Deep red or dark red gums
Introduction
Introduction Hypertrophic gingivitis occurs in the labial gingiva of the upper and lower anterior teeth. Its main feature is that the gums are dark red or dark red, soft and bright, and easy to hemorrhage.
Cause
Cause
The cause of dark red or dark red gums
Due to the strong growth of tissues during adolescence, proliferative responses to local irritation, insufficient attention to oral hygiene habits, and endocrine changes have increased the sensitivity of gums to local irritation and are therefore susceptible to this disease.
(1) Any factor that can cause chronic blepharitis can cause this disease
For example, plaque, tartar, food impaction, adjacent sputum, poor prosthesis, orthodontic device.
(two) mouth breathing
Breathing may be caused by a poor ventilation caused by a nasal condition, or by a prominence of the upper jaw or a short upper lip. Long-term mouth breathing, due to the dryness of the gums and the tooth surface and the lack of saliva, the plaque is prone to accumulation and gingivitis occurs. The anterior labial gingiva is exposed to dry air and is constantly stimulated by airflow, resulting in a higher incidence of gum swelling.
(3) abnormal occlusion
If the teeth are not aligned, the anterior teeth are deeply covered, and the dislocations are crowded, etc., it is easy to cause the disease.
Examine
an examination
Related inspection
Oral endoscopic oral X-ray examination for prenatal oral examination
Gingham red or dark red check
The disease is characterized by inflammatory swelling of the gums in the early stage of the disease, called hypertrophic gingivitis. It occurs mostly in the labial gingiva of the upper and lower anterior teeth. Its main feature is that the gums are dark red or dark red, soft and bright, and easy to bleed. The gingival margin is hypertrophy, and the nipple is globular hyperplasia. It can even cover part of the tooth surface, so that the depth of the sulcus is more than 2mm, but the position of the combined epithelium is still at the bone boundary of the enamel, forming a sac or a periodontal pocket.
In patients with a longer course of disease, the degree of inflammation of the gums is reduced, the color is lighter or near normal, and bleeding from probing is also reduced. The nipple and the gingival margin are tough and substantial hypertrophy, and the texture is hard and elastic. At this time, the pathological changes were mainly the proliferation of gingival epithelium and connective tissue, and the inflammatory infiltration was limited, and there were a large number of fibroblasts and new collagen fiber bundles. It is called hyperplastic gingivitis. The X-ray film showed no alveolar bone resorption, or the periodontal ligament gap of the tooth neck could be widened.
Due to hypertrophy and hypertrophy of the gums, it loses its normal physiological shape, lacks self-cleaning effect, and tends to accumulate plaque and soft dirt in the neck of the tooth. The bacteria in the bag can breed, and there may be purulent secretions, such as pressing the surface of the bag. Overflow phenomenon. The symptoms are mild, with bleeding gums, bad breath or partial swelling and itching.
Diagnosis
Differential diagnosis
Symptoms of dark red or dark red gingiva
Black lines appear on the gums: most of them are lead, arsenic, mercury and other elements poisoning or other drugs, can be seen in various metal allergies caused by ordinary metal porcelain teeth such as nickel-chromium alloy, the black line of gums is the most common bad phenomenon. .
Gingival atrophy: Most adults have periodontal disease. Most periodontal diseases progress slowly. Most of them are gingivitis at the beginning. There are not many symptoms other than occasional brushing, so it is not noticeable. The development of gingivitis to a certain extent is periodontitis. At this time, severe oral odor can occur, the abscess is repeated in the periodontal period, the teeth are loose, the teeth are getting bigger and bigger, and the teeth are getting sparse. If the patient is seen at this stage, the doctor can control the deterioration of inflammation, but the damaged periodontal tissues (including gum atrophy) are irreversible and difficult to recover completely.
Itching of the gums: Exfoliative gingivitis is a syndrome that is often accompanied by oral moss or pemphigus. Self-diagnosis points The typical symptoms of pulpitis are bleeding gums and gingivitis.
According to the age of onset, location, typical gingival morphology and color texture, there are sputum bags, which is not difficult to diagnose.
