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Showing posts with label oral cavity. Show all posts
Showing posts with label oral cavity. Show all posts

Examination of gum

Healthy gum is pink in color, it is adherent closely to the necks of the teeth and have a sharp border.
Features to note are the following.

  • Gingival recession - Teeth appear longer and exposing the cementum with increasing age
  • Gingivitis - Swelling, redness and pain of gum are seen 
  • Pyorrhoea alveolaris - Recession of gingiva, presence of pus in the gingival margin or exudation  of pus on pressure, indicates periodontal sepsis
  • Stippled blue line of gum margin – Lead poisoning - Burtonian line
  • Red spongy swollen gum - Scurvy
  • Bleeding from gum - Gingivitis, scurvy, ITP, Acute leukemia
  • Acute herpetic gingivostomatitis – Herpes simplex virus - Small vesicles on gum, cheek and palate
  • Gum hypertrophy -The causes are drug induced –  Phenytoin, nifedipine, cyclosporin,Pregnancy, Scurvy,Acute leukemia - Monocytic,Gingivitis
  • Epulis - Swelling arising in the gum from the periosteum of maxilla or mandible.