There are three types: O Gingival abscess O Pericoronal abscess O Periodontal abscess. 5. O Among all the abscesses of the periodontium. “Regional” enlargements refer to involvement of gingiva around three or more . Histopathological examination of gingival/periodontal/pericoronal abscess may. The periodontal abscess is an acute destructive process in the periodontium the gingival sulcus or other periodontal sites and not arising from the tooth pulp.

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Systemic Hyalinosis[ 20 ]. Report of a rare case. Food packing is usually caused by failure to accurately reproduce the contact points when dental restorations are placed on the interproximal surfaces of teeth.

Previous studies have suggested that the complete therapy of the periodontitis patients with acute periodontal abscess gjngiva to do in two stages: Articles needing additional references from May All articles needing additional references Infobox medical condition new.

A clinicopathological study of cases. Among commonly encountered drug induced gingival enlargement DIGOthose due to immunosuppressive agent like cyclosporine, appear more vascularized than phenytoin induced[ 17 ].

A periodontal pocket contains dental plaquebacteria and subgingival calculus. Gingival enlargement associated with systemic disease Leukemia: Corneal opacity, mental retardation and aggressive behavior, failure of tooth eruption. Lesion of peripheral giant cell granuloma.


Gingival enlargements: Differential diagnosis and review of literature

Wilson syndrome[ 34 ]. Gingival enlargement in Niemann-Pick disease: Add new comment Your name. Fibrotic Drug induced gingival enlargement: Histopathology and electron and immunofluorescence microscopy of gingivitis granulomatosa associated with glossitis and cheilitis in a case of Anderson-Fabry disease.

Otherwise, if pus is already discharging from the periodontal pocket, this can be encouraged by gentle irrigation and scaling of the pocket whilst massaging the soft tissues. Occlusal overload may also be involved in gigiva development of a periodontal abscess, but this is rare and usually occurs in combination with other factors. Alveolar bone is rarely affected, but presence of pseudo-pockets and difficulty in maintaining oral hygiene may lead to some periodontal problems.

It is thought to be due to alternate wetting and drying of the gingival surface. Abscesses of the absed are acute bacterial infections [3] classified primarily by location.

Debridement Scaling and root planing Full mouth disinfection Full mouth ultrasonic debridement.

[Periodontal abscess: etiology, diagnosis and treatment].

Usually drainage occurs via the periodontal pocket, or else the infection may spread as a cellulitis or a purulent odontogenic infection. It presents as unusual fibrotic gingival enlargement of localized or generalized extent. Am J Hum Genet. Most anses the lesion is painless. Primary tuberculous osteomyelitis of the mandible. Abscesses of the Periodontium”. The diagnosis of these lesions is essential for their successful management and of the patient as a whole.


Localized, purulent infection within the tissues adjacent to the periodontal pocket that may lead to the destruction of periodontal ligament and alveolar bone. Pertinent management depends on precisely diagnosing the origin of enlargement. It is a type of dental abscess. It is normally associated with swelling of lips, bowel disorders, fever and ulcers. Amelogenesis imperfecta associated with dental follicular-like hamartomas and generalised gingival enlargement.

The diagnosis can be confirmed based on histopathology, complete blood count absds polymerase chain reaction[ 47 ]. Rutherfurd syndrome associated with Marfan syndrome. Apically positioned flap Bone graft Coronally positioned flap Crown lengthening Open flap debridement Gingival graft Gingivectomy Guided bone regeneration Guided tissue regeneration Enamel matrix derivative Implant placement Lateral pedicle graft Pocket reduction surgery Socket preservation Sinus lift Subepithelial connective tissue graft Tools Curette Membrane Probe Scaler.