Gingival tumor is a very common oral disease, and people with poor oral hygiene are more likely to get the disease. At the same time, women during pregnancy are also prone to this disease due to hormonal stimulation, even if they do not have good oral hygiene. Because it is painless, many people do not notice it during the short period of illness. So how do you judge? Special attention should be paid to distinguishing gingival tumor from gingival squamous cell carcinoma. These two lesions are sometimes difficult to distinguish clinically, especially when gingival cancer grows in nodular forms or there are ulcers on the surface of gingival tumors, they are often easily confused. Squamous cell carcinoma often presents as cauliflower-like, nodular or ulcerative shapes. The surface of the ulcer is uneven, the edges are turned outward like granulation tissue, and there may be a foul odor. The tooth is loose or has fallen out, or has been extracted. X-rays show alveolar bone destruction. Regional lymphadenopathy. Literature reports show that the age of onset of gingival squamous cell carcinoma is significantly higher than that of gingival neoplasm, and it is more common in males than in females, while gingival neoplasm is more common in females than in males. Gingival squamous cell carcinoma is more common in the posterior teeth area, while gingival tumor is more common in the anterior teeth and bicuspid area. The former has a short course, usually a few months, and the tumor grows rapidly, while the latter has a long course, usually several years. Gingival tumors are more common in female patients, and are more common in middle-aged and young people. It often occurs in the gingival papillae on the labial and buccal sides, is most common in the bicuspid area, rarely in the tongue and palate, and usually occurs in a single tooth. The lumps are relatively localized and vary in size, usually round or oval, sometimes paged, some with pedicles like polyps, and some without pedicles and with a broad base. The vascular and granulomatous types are soft in texture and red in color; the fibrous type is tough and hard in texture and pink in color. The mass usually grows slowly but can increase rapidly during pregnancy. As the lump grows larger, it can cover part of the tooth surface and alveolar process, and tooth marks can be seen on the surface, which can easily cause ulcers, bleeding, or infection due to bites. It is generally painless, but pain may be felt when ulcers occur on the surface of the tumor. Long-term presence of a large mass can compress and destroy the alveolar bone wall. X-rays show widening of the local periodontal membrane, causing the teeth to loosen and shift. [2][3] |
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