Elle and Elina

What do these look like clinically, radiographically, and how would it be diagnosed.
-Plaque-Induced Gingival Disease
-Gingival disease modified by medications
-Drug Influenced Gingival Diseases:

  • Drug-influenced gingival enlargements
-Clinically: Enlargement is generalized through the mouth but more severe in the maxillary and mandibular anterior areas. The appearance is bead-like enlargement of the interdental papillae, which extend to the facial/lingual margins. No stippling is present and gingival margins are rounded. As condition progresses, marginal and papillary enlargements unite and may become massive tissue folds which cover large portions of the crowns of the teeth. If no inflammation is present, the gingiva appears mulberry shaped, firm pale pink, and resilient. The enlargement makes plaque difficult to control and therefore causes secondary inflammation which then appears as bluish-red discoloration, destroyed lobulated demarcations, and bleeding.
-Radiographically: Cannot be detected through radiographs.
-Diagnosis/Differential Diagnosis: Diagnosed by determining the type of medications the patient is taking. Differential diagnosis is gingival hyperplasia, leukemia
  • Drug-influenced gingivitis/Oral contraceptives-associated gingivitis
-Clinically: Inflammation and enlargement of the gingiva throughout, increased crevicular fluid, erythematous tissue may be present with bleeding.
-Radiographically: Cannot be detected through radiographs.
-Diagnosis/Differential Diagnosis: Diagnosed through determining if the patient is taking oral contraceptives. Differential diagnosis is pregnancy gingivitis.