Enlargement of the gingiva, described as idiopathic fibromatosis, is best described as. These are strictly clinical descriptive terms, and they avoid the erroneous pathologic connotations of terms used in the past, such as hypertrophic gingivitis and gingival hyperplasia. These findings led to their conclusion that at least 2 mm of keratinized gingiva is required for stability of the periodontium lang and loe, 1972. In recent years,flap surgery have been used more often to treat gingival enlargement than gingivectomy. Gingival enlargement pembesaran gingiva pertumbuhan.
A 55yearold female patient came to periodontal department of hasanuddin. Marginal gingiva merupakan bagian tepi gingiva yang menyelimuti gigi seperti kerah pada baju. Introduction increase in the size of the gingiva,is called gingival enlargement. Pembentukan poket yang progressif yang menyebabkan destruksi jaringan periodontal pendukung dan kehilangan serta ekspoliasi gigi. Phenytoin young patients gingiva a thorough examination of the gingiva includes evaluation of color, size, shape form or contour, consistency, surface texture, position of the gingival margin and junctional epithelium, mucogingival junctions, bleeding and exudate. Gingival enlargement, localized aggressive periodontitis it may look unsightly. Salah satu penyakit gingiva yang sangat menggangu estetik dan fungsional gigi adalah terjadinya pembesaran gingiva. Additional instructions and trouble shooting are included with the game. Sep 16, 2015 the interproximal gingiva shows more prominent enlargement than the facial andor lingual surfaces figure figure9. The accepted current terms for this condition are gingival enlargement and gingival overgrowth. Pembesaran gingiva gingival enlargement, merupakan hasil dari adanya faktor iritan.
Gingival enlargement as oral manifestation in acute. An increase in size of the gingiva is a common feature of gingival disease. Cyclosporineinduced gingival enlargement is more vascularized than phenytoin enlargement figures 1610 and 1611. There are many anticonvulsants, immunosuppressants and calcium channel blockers that may lead to gingival enlargement in varied presentations table table1 1 and figure figure7. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a yearold female. The gingival tissue runs from the mucogingival line, which marks the boundary with the nonkeratinised buccal mucosa, and covers the coronal aspect of the alveolar process.
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