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Diffuse gingival enlargement.

Pooja Khera1, Matthew J Zirwas, Joseph C English

  • 1Department of Dermatology, University of Pittsburgh, USA.

Journal of the American Academy of Dermatology
|March 12, 2005
PubMed
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Diffuse gingival enlargement, an overgrowth of gum tissue, has many causes from poor hygiene to systemic diseases. This review offers a diagnostic algorithm to guide clinicians in evaluating patients with this common condition.

Area of Science:

  • Dentistry
  • Periodontology
  • Oral Medicine

Background:

  • Diffuse gingival enlargement involves excessive growth of periodontal tissue, a condition reported in thousands of patients.
  • Patients present with symptoms like pain, speech/mastication difficulties, halitosis, or cosmetic concerns, or it's found incidentally.
  • Numerous etiologies exist, including poor hygiene, medications, systemic illnesses, genetic factors, physiological states, or idiopathic causes.

Purpose of the Study:

  • To conduct a systematic review of diffuse gingival enlargement.
  • To present a diagnostic algorithm for the work-up of patients with diffuse gingival enlargement.

Main Methods:

  • Systematic review of literature on diffuse gingival enlargement.
  • Development of a clinical diagnostic algorithm.

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Main Results:

  • Diffuse gingival enlargement has a wide range of potential causes.
  • A structured approach is necessary for effective diagnosis.
  • The proposed algorithm aids in systematically evaluating patients.

Conclusions:

  • Diffuse gingival enlargement necessitates a thorough diagnostic process due to its diverse origins.
  • The presented algorithm provides a practical framework for clinicians.
  • Effective management relies on accurate identification of the underlying cause.