Velinda and Yelena


Gingival disease modified by systemic factors
Plaque induced gingival disease
Associated with endocrine system

puberty associated gingivitis pg 407/288
1. clinically- inflammation, bluish red discoloration, edema, and gingival enlargement. Bleeding in the interproximal areas.
2. What this type of gingival disease would look like radiographically- no changes radiographically.
3. Specific organism assoicated with the gingival disease- P gingivalis, B. forsythus
4. How would you diagnosis this- what would your differential diagnosis be? This gingivitis would be diagnosis by the age of the patient. Puberty gingivitis peaks at 11 to 13 years of age.

menstrual cycle-associated gingivitis pg 288
1. clinically- some patients may have bleeding gums or a bloated tense feeling in the gums a couple days after their menstrual cycle. Patients may have increased exudate during menstruation due to inflammation.
2. What this type of gingival disease would look like radiographically- no changes radiograpically.
3. Specific organism assoicated with the gingival disease- Salivary bacterial count is increased during menstruation and at ovulation up to 14 days earlier.
4. How would you diagnosis this- what would your differential diagnosis be? Correlating the relationships between when the patients menstrual dates and when they are having increased symptoms of gingivitis.

pregnancy associated
-gingivitis
-pyogenic granuloma
1. What this type of gingival disease would look like clinically- inflammed areas, tooth mobility, pocket depth, and gingival fluids are increased in pregnancy. Gingiva may become enlarged, edematous, and may have an increase in bleeding. The color of the gingiva varies from bright red to bluish red. The marginal gingiva may be edematous, pit on pressure, appear smooth and shiny, is soft and pliable, and sometimes presents a raspberry-like appearance.
2. What this type of gingival disease would look like radiographically-no changes radiograpically.
3. Specific organism assoicated with the gingival disease- during pregnancy the the flora becomes more anaerobic. The only microrganism that increses in pregnancy is P. intermedia which has been associated with the increase in estradiol and progesterone.
4. How would you diagnosis this- what would your differential diagnosis be? By correlating the patients pregnancy with the changes in their gingival health. If the patients sysmtoms of gingivitis increase when they become pregnant.

Diabetes mellitus- associated gingivitis pg287
1.clinically- erythematous.
2. What this type of gingival disease would look like radiographically- You would not start noticing Diabetes mellitus radiographically until the patients condition advanced to periodontisis where there could be radiographic evidence of bone loss.
3. Specific organism assoicated with the gingival disease- Capnocytophaga, anaerobic vibrios, and Actinomyces.
4. How would you diagnosis this- what would your differential diagnosis be? by reviewing the patients health history. If the patient has family members who were diagnosed with diabetes, and getting a blood glucose reading.

Associated with blood dyscrasias
1. What this type of gingival disease would look like clinically- the patient may have abnormal bleeding from their gingiva and other areas of their oral mucosa which could be difficult to manage the bleeding. Petechiae and ecchymosis are common in the soft palate and are common signs that a patient has a bleeding disorder. Patient’s with leukemia commonly have gingival enlargement, and ulcers on the palate. Patient’s with anemia commonly have a red, smooth, and shiny tongue, and pallor of the gingiva.
2. What this type of gingival disease would look like radiographically- no changes noted radiographically.
3. Specific organism assoicated with the gingival disease- none.
4. How would you diagnosis this- what would your differential diagnosis be? If a patient has signs and sysmtoms of a blood dyscrasia they should be referred to get a complete physical examination and a through hematologic study. If the patient has been diagnosis with a dyscrasias then oral signs will help you with the diagnosis.