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Chp 7: Gingival Diseases (Hormonal Gingivitis (Menstrual cycle/pregnancy…
Chp 7: Gingival Diseases
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Hormonal Gingivitis
Plaque associated gingivitis: begins at GM but can spread; must have biofilm to be present; no specific bacteria...could be multiple
Puberty gingivitis: steroidal hormone induced, but have biolfilm present, prevotella intermedia
Menstrual cycle/pregnancy gingivitis: homonal due to estrogen/progesterone levels; biofilm must be present; prevotella intermedia
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Self: Patients, especially puberty, may not realize gingivitis is perio disease. Time to educate my patients!
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Other Gingivitis
Enlargement: from collagenase reduction (so less break down) or increased fibroblasts (more production)
Medication caused, such as phenytoin (seizures), cyclosporine (immunosuppressive), calcium channel blockers (cardiovascular tx), sodium valporate (antidepressant)
Fungal origin: such as candidiasis (C. albicans), seen in HIV/immunosuppressed
Viral origin: herpes caused, affect babies and may be dormant until symptomatic
Specific bacterial origin: Neisseria gonorrhea, teponema pallidum, streptococci, etc can cause edematous lesions
Self: Again, the contents of this chapter were foreign to me until this class. To my previous knowledge, gingivitis was "just" gingivitis. This chapter has only helped solidify the idea that you cannot completely treat a patient until you know the source of the problem/gingivitis