GINGIVA ENLARGEMENT OK KONDISI TERTENTU

3 Tipe:
a. Hormonal : kehamilan, pubertas
b. Nutrisi
: defisiensi vit C
c. Alergi

Ada juga GE ok kondisi tertentu yg tdk spesifik

Gingiva Enlargement karena Pubertas

Bisa terjadi pada pria/wanita

Ok hormonal=> peningkatan proporsi provotella intermedia, dan provotella nigrescens

Berhubungan dengan faktor lokal => biasanya muncul pd daerah yg tdp akumulasi plak

Terjadi pembesaran pd marginal dan interdental, disertai tonjolan membulat pd papila

interdental yg terlihat jelas

Lbh sering tjd ps fasial drpd lingual ok mekanisme aksi lidah dan pergerakan selama makan,
mencegah akumulasi iritan lokal pd lingual

Gejala klinis GE ok pubertas relatif sama dgn inflamasi gingiva kronis, namun yg
membedakan GE pubertas dgn GE inflamasi kronis adalah, pd GE pubertas bersifat
rekurent(berulang) walaupun deposit plak relatif sedikit.

Setelah masa pubertas GE akan menghilang dan harus diikuti pembersihan plak/kalkulus

Prevalensi dan keparahan penyakit periodontal meningkat pada masa pubertas

Inflamasi gingiva, berwarna merah, ,mengkilat, edema, enlargement iritan lokal

Masa mentruasi sering disertai perdarahangingiva, prevalensi gingivitis meningkat

Mobolitas gigi tidak berkaitan denga siklus menstruasi.

Bakteri saliva dilaporkan meningkat pada masa mentruasi

Enlargement In puberty
Enlargement terjadi selama masa pubertas baik perempuan maupun laki - laki dan terjadi pada
area iritasi lokal. Ukuran enlargement tergantung pada faktor lokal. Pada margin inter dental
terlihat bulbous. Sering hanya terjadi pada permukaan fasial jarang pada lingual. Setelah
melewati masa pubertas, enlargement perlahan berkurang, dan hilang sama sekali bila iritasi
lokal dihilangkan.

What is gingival enlargement?

Gingival enlargement simply means that there is an increase in the size of your gingival/gums.
What are the causes of gingival enlargement?
There are several reasons why your gums are enlarged.
1)

Inflammation

2)

Drug induced.

Certain drugs such as calcium channel blockers, anticonvulsant drugs can cause the enlargement
of your gums. Read here for more information on drug induced gingival enlargement.
http://www.intelligentdental.com/2012/01/01/drug-induced-gingival-enlargement/
3)

Systemic diseases such as leukemia, granulomatous disease and etc.

4)

Hormone induced.

5)

Neoplastic enlargement due to benign or malignant gingival tumors.

6)

False gingival enlargement.

Puberty and periodontal tissues

Puberty is the process of physical changes by which a childs body matures into
an adult body. There will be certain changes in your physical appearance and behavior.
Puberty occurs between the average ages of 11 to 14 in most women and around the age
of 13 in men. The two major sex hormones involved during puberty are testosterone in
males and estrogens in females. During puberty, periodontal tissues may have an
exaggerated(berlebihan) response to local factors such as plaque accumulation. Gingival
enlargement often occurs in areas where plaque and calculus are accumulated and this
occurs in both male and female. The size of gingival enlargement may reduce after
puberty but does not disappear until adequate plaque control is achieved.

Clinical features of gingival enlargement during puberty

Gingival enlargement often present in the interproximal area (between teeth) or the

marginal gingival (gum margins)

Gingival enlargement often affects the facial gingival (outer surface) and the lingual

surfaces (inner surface) are relatively unaffected.

Treatment for gingival enlargement (during puberty)

etc)

Good plaque control and removal of local factors (for example, over hanging restorations