useful file contain list of most common causes of gingival swelling (enlargement)

1. Powerpoint Templates
Page 1
Powerpoint Templates
Gingival Swellings
Differential diagnosis
Amer Ali
College of dentistry, university of Kufa

2. Powerpoint Templates
Page 2
Infections
• Gingival abscess
• Periodontal abscess
• Pericoronal abscess
• Acute osteomyelitis
• Acute herpetic gingivostomatitis

3. Powerpoint Templates
Page 3
Infection
Gingival abscess

4. Powerpoint Templates
Page 4
infection
Periodontal abscess

5. Powerpoint Templates
Page 5
Infection
Pericoronal abscess

6. Powerpoint Templates
Page 6
Infection
Acute herpetic gingivostomatitis
Painful, enlarged, and
erythematous palatal gingiva
Painful, enlarged, and
erythematous facial gingiva.

7. Powerpoint Templates
Page 7
Cystic lesions
• Gingival cyst of the adult
• Eruption cyst
• Peripheral calcifying odontogenic cyst
• Glandular odontogenic cyst

8. Powerpoint Templates
Page 8
Cystic lesions
Eruption cyst

9. Powerpoint Templates
Page 9
Cystic lesions
Glandular odontogenic cystPeripheral calcifying odontogenic cyst

10. Powerpoint Templates
Page 10
Tumor like lesions
• Parulis (gum boil)
• Gingival epulis
• Pyogenic granuloma
• Peripheral ossifying fibroma
• Peripheral giant cell granuloma
• Wegener’s granulomatosis
• Focal mucinosis
• Mandibula tori
• Exostosis

11. Powerpoint Templates
Page 11
Tumor like lesions
Parulis

12. Powerpoint Templates
Page 12
Tumor like lesions
Gingival epulis

13. Powerpoint Templates
Page 13
Tumor like lesions
Pyogenic granuloma

14. Powerpoint Templates
Page 14
Tumor like lesions
Peripheral ossifying fibroma Peripheral giant cell granuloma

15. Powerpoint Templates
Page 15
Tumor like lesions
Wegener’s granulomatosis. Hemorrhagic and friable
gingiva (strawberry gingivitis).

16. Powerpoint Templates
Page 16
Tumor like lesions
Oral focal mucinosis. Nodular mass arising from the
gingiva between the mandibular first and second molars.

17. Powerpoint Templates
Page 17
Tumor like lesions
Torus mandibularis. Bilateral lobulated bony protuberances of
the mandibular lingual alveolar ridge.

18. Powerpoint Templates
Page 18
Developmental or congenital
• Intramucosal melanocytic nevus
• Congenital epulis
• Retrocuspid papilla

19. Powerpoint Templates
Page 19
Developmental or congenital
Congenital epulis

20. Powerpoint Templates
Page 20
Developmental or congenital
Intramucosal melanocytic nevus

21. Powerpoint Templates
Page 21
Developmental or congenital
Retrocuspid papilla

22. Powerpoint Templates
Page 22
Neoplastic - benign
• Papilloma
• Hemangioma
• Lymphangioma
• Peripheral ameloblstoma
• Peripheral odontogenic fibroma
• Granular cell myoblastoma
• Central Giant Cell Tumor

23. Powerpoint Templates
Page 23
Neoplastic - benign
Peripheral ameloblastoma. Sessile gingival mass

24. Powerpoint Templates
Page 24
Neoplastic - benign
Peripheral odontogenic fibroma. This sessile gingival
mass cannot be clinically distinguished from the
common peripheral ossifying fibroma.

25. Powerpoint Templates
Page 25
Neoplastic - benign
Bluish color of central giant cell tumor shows its
vascular nature

26. Powerpoint Templates
Page 26
Neoplastic - Malignant
• Squamous cell carcinoma
• Fibrosarcoma
• Reticular cell sarcoma
• Melanoma
• Malignant lymphoma
• HIV associated kaposi’s sarcoma
• Malignant hemangioendothelioma
• Metastatic tumors like metastatic melanoma

27. Powerpoint Templates
Page 27
Neoplastic - Malignant
Squamous cell carcinoma

28. Powerpoint Templates
Page 28
Neoplastic - Malignant
Metastatic melanoma. Pigmented nodule of the mandibular
gingiva

29. Powerpoint Templates
Page 29
Neoplastic - Malignant
HIV-associated Kaposi’s sarcoma (KS). Raised, dark-red enlargement
of the mandibular anterior facial gingiva on the left side.

30. Powerpoint Templates
Page 30
Others, leukemia
Leukemia, diffuse gingival enlargement

31. Powerpoint Templates
Page 31
Others, leukemia
Leukemia. Extensive hemorrhagic enlargement of the maxillary
and mandibular gingivae.

32. Powerpoint Templates
Page 32
Others, vitamin C deficiency
Scurvy. Hemorrhagic gingival enlargement (scorbutic
gingivitis) because of capillary fragility

33. Powerpoint Templates
Page 33
Others, drug related
Cyclosporine-related gingival hyperplasia. Diffuse,
erythematous, and fibrotic gingival hyperplasia.

34. Powerpoint Templates
Page 34
Others, drug related
Nifedipine-related gingival hyperplasia. Diffuse, fibrotic
gingival hyperplasia

35. Powerpoint Templates
Page 35
Others, drug related
Mild phenytoin-related
gingival hyperplasia.
Gingival enlargement
present predominantly in
the interdental papillae.
Phenytoin-related gingival
hyperplasia.
Significant erythematous
gingival hyperplasia is
covering portions of the
crowns of numerous teeth.

36. Powerpoint Templates
Page 36
Gingival fibromatosis
Gingival fibromatosis. Significant fibrotic gingival
hyperplasia with resultant delayed eruption of numerous
teeth.

37. Powerpoint Templates
Page 37
References
• Textbook of Oral medicine 2nd ed Anil
Govindrao Ghom
• Oral and Maxillofacial Pathology 3rd
edition
• Contemporary Oral and Maxillofacial
Surgery, Sixth Edition- Hupp, James R

38. Powerpoint Templates
Page 38
References