Etiology and diagnosis of gingival bleeding points |
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Cause:
Bleeding gums is not a disease but a symptom common to many diseases and many systemic diseases can cause bleeding gums, such as blood diseases, AIDS and so on, but more important is caused by gingivitis. Chronic periodontal inflammation, such as puberty gingivitis, pregnancy gingivitis, acute necrotizing ulcerative gingivitis, drug-induced gingival hyperplasia, gingival fibroma and so on.
Diagnosis:
1 of chronic periodontal inflammation in patients with symptoms was not obvious, occasionally itchy gums, swollen feeling, no other discomfort. When the gums by the mechanical stimulation, such as brushing teeth, sucking, chewing food, can cause bleeding gums. Gingivitis heavier occasionally occur during sleep in patients with spontaneous bleeding, due to inflammatory stimulation, so that vascular dilation, congestion, causing gingival swelling, smooth, shiny, point color disappeared into a dark red or purple gums, and formed a red line around the lesion area of the teeth, neck, soft texture, loss of flexibility, easy to touch the bleeding, gingival sulcus gingival margin may be due to edema, which will widen into a gingival pocket.
2 puberty gingivitis refers to occurred in the adolescent with chronic non-specific gingivitis, good fat lip on the anterior side of the interdental papilla and gingival margin, lingual less frequent labial gingival margin and interdental papilla obvious swelling, nipple Changcheng spherical protruding gingival color dull red or bright red, bright, soft texture to enhance the formation of gingival sulcus bag, but no change in ttachment level, bleeding on probing easy.
3 pregnancy gingivitis before pregnancy that is usually in patients with varying degrees of periodontal inflammation, from 2 to 3 months of pregnancy, began to appear obvious symptoms until 8 months and reached its peak, and progesterone levels and blood consistent 2 months after birth gingivitis can be restored to the level before pregnancy. Pregnancy gingivitis can occur in a small number of teeth or full mouth gum, teeth area before everything else, gingival margin and gingival nipple was bright red, or cyanosis, soft and bright, marked inflammatory swelling, hypertrophy, there is gingival pocket formation, light detection that is easy bleeding, the patient sucking or eating that is easy bleeding, and often complained of symptoms during treatment.
4 pregnancy epulis occur in a single tooth of the interdental papilla, before the teeth, especially the mandibular anterior labial papilla more see, generally occurs in pregnancy, 4 to 6 months, rapid increase, bright red or dark purple color , texture soft, smooth and easy to bleeding, tumor often Chengbian round of expansion to nearly COSCO to extend it, and some cases showed a small lobulated, pedunculated or sessile, the general diameter of less than 2cm, but severe cases can be hampered due to the consumption of large tumor or bite infections, patients often due to bleeding and obstruction of feeding and treatment.
5 acute necrotizing ulcerative gingivitis begins abruptly, mainly for the gingival papilla and gingival margin of necrosis, before the teeth more common, starting with gingival papillary edema and congestion, in particular the top of the interdental papilla necrosis ulcer overlying there are dirty gray necrotic material, removal of necrotic material, the visible buccal interdental papilla, lingual surviving, while the Central fiery Yamaguchi-like lesion vulnerable to bleeding, or even spontaneous bleeding, early morning, when there is blood on the pillow imprint, blood in the mouth. Due to tissue necrosis, with special odor of corruption. Lesion apparent pain in the area or have a sense of wood swelling and patients in general no obvious systemic symptoms, in serious cases there are low-grade fever, fatigue and so on. Submandibular lymph node swelling, tenderness.
6 There are many other diseases can cause bleeding gums, such as acute gingival papillitis, acute multiple gingival abscess, drug-induced gingival hyperplasia, gingival fibroma, leukemia, gum disease and other damage.
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