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Gingivitis hyperplasticaK05.1
Synonym(s)
fibrous lens; Gingival hyperplasia; Gingival hyperplasia fibrous; gingivitis hypertrophicans
DefinitionThis section has been translated automatically.
Primary inflammatory or primary non-inflammatory periodontopathy due to significant proliferation of collagenous connective tissue with sometimes excessive thickening of the marginal and interdental gingiva with different aetiology. The former term " macular" may have been used synonymously with gingivitis hyperplastica!
ClassificationThis section has been translated automatically.
A distinction is made according to chert:
- Primary inflammatory hyperplastic gingivitis
- Primary (non-inflammatory) hyperplastic gingivitis (fibrous gingival hyperplasia).
EtiopathogenesisThis section has been translated automatically.
- Different triggers!
- Primary inflammatory hyerplastic gingivitis is caused by local or general irritation factors (poor oral hygiene, tartar, accumulation of bacterial plaques)
- In primary (non-inflammatory) hyperplastic gingivitis, the most frequent triggering is through medication e.g. diphenylhydantoin, ciclosporin A, nifedipine (see calcium antagonists). Idiopathic gingival hyperplasia is described as fibromatosis gingivae.
Clinical featuresThis section has been translated automatically.
- Primary inflammatory gingival hyperplasia: Clear signs of inflammation of the gingiva with spongy, dark red swelling of the marginal and interdental gingiva, which leads to a significant distension of the interdental papillae.
- Primary hyperplastic gingival hyperplasia: Primary low inflammatory, rather gelatinous swelling of the marginal and interdental gingiva, especially in the frontal parts. Increased vulnerability of the gingiva can lead to secondary inflammatory superimposition. Frequently occurring as a side effect of medication, more rarely in neurological brain stem syndromes or idiopathic (see below gingival hyperplasia).
TherapyThis section has been translated automatically.
If possible treatment of the underlying disease. Discontinuation or conversion of the triggering medication. If necessary, partial gingivectomy.
LiteratureThis section has been translated automatically.
- Hornstein OP (1996) Diseases of the mouth. Kohlhammer, Stuttgart Berlin Cologne, S. 578-579