primary herpetic gingivostomatitis

herpes simplex type 1 virus

redness

common in young kids and infants but may affect young adults

subclinical infections no symptoms

initial infection -painful ulcer-most people develop immunity after infection.-hsv-1 can remain latent causing oral herpetic lesions-(cold sore)

manifestations

fiery red marginal gingiva

swollen papillae that bleed easily

painful

yellowish ulcers surrounded by red halo

fever

swollen lymph nodes

dehydration

intraoral allergic reactions of the gingiva/mucosa

ingredients in toothpaste,mouthwash and chewing gum allergic reactions of the gingiva

most common in those with history of other allergies

tissue sloughing of mucosa

usually the results of flavour addictives in a product

common flavor additives known to cause reactions of the gingiva cinnamon and carvone

Erythema multiforme

disorder of the skin and mucous membranes

due to allergic reaction or infection

large symmetrical red blotches

blisters and ulcer on oral mucous membrane

crust formation on lower lip

oral lichen planus

skin ad mucous membranes

characterized by purplish itchy,swollen rash on skin

lacy white patches

cause unknown

can last many years

redness on gingiva

ulceration

raised white lesions

Epiludes

fibrous epulis

calcifying fibroblastic granuloma

pyogenic granuloma

peripheral giant cell granuloma

Neoplasms

premalignant

Leukoplakia

Erythroplakia

malignant

squamous cell carcinoma

Leukemia

Lymphoma

Endocrin, Nutritional, Metabolic disease

Vitamin C deficiency

Traumatic lesions

Physical/mechanical insults

Frictional keratosis

Toothbrushing induced gingival ulceration

factitious injury (self -harm)

chemical insults

Etching

Chlorhexidine

Acetylsalicylic acid(asprin)

Cocaine

Hydrogen peroxide

Dentifrice detergents

paraformaldehyde or calcium hydroxide

Chemical insults

burns

Gingival Pimentation

Melanoplakia

Smoker's melanosis

Drug induced pigmentation

Antimalarials

Minocycline

Amalgam tatoo

CHAPTER 6 PART 2