Gingival enlargements: Differential diagnosis and review of literature
Identifieur interne : 005F31 ( Ncbi/Merge ); précédent : 005F30; suivant : 005F32Gingival enlargements: Differential diagnosis and review of literature
Auteurs : Amit Arvind AgrawalSource :
- World Journal of Clinical Cases : WJCC [ 2307-8960 ] ; 2015.
Abstract
Gingival enlargement is one of the frequent features of gingival diseases. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. They can be categorized based on their etiopathogenesis, location, size, extent,
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DOI: 10.12998/wjcc.v3.i9.779
PubMed: 26380825
PubMed Central: 4568527
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PMC:4568527Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Gingival enlargement is one of the frequent features of gingival diseases. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. They can be categorized based on their etiopathogenesis, location, size, extent, <italic>etc</italic>
. Based on the existing knowledge and clinical experience, a differential diagnosis can be formulated. Subsequently, after detailed investigation, clinician makes a final diagnosis or diagnosis of exclusion. A perfect diagnosis is critically important, since the management of these lesions and prevention of their recurrence is completely dependent on it. Furthermore, in some cases where gingival enlargement could be the primary sign of potentially lethal systemic diseases, a correct diagnosis of these enlargements could prove life saving for the patient or at least initiate early treatment and improve the quality of life. The purpose of this review article is to highlight significant findings of different types of gingival enlargement which would help clinician to differentiate between them. A detailed decision tree is also designed for the practitioners, which will help them arrive at a diagnosis in a systematic manner. There still could be some lesions which may present in an unusual manner and make the diagnosis challenging. By knowing the existence of common and rare presentations of gingival enlargement, one can keep a broad view when formulating a differential diagnosis of localized (isolated, discrete, regional) or generalized gingival enlargement.</p>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Clin Cases</journal-id>
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<journal-title-group><journal-title>World Journal of Clinical Cases : WJCC</journal-title>
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<issn pub-type="ppub">2307-8960</issn>
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<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-categories><subj-group subj-group-type="heading"><subject>Minireviews</subject>
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<title-group><article-title>Gingival enlargements: Differential diagnosis and review of literature</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Agrawal</surname>
<given-names>Amit Arvind</given-names>
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<aff>Amit Arvind Agrawal, Department of Periodontics, MGV’s KBH Dental college and hospital, Nashik, Maharashtra 422002, India</aff>
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<author-notes><fn><p>Author contributions: Agrawal AA solely wrote this paper.</p>
<p>Correspondence to: Dr. Amit Arvind Agrawal, MDS, MPhil, Professor, Department of Periodontics, MGV’s KBH Dental college and hospital, Mumbai-Agra road, Nashik, Maharashtra 422002, India. <email>agrodent@rediffmail.com</email>
</p>
<p>Telephone: +91-982-2107562 Fax: +91-253-2517354</p>
</fn>
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<pub-date pub-type="ppub"><day>16</day>
<month>9</month>
<year>2015</year>
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<pub-date pub-type="epub"><day>16</day>
<month>9</month>
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<volume>3</volume>
<issue>9</issue>
<fpage>779</fpage>
<lpage>788</lpage>
<history><date date-type="received"><day>1</day>
<month>2</month>
<year>2015</year>
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<date date-type="rev-recd"><day>8</day>
<month>6</month>
<year>2015</year>
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<date date-type="accepted"><day>29</day>
<month>7</month>
<year>2015</year>
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<permissions><copyright-statement>©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
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<abstract><p>Gingival enlargement is one of the frequent features of gingival diseases. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. They can be categorized based on their etiopathogenesis, location, size, extent, <italic>etc</italic>
. Based on the existing knowledge and clinical experience, a differential diagnosis can be formulated. Subsequently, after detailed investigation, clinician makes a final diagnosis or diagnosis of exclusion. A perfect diagnosis is critically important, since the management of these lesions and prevention of their recurrence is completely dependent on it. Furthermore, in some cases where gingival enlargement could be the primary sign of potentially lethal systemic diseases, a correct diagnosis of these enlargements could prove life saving for the patient or at least initiate early treatment and improve the quality of life. The purpose of this review article is to highlight significant findings of different types of gingival enlargement which would help clinician to differentiate between them. A detailed decision tree is also designed for the practitioners, which will help them arrive at a diagnosis in a systematic manner. There still could be some lesions which may present in an unusual manner and make the diagnosis challenging. By knowing the existence of common and rare presentations of gingival enlargement, one can keep a broad view when formulating a differential diagnosis of localized (isolated, discrete, regional) or generalized gingival enlargement.</p>
</abstract>
<kwd-group><kwd>Differential diagnosis</kwd>
<kwd>Gingival hyperplasia</kwd>
<kwd>Gingival overgrowth</kwd>
<kwd>Gingival diseases</kwd>
<kwd>Decision tree</kwd>
</kwd-group>
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