Presentation
This handbook presents an interdisciplinary perspective of Attention Deficit Hyperactivity Disorder (ADHD). Educators and healthcare professionals can broaden their knowledge of the clinical and educational characteristics of students with ADHD. [books.google.com]
Cite this as: j can dent assoc 2014;80: e54 Spontaneous gingival hemorrhage A patient presents with copious gingival bleeding: Bleeding is prolonged and cannot be stopped with pressure Several such episodes have occurred recently without provocation Presentation [jcda.ca]
Presentation - a dental abscess presents with worsening pain (hours to days) which may radiate to the ipsilateral ear, jaw and neck. There may be a bad taste in the mouth, fever ± malaise and trismus (inability to open the mouth). [patient.info]
If any of the above symptoms are present, plus fever, sweats, chills, or face swelling, go to a hospital's emergency department. [emedicinehealth.com]
In a separate study presented at the same meeting, Italian researchers reported that tooth loss was associated with joint symptoms in a group of 366 first-degree relatives of people with RA, which put them at increased risk of RA themselves. [arthritis.org]
Entire Body System
- Fever
Systemic symptoms, including fever, chills, and malaise, may also occur. Dental caries or cavities are the result of decay in the enamel that subsequently causes tooth decay. [aafp.org]
[…] more severe than those of gum disease and can include: bleeding, painful gums painful ulcers receding gums in between your teeth bad breath a metallic taste in your mouth excess saliva in your mouth difficulty swallowing or talking a high temperature (fever [nhs.uk]
[…] the sufferer are: Pain – is constant, ranging from mild to moderate in severity, worse with pressure such as when chewing Bleeding – can occur spontaneously or with cleaning of the teeth or chewing Less commonly, the following may be noted: Low grade fever [dermnetnz.org]
学会等名 43rd Annual Meeting of Pediatric Society in Central Japan 発表場所 Nagoya 年月日 2007-09-02 説明 「研究成果報告書概要(欧文)」より 関連する報告書 [学会発表] The relationship between oral hygiene management and fever of the patients with severe motor and intellectual disabilities. 2006 [kaken.nii.ac.jp]
- Candidiasis
[…] palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus Oral mucosa – Lining of mouth Amalgam tattoo Angina bullosa haemorrhagica Behçet's disease Bohn's nodules Burning mouth syndrome Candidiasis [en.wikipedia.org]
[…] with minimal or no provocation ( Fig. 1 ) May present with any of the following: Submucosal and/or subcutaneous hemorrage (petechiae, ecchymoses, or hematoma) Hyperplasic gingival tissues, oral ulceration and oral infection (e.g., herpes simplex virus, candidiasis [jcda.ca]
HIV -positive patients commonly also have other conditions of the mouth associated with HIV such as oral hairy leukoplakia, oral candidiasis or oral Kaposi sarcoma. [dermnetnz.org]
The other common manifestations are oral ulceration, candidiasis and viral infection. [41] Figure 1: (a) A 12-year-old boy with aplastic anemia. Note the subconjunctival ecchymosis. (b) The same patient as in Figure 1a. [ijdr.in]
- Lymphadenopathy
They cause pain, inf lammation, purulent drainage, lymphadenopathy, and facial edema. Systemic symptoms, including fever, chills, and malaise, may also occur. [aafp.org]
[…] ecchymoses, or hematoma) Hyperplasic gingival tissues, oral ulceration and oral infection (e.g., herpes simplex virus, candidiasis) Swollen joints (hemarthrosis) Signs of an underlying systemic disease (e.g., jaundice, spider angiomas, ascites, pallor, lymphadenopathy [jcda.ca]
Consider antibiotics only in the absence of immediate attention by a dental practitioner and if: The infection appears to be severe (fever, lymphadenopathy, cellulitis, diffuse swelling). [patient.info]
- Malaise
Systemic symptoms, including fever, chills, and malaise, may also occur. Dental caries or cavities are the result of decay in the enamel that subsequently causes tooth decay. [aafp.org]
It predominantly (but not exclusively) affects toddlers and young children and is characterised by an acute onset of fever, malaise, pain and ulceration of both gingiva and oral mucosa. [patient.info]
- Pallor
[…] petechiae, ecchymoses, or hematoma) Hyperplasic gingival tissues, oral ulceration and oral infection (e.g., herpes simplex virus, candidiasis) Swollen joints (hemarthrosis) Signs of an underlying systemic disease (e.g., jaundice, spider angiomas, ascites, pallor [jcda.ca]
Iron deficiency anemia Iron deficiency anemia is the most common hematological disorder. [2] It may manifest in the orofacial region as atrophic glossitis, mucosal pallor and angular cheilitis. [ijdr.in]
Jaw & Teeth
- Bleeding Gums
What Do Bleeding Gums Mean Bleeding gums are caused by inadequate plaque removal. Plaque contains germs which attack the healthy tissue around the teeth. [bleedinggums.com]
Bleeding gums will go away on their own without treatment – FICTION Tina said: “If you have bleeding gums, or any other signs of gum disease including bad breath or swollen and receding gums, then they shouldn’t be ignored. [express.co.uk]
Bleeding gums are normally the very first sign for periodontitis. The gum turns dark red (instead of the pale pink in healthy condition). [dental-planet.eu]
It is common at this stage to experience bleeding gums when brushing your teeth. Other signs include red, inflamed, or puffy gums without bleeding, receding gums, and changes in your bite. [therabreath.com]
Without treatment, gum disease undermines both the look and health of your smile. Professional periodontal care not only eliminates pain and bleeding gums, but also prevents the need for more expensive treatment. [docshop.com]
- Halitosis
Few things are more off-putting in social relationships than bad breath (halitosis). It is fairly common for people suffering from bad breath to not even realize they have a problem. [therabreath.com]
Symptoms of periodontitis can include: bad breath (halitosis) an unpleasant taste in your mouth loose teeth that can make eating difficult gum abscesses (collections of pus that develop under your gums or teeth) Acute necrotising ulcerative gingivitis [nhs.uk]
Symptoms and signs include: Severe deep pain – main symptom Spontaneous bleeding – usual Halitosis (bad breath) – usual Multiple sites of gum necrosis - usual Loss of alveolar bone – usual Pseudomembrane formation – very common Lymph gland enlargement [dermnetnz.org]
However, the following symptoms may not always indicate a serious problem: Swollen gums with a red tinge Bleeding gums Halitosis or bad breath Loose and sensitive teeth Gums recede, resulting in the teeth appearing longer Problems experienced while chewing [izunpharma.com]
Signs and symptoms of gingivitis might include: bright red or purple gums tender gums that may be painful to the touch bleeding from the gums when brushing or flossing halitosis, or bad breath inflammation, or swollen gums receding gums soft gums Diagnosis [medicalnewstoday.com]
- Gingival Overgrowth
Age No age predilection exists for the onset of drug-induced gingival overgrowth; however, phenytoin-induced gingival overgrowth appears to be more frequent in young patients with epilepsy. [emedicine.medscape.com]
Conditions with usually generalized or localized gingival involvement: Generalized Hyperplastic gingivitis Mouth-breathing gingivitis Drug-induced gingival overgrowth Gingival overgrowth in pregnancy Gingival overgrowth due to leukemia Hereditary gingival [periobasics.com]
[…] trait that is low in incidence resulting in gingival overgrowth due to excessive collagen production in the gingival corium. [ebmconsult.com]
学会等名 The 23rd Annual Meeting of the Japanese Society for Disability and Oral Health 発表場所 Sendai 年月日 2006-10-20 説明 「研究成果報告書概要(欧文)」より 関連する報告書 [学会発表] Fine structure of phenytoin-induced gingival overgrowth. 2005 著者名/発表者名 Ito, M., Oka, Y., Hiraoka, T., Okamoto [kaken.nii.ac.jp]
Steroid use promotes gingival overgrowth, which makes swelling more commonplace and allows bacteria to colonize more readily in the gum tissue. [hueydental.com]
- Gingival Hypertrophy
Some patients with Crohn disease have a cobblestone area of granulomatous gingival hypertrophy when intestinal flare-ups occur. [merckmanuals.com]
The drug-induced gingival overgrowth was previously termed as gingival hypertrophy or gingival hyperplasia by finding an increased number of fibroblasts in gingival connective tissue with histological analysis 176-177. [periobasics.com]
- Oral Bleeding
Dental extractions in patients with bleeding disorders. Oral Surg Oral Med Oral Pathol 1993;75:280-2. 57. Sonis AL, Musselman RJ. Oral bleeding in classic haemophilia. Oral Surg Oral Med Oral Pathol 1982;53:363-6. 58. [ijdr.in]
Skin
- Ulcer
[…] itis, inflammation] gingivitis /gin·gi·vi·tis/ ( -vi´tis ) inflammation of the gingiva. acute necrotizing ulcerative gingivitis (ANUG), acute ulcerative gingivitis, acute ulceromembranous gingivitis necrotizing ulcerative g. atrophic senile gingivitis [medical-dictionary.thefreedictionary.com]
In rare cases, a condition called acute necrotising ulcerative gingivitis (ANUG) can develop suddenly. [nhs.uk]
There are three major forms: Necrotising (ulcerative) gingivitis – affects only the gums Necrotising (ulcerative) periodontitis – involves loss of the specialised tissue that surrounds and attaches the teeth Necrotising stomatitis – in which more extensive [dermnetnz.org]
Squamous cell carcinoma Verrucous carcinoma Oral florid papillomatosis Oral melanosis Smoker's melanosis Pemphigoid Benign mucous membrane Pemphigus Plasmoacanthoma Stomatitis Aphthous Denture-related Herpetic Smokeless tobacco keratosis Submucous fibrosis Ulceration [en.wikipedia.org]
- Eruptions
[…] tobacco keratosis Submucous fibrosis Ulceration Riga–Fede disease Verruca vulgaris Verruciform xanthoma White sponge nevus Teeth ( pulp, dentin, enamel ) Amelogenesis imperfecta Ankylosis Anodontia Caries Early childhood caries Concrescence Failure of eruption [en.wikipedia.org]
ومصطلحات مألوفة acid agents anaesthesia appliance arch behaviour management buccal calcium hydroxide canines cavity child Classify clinical Contraindications crossbite deciduous teeth Define dental caries dental treatment dentition disease effective eruption [books.google.com]
The gingival flap disappears when the tooth is fully erupted. Many wisdom teeth do not erupt and are termed impacted. During menopause, a desquamative gingivitis may occur. It is characterized by deep red, painful gingival tissue that bleeds easily. [merckmanuals.com]
Older term: gingivosis. gingivitis, eruptive n the gingival inflammation occurring at the time of eruption of the primary or permanent teeth. gingivitis, fusospirochetal, n See gingivitis, necrotizing ulcerative. gingivitis gravidarum, n See gingivitis [medical-dictionary.thefreedictionary.com]
The onset of gingival overgrowth is usually along with the eruption of permanent incisors but in some cases, it starts with the eruption of primary dentition. [periobasics.com]
Musculoskeletal
- Osteoporosis
Diabetes and underlying medical issues – Many medical conditions can intensify or accelerate the onset and progression of gum disease including respiratory disease, heart disease, arthritis and osteoporosis. [hueydental.com]
The decline in estrogen that occurs with menopause also puts women at greater risk for bone loss or osteoporosis and inflammation of the tissues surrounding the teeth (called periodontitis). [my.clevelandclinic.org]
Gum disease is also associated with the development of osteoporosis, and this topic is addressed in the section on Menopause and Gum Disease. [good-gums.com]
Workup
Microbiology
- Candida
[…] periodontal disease involves a mixture of many different microorganisms, most of which are found in the normal oral cavity: bacteria – especially spirochaetes and fusiform bacilli viruses – including cytomegalovirus and herpes viruses fungi/yeasts – such as candida [dermnetnz.org]
[…] painful fissures at the corners of the mouth) and cheilosis (dry scaling of the lips and corners of the mouth) are also common findings associated with iron deficiency anemia. [1] Angular cheilitis, however, is often associated with fungal infections (Candida [ijdr.in]
Treatment
So what happens if you don't get the treatment you need ? Your Health - and Your Money - Are at Stake Professional treatment is the only reliable solution to eliminate gum disease. [docshop.com]
Treatment: The treatments for aggressive periodontal disease are the same as those for chronic periodontal disease, but aggressive periodontal disease sufferers are far more likely to require a surgical intervention. [jmschmidtdmd.com]
Periodontists are experts in the diagnosis and treatment of gum disease and may provide you with treatment options that are not offered by your dentist. Back to top Treatment The main goal of treatment is to control the infection. [nidcr.nih.gov]
Once we've approved your claim, you'll get the private treatment you need. 3 And we’ll pay for treatment After you've been treated, send us your invoices. [aviva.co.uk]
What Does Treatment Cost? Gum disease treatment costs may be as little as $500, or as much as $10,000, depending on the severity of the disease. [yourdentistryguide.com]
Prognosis
Diagnosis and treatment Diagnosis and treatment of periodontitis in its early stages will significantly enhance the prognosis for the dentition. [implantdentist.co.nz]
The worst prognosis was for those with the fewest teeth. [arthritis.org]
The prognosis is better if patients maintain regular oral hygiene and plaque control. [emedicine.medscape.com]
Prognosis - if left untreated, it can spread to involve all the gingiva and spread into the bone, forming intraosseous craters (necrotising ulcerative periodontitis). [patient.info]
The prognosis is best when treatment is obtained in early stages of gingivitis. At this stage, the affected person usually just needs a professional dental cleaning and more thorough brushing and flossing to reverse the disease. [medicinenet.com]
Etiology
[…] patients on phenytoin, cyclosporine, and/or calcium antagonists develop gingival overgrowth, identifying patients at risk is important in order to take all the necessary measures to minimize the onset and severity of this condition. [17] Currently, the etiology [emedicine.medscape.com]
The etiology is uncertain, but many authorities believe it is caused by a bacterial complex in the presence of predisposing factors such as preexisting gingival disease, smoking, severe stress, radical changes in eating or sleeping patterns, or nutritional [medical-dictionary.thefreedictionary.com]
Three categories of plasma cell gingivitis have been proposed based on the etiology of the condition 136. [periobasics.com]
Migratory glossitis, also known as geographic tongue, is a condition of unknown etiology that affects 12% of the population. [1] It results in lesions on the tongue that are erythematous, non-indurate, atrophic and bordered by a slightly elevated, distinct [ijdr.in]
Epidemiology
International No incidence or prevalence epidemiologic data is available on gingival overgrowth worldwide. [emedicine.medscape.com]
Epidemiological investigation of the prevalence of von Willebrand's disease. Blood 1987;692:454-9. 53. Miller CH, Graham JB, Goldin LR, Elston RC. Genetics of classic von Willebrand's disease: I. Phenotypic variation within families. [ijdr.in]
Pathophysiology
Pathophysiology : A hematological disorder that results in excessive and disordered proliferation of neoplastic hematopoietic stem cells that infiltrate tissues and organs, one of which is the gingiva. [ebmconsult.com]
However, the status of oral health prior to onset of gingival overgrowth combined with the medication are both clearly involved in the onset of drug-induced gingival hyperplasia. [22, 23, 24] Pathophysiology Several studies have shown that the interaction [emedicine.medscape.com]
Their pathophysiology and management are different but, in the context of primary care, they can be treated as the same entity. [patient.info]
Prevention
Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2018 Mar 22]. [cdc.gov]
Periodontal Disease The simple way to help prevent gum disease Gum disease is caused when bacteria (plaque) are not removed by daily brushing and flossing, luckily it’s preventable. [colgate.com]
Role as an Antioxidant Vitamin E is also an antioxidant; it prevents the activity of harmful free radicals, which oxidize and damage your tissues. [dynamicdentalinc.com]
Preventing periodontal disease is critical in preserving the natural dentition. Addressing the causes of gum disease and discussing them with your dentist will help prevent the onset, progression, and recurrence of periodontal disease. [hueydental.com]
Prevention Tips The best advice is to follow good oral hygiene to prevent problematic gums. If you already have issues with your gums, it is even more crucial to improve your oral hygiene. [therabreath.com]