What are the other causes of gingival enlargement

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-what are the other causes of gingival enlargement ? a)inflammatory (acute or chronic) B)Hormonal ,puberty + pregnancy (endocrine ya3ni) c)Nutritional (Vitc def) d)plasma cell gingivitis e)leukemia f)wegners granuloma g)sarcoidosis h)idiopathic gingival enlargement -what investigations are you going to carry out? -CBC ,- Biopsy -serum alkaline phosphatase ,-serum angiotensin converting enzyme What is your rx? 1.treat the underlining condition 2.plaaque control and OHI 3.remove irritating factors 4.scaling and root planning 5.Gingivoectomy
Dr.Khalil Raziq Dr.Khalil Raziq Dr.khalil Raziq 2.OPG showing 2 implants near to each other and close to sinus ? -what defect u see in Xray? -the pt complain of pain ,halitosis what is the cause? (Peri-implantitis ) -what is your rx ? Therefore, adjunctive peri-implant therapies, such as antibiotics, antiseptics, and ultrasonic and laser treatments, have been proposed to improve the non- surgical treatment options of peri-implant mucositis and peri-implantitis. Regenerative procedures using a bone graft substitute in combination with a membrane have been proposed to treat bone defects in advanced cases of peri- implantitis. If there is advanced bone loss and the implant cannot be saved, it has to be removed. If a decision has been made to remove the implant, explantation trephines are available to suit the implant system concerned. It should be noted that these trephines have an external diameter of up to 1.5 mm greater than the diameter of the implant to be removed. Thus, explantation may be associated with significant bone removal including buccal or lingual bone cortices, and damage to adjacent natural teeth where the inter-radicular space is limited. An alternative approach is to allow progressive bone loss from peri- implantitis to occur, resulting in sufficient bone loss to allow for the removal of the implant with extraction forceps. Implants may be removed by forceps when there is less than 3 to 4 mm of residual bone support . Dent Res J (Isfahan). 2012 Sep-Oct; 9(5): 516 521. PMCID: PMC3612185Management of peri- implantitis
Dr.Khalil Raziq Dr.Khalil Raziq Dr.khalil Raziq 3.WHO probe ? Asking about different marks : 1 mark A=3.5mm Mark B=5.5 What is the BPE score ?
Dr.Khalil Raziq Dr.Khalil Raziq Dr.khalil Raziq The score was 4 what rx u propose ? Scaling and root planning &/or flap as required 4 -ANUG picture +rx + predisposing factors ? Is characterized by painful ulcerated ,necrotic papillae and gingival margins which leave punched out appearance .the ulcers are covered by a yellowish grey slough ,pt often complain of a metallic taste and separation of teeth and feotid oris . interproximal craters develop and there is loss of crestal bone . bone sequestra may develop . regional lymphadenitis ,fever and malaise . Its associated with poor oral hygiene ,but stress and smoking are co-factors Boriella vincenti and fusobacterium fusiforms are detected Initial rx?

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