MindMap Gallery Oral cavity - gum swelling and pain mind map
This is a mind map about oral cavity and gum swelling and pain, differential diagnosis of periodontal disease, and gum swelling and pain, including those without a history of systemic diseases and those with a history of systemic diseases.
Edited at 2023-11-15 23:52:59El cáncer de pulmón es un tumor maligno que se origina en la mucosa bronquial o las glándulas de los pulmones. Es uno de los tumores malignos con mayor morbilidad y mortalidad y mayor amenaza para la salud y la vida humana.
La diabetes es una enfermedad crónica con hiperglucemia como signo principal. Es causada principalmente por una disminución en la secreción de insulina causada por una disfunción de las células de los islotes pancreáticos, o porque el cuerpo es insensible a la acción de la insulina (es decir, resistencia a la insulina), o ambas cosas. la glucosa en la sangre es ineficaz para ser utilizada y almacenada.
El sistema digestivo es uno de los nueve sistemas principales del cuerpo humano y es el principal responsable de la ingesta, digestión, absorción y excreción de los alimentos. Consta de dos partes principales: el tracto digestivo y las glándulas digestivas.
El cáncer de pulmón es un tumor maligno que se origina en la mucosa bronquial o las glándulas de los pulmones. Es uno de los tumores malignos con mayor morbilidad y mortalidad y mayor amenaza para la salud y la vida humana.
La diabetes es una enfermedad crónica con hiperglucemia como signo principal. Es causada principalmente por una disminución en la secreción de insulina causada por una disfunción de las células de los islotes pancreáticos, o porque el cuerpo es insensible a la acción de la insulina (es decir, resistencia a la insulina), o ambas cosas. la glucosa en la sangre es ineficaz para ser utilizada y almacenada.
El sistema digestivo es uno de los nueve sistemas principales del cuerpo humano y es el principal responsable de la ingesta, digestión, absorción y excreción de los alimentos. Consta de dos partes principales: el tracto digestivo y las glándulas digestivas.
Swollen gums
No history of systemic diseases
Detect periodontal pockets
chronic periodontitis
Crowd: no special, mostly over 35 years old Inspection: bright red or dark red, edema and softness Probing: Bleeding on probing, pus overflow may be present, subgingival calculus may be detected, PD increases, CAL is present, and in severe cases, bifurcation lesions may occur. Loose diagnosis: There may be loose teeth Imaging: X-ray shows horizontal or vertical alveolar bone absorption.
localized aggressive periodontitis
Crowd: Generally common around puberty, more females Medical history: Usually the medical history is short and progresses quickly. There may be familial clustering. If it occurs in the front teeth, the patient may complain of loosening and enlarging the interdental space. The posterior teeth may complain of food impaction, loosening, chewing weakness, etc. Inspection: The amount of calculus and gingival redness and swelling are relatively mild. If it occurs in the front teeth, the gap can be widened and the distal tilt can be seen. Probing: BOP, deep PD and CAL Loose diagnosis: there is looseness Imaging: X-ray shows vertical bone resorption, mesial and distal resorption, and arc-shaped resorption.
Extensive aggressive periodontitis
Crowd: Common under 30 years old Medical history: Rapid progression, short medical history, involving almost all the teeth in the mouth Inspection: There is less plaque and calculus, the gums are bright red, and the gingival margin may or may not be enlarged. Probing: BOP, there may be pus, PD and CAL Loose diagnosis: there is looseness Imaging: Obvious bone resorption can be seen in early wing films and X-rays
Probing for periodontal pockets
The main complaint is swelling
chronic gingivitis
Crowd: Commonly seen in children and adolescents Medical history: Self-reported bleeding after brushing teeth or biting hard objects. There may be gum discomfort, but no spontaneous bleeding. There may be medical history of food impaction, bad restorations, mouth breathing, etc. Inspection: the free gingiva and gingival papilla appear bright red or dark red, the gingival papilla becomes rounded, blunt and enlarged, and the gingival margin becomes thickened. Probing: BOP, enlarged PD, no CAL, soft and fragile gums Imaging: No obvious alveolar bone resorption
adolescent gingivitis
Crowd: Common in adolescents Medical history: bleeding gums, bleeding from biting hard objects, bad breath Inspection: The gums on the labial side are obviously swollen, bright red or dark red, the gingival papilla is a ball-shaped protrusion, there is less local plaque and calculus, and the degree of gum swelling is more obvious than that of chronic gingivitis. Probing: BOP, increased PD, no CAL, soft gum texture Percussion, loose examination, imaging:-
pregnancy gingivitis
Population: Pregnant and postpartum women. Pregnant women are more common and have a higher incidence rate. Medical history: Bleeding while eating or sucking begins 2 to 3 months after pregnancy, with or without pain. Inspection: The gingival margin and gingival papilla are bright red or dark red, swollen, enlarged and shiny. In severe cases, gingival margin ulcers and pseudomembrane may occur. Probing: BOP, PD enlargement, no CAL Percussion, loose examination, imaging:-
Drug-induced gingival hypertrophy
Crowd: no special Medical history: Long-term medication history such as anti-epileptic drugs, immunosuppressants or calcium channel blockers, most of which are pain-free Inspection: Characterized by gingival hypertrophy and hyperplasia, the color is dark red or purple, and the hyperplasia can be in the shape of mulberry or lobes. Probing: BOP Palpation: soft texture
gingival fibromatosis
Crowd: no special Medical history: There may be a family history, and the gums may gradually enlarge, which may affect eating. Inspection: gingival hyperplasia was evident, involving the whole mouth attached gingiva and free gingiva, with the most serious condition on the palatal side of the maxillary posterior teeth. Probing: BOP- Palpation: Tough texture, smooth surface Loose examination, percussion, imaging:-
Gingivoma
Crowd: It can be seen in people with poor oral hygiene, pregnant women, and is more common in young and middle-aged women. Inspection: Obvious lumps can be seen on the gums, and there may be ulcers, bleeding and infection. Probing, loose examination, and imaging: Elderly patients with medical history may have periodontal pockets and loose teeth, and alveolar bone absorption may be seen on X-ray.
Malignant tumors of the gums
Medical history: Gum swelling progresses rapidly, and there may be obvious gum pain. Inspection: The gums are swollen, and there may be bleeding and ulcers. Probing: BOP, no PD enlargement, no CAL Special: Pathological biopsy can confirm the diagnosis
Gum disease caused by specific bacteria
Neisseria gonorrhoeae
Medical history: history of sexual intercourse, history of unclean sexual intercourse, etc., and may have gum pain Inspection: mucous membrane ulcers are red, gums are swollen, painful and bleeding. Percussion, probing, loose examination, imaging:- Special: Bacteriological culture shows Neisseria gonorrhoeae
Gingival manifestations of fungal infection
oral candidiasis infection
Medical history: After catching cold, low immunity Inspection: gums and mucous membranes are red and swollen; there may be atrophy of the lingual papilla and white pseudomembrane; Probing: The white false membrane can be wiped off Loose examination, percussion, imaging:- Special: Fungal culture positive
traumatic lesions
Medical History: History of chemical, mechanical, thermal injuries Inspection: The gums are congested, red and swollen. If there are wounds, there may be ulcers caused by secondary infection. Palpation, loose examination, percussion, imaging:-
spiritual factors
Medical history: The patient has a history of long-term stress, depression, anxiety, mania, staying up late or lack of sleep Inspection: The gums are red and swollen, and there may be bleeding. Probing: BOP, may be tender Loose examination, percussion, imaging: no special
Oral submucosal fibrosis
Population: It occurs mostly in Hunan, Hainan, Taiwan and other regions in my country. Medical history: There may be a history of betel nut chewing, stimulating food or alcohol intake, and the patient may complain of burning pain in the mucous membrane, dry mouth, loss of taste, numbness of the lips and tongue, mucosal blisters, ulcers, etc., or even limited mouth opening and difficulty swallowing. Inspection: The oral mucosa is white, accompanied by leather-like texture changes, and the oral anatomical structures may be atrophied, such as shortening of the soft palate, shortening of the lingual frenulum, cheeks, soft palate, lips, pterygomandibular ligament, tongue dorsum, tongue belly, and oral cavity. palpable scar-like fibrous cords Probing: No special probing discomfort Loose examination, percussion, imaging:- Special: Pathological examination shows collagen fiber degeneration, epithelial atrophy or hyperplasia, and vacuolar degeneration of the epithelial layer.
Main complaint is pain
acute gingivopapillitis
Crowd: no special Medical history: food impaction or mechanical adverse stimulation such as toothpick or sharp food injury, adverse mechanical stimulation of the restoration, easy bleeding when touching or sucking, spontaneous swelling and pain Inspection: Gingival papillae are red and swollen Probing: The gums are obviously painful when probing, and they bleed easily, and there is no PD or CAL. Palpation: obvious tenderness
acute necrotizing ulcerative gingivitis
Crowd: Most common among young adults, especially male smokers Medical history: Chronic gingivitis or periodontitis has persisted in the past and has not healed, and complains of obvious pain or tooth stretching and swelling. Severe cases may have symptoms such as low fever and fatigue. Inspection: Characterized by necrosis of the gingival papilla and gingival margin, which may be covered by a gray-white pseudomembrane that is easy to wipe off, and spontaneous bleeding may be seen. Special: Can cause corrosive bad breath Probing and loose examination: Those who are not treated in time may have PD enlargement, CAL formation, and tooth loosening. Imaging: Alveolar bone resorption may occur if not treated promptly
Gingival manifestations of herpes virus infection
Medical history: History of virus-related infections, which may include fever, sore throat and other accompanying symptoms Inspection: Blister-like swelling of the gums, no obvious ulcers or periodontal pockets Probing, loose examination, percussion, imaging:- Special: Virus culture has related virus replication
Gingival manifestations caused by allergies
Medical history: food allergy, restorative material allergy Inspection: gum swelling Probing, loose examination, percussion, imaging:-
Gum swelling and pain secondary to wisdom tooth pericoronitis and other symptoms
Medical history: Chief complaint of dental discomfort such as wisdom tooth pain Inspection: The gums are red and swollen, the affected tooth may have pus and bleeding, and the gum color may be dark red. Probing: There may be deep periodontal pockets and probing pain. Percussion: Pain on percussion of the affected tooth, often transient pain
Oral lichen planus
Crowd: mostly middle-aged women Medical history: There may be congestion and erosion of mucous membranes throughout the mouth, or there may be no erosion. Inspection: There may be congestion and edema on the tongue, lips, gums and palate mucosa, and typical "Wickham-like lines" can be seen. Probing: There is discomfort during probing and pain during probing. Percussion, loose examination, imaging:- Special: The skin may have flat polygonal papules with thin scales on the surface.
erythema multiforme
Medical history: There may be a history of infection such as herpes virus, drug or food allergy, exposure to dust and pollen, etc., and the pain is obvious Inspection: mucous membrane congestion and edema can be seen in the oral mucosa, and there may be erythema, blisters, and even large-scale erosion and pseudomembranes. Probing: Pain on probing Percussion, loose examination, imaging:- Special: The skin may have typical "target-shaped erythema" lesions
Have a history of systemic diseases
leukemia
Medical history: A history of leukemia, often with swollen gums, bleeding, necrosis and pain. Inspection: The gums are swollen, the surface is bright, the color is dark red, cyanotic or pale, tissue necrosis, ulcers, and pseudomembranes can be seen at the gingival margin, and bleeding is easy and difficult to stop. Palpation: tissue is soft and fragile Special: Routine blood tests and blood smears are performed, and abnormal numbers and shapes of blood cells are found.
Nutritional diseases
Crowd: Common among teenagers Medical History: Malnutrition, unbalanced nutrition or digestion Inspection: The gums are obviously swollen Probing: BOP, may have PD, no CAL
diabetes
Medical history: A history of diabetes, possibly periodontitis or gingivitis, with a short duration Inspection: The gingival margins are red and swollen, showing granulomatous hyperplasia and prone to bleeding. Probing: Deep Periodontal Pockets, BOP Loose diagnosis: loose teeth Imaging: The alveolar bone is severely damaged and the angle is resorbed.
AIDS
Medical history: History of sexual intercourse, history of unclean sexual intercourse Inspection: Typical "linear erythema" of the gums, gingival ulcers, periodontal ulcers, and special manifestations such as white blood infection due to decreased immune system resistance. Probing: BOP, may have probing bleeding, deep periodontal pockets Loose diagnosis: loosening of teeth may occur when the stage of necrotizing ulcerative periodontitis develops
Reduction and abnormal function of phagocytes
Medical history: Routine blood test and related history of blood cell abnormalities Inspection, probing, loose examination, imaging: symptoms similar to periodontitis, the gums may be red and swollen