gum diseaseWord格式文档下载.docx

gum diseaseWord格式文档下载.docx

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Acutegumpapillitis

Druggumhyperplasia

Thediseaseofgumfibrosis

Thegumdiseaseofleukemiaisdamaged

Acutemultiplegumsabscess

Lowgumtumour

Anecroticulcerativegumdisease

VitaminCdeficiencyofgingivitis

GingivitisGingivitisisonlyassociatedwithdentalplaque

BorderlineGingivitis

SimpleGingivitisSimpleGingivitis

A.nootherlocalstimulant

B.accompaniedbylocalstimulant

Prevalenceiswidespread

Theprevalenceofchildrenandadolescentsis70-90%

Pubertypeaks

Thecauseof

Plaque-initiatingfactor

Dentalrock,foodembedded,badrepairbody-localpromotionfactors

Clinicalpathology

Initiallesionwasinitiallesion

Time:

2-4days

Clinical:

canbehealthygums

Pathology:

vasodilation,gingivalsulcusfluid（GCF）,whitebloodcells（mainlyforthePMNs）bleedingfromthewalltothecombinationofepitheliumandgingivalsulcuszone,inflammatoryinfiltrationareaaccountsforabout5%oftheconnectivetissue

Earlylesionsearlylesion

4-7days

thegumsareredandswollen

angiogenesisexpands.Mainlylymphocyte（about75%）,andneutrophilsinfiltrate,inflammationis15%,collagenisdestroyed,whitebloodcellsdevourbacteria,epitheliumisstapled.

Establishanestablishedlesion

chronicguminflammation

thegumsareclearlyinflamed,redandswollen,andthebleedingofthegingivadeepens

plasmacells（Page&

Schroeder）,venousreturn,gumhypoxia,inflammationarealossofcollagen,leukocyteinfiltration,epithelialspikessignificantly,buttheepithelialattachmentpositionunchanged

orthodontia

Clinicalmanifestationsof

Thegum

pink

Theshapeisthinandthesurfaceofthetoothisalittlemorecolorful

It'

sdenseandresilient

Thechannelisnotmorethantwotothreemmdeep

Theattachmentofthepositionoftheboneinthebone

nosediagnosis

Darkred,redandred

Thegingivaisthickenedanddoesnotclingtothenipple

Thesoftandfragilenatureisinelastic

Thedepthofgingiviescanbeincreasedbymorethan3mmtoformapseudoperiodontalpouch

Theimportantobjectiveindicatorsofthediagnosisanddiagnosisofguminflammationwerediagnosed

uvioglya

Self-conscioussymptomsofbrushingandbitingarebleeding

Diagnosticlocalfactorsandclinicalmanifestations

Differentialdiagnosis:

Earlyperiodontitis:

attachmentloss,boneabsorptionofbone

Blooddisease

Necroticulcerativegumdisease

HIVrelatedgingivitis

VitaminCDeficiencyofGingivitisGingivitisinVitaminCDeficiency

Cause:

thelackofVitaminCthatgingivalconnectivetissueedema,hemorrhageandcollagendenaturation,causegumdefenseresponsesagainstnormalbacteriaisrestrained,accentuateinflammation,gingivalhyperplasia.

Clinicalmanifestation:

gingivium,darkred,soft,fragile,surfacelight,spontaneousorlightcontacthemorrhage,commonhavesurfacenecrosis,pseudofilmformation.

gumchronicinflammation,inflammationcellinfiltrates.Capillarydilation,extensivebleeding.Edema,diffuse,collagendegeneration,Collagenfibersandfibroblastsarerare.

Therapeuticprinciples

Removetheetiologicaloralhygieneguidelines（OHI）

Cleans（clearingplaqueandgum）

Correctplaqueretentionfactors（foodinlaid,badrepair,etc.）

Prognosisandrepossession

Timelytreatment-goodprognosis

Aftertreatmenttheplaquecontrolisnotgood-gingivitisrelapses

Untreated--gingitis--periodontitis

Prevention:

OralhygieneinstructionOHI,therightwaytobrushyourteeth,thoroughlycontroltheplaque

Regularperiodontalexamination

HyperplasticGingivitis

Andchronicgingivitis

Mouthbreathing

occlusion

Goodhairontheupperandlowerfrontteeth

Inflammatoryswelling（granulation）

Thegumsareredandsoftandbrightandeasytobleed

Papillaryglobulia

Substantialhypertrophy（fibretype）

Thegumbleedsreducethetextureandthetextureismoreelastic

Thepathological

Inflammatorygranulationtissue

Capillarydilationandcongestion

Alargenumberofinflammatorycellsinfiltrateandooze

Epithelium,connectivetissuehyperplasia

Largeamountsoffibroblastsandnewborncollagenbundles

Thediagnosis

Age,location,andtypicalperformance

Removealllocalstimulitocontrolplaque

Adjuvanttherapy

Surgicalgumoplasty

PregnancyGingivitis（PregnancyG