🌹‏إِنَّ رَبِّي لَسَمِيعُ الدُّعَاءِ🌹

♨️📣تنووووووووووية 🔊♨️ واخيـــــــرآ نزولا عند رغبة طلبات جميع الاعضاء في البوت حتى يتسنى لكم العودة للشروحات والمعلومات وباسرع وقت وبدون تعب 😍😍😍تمممممممم انشاء قـــنــاة جديدة وتـــم نقل جميع محتوى هاذي القناة الى القناة الجديدة بترررتيب الشرووحات ع حسب كل مادة لتسهيل الوصول اليها وتناسق المعلومات دون تعب بالبحث عنها وتم اضـــافـة شرووحات جديدة 😍 وتــم عمل هشتاج ببداية شرح كل مادة وتثبيت الهشتاج ع القناة الجديدة ســيــتم حذف جميع منشورات هاذي القناة وسيتم البداء بالــشروحــات الجديدة ع قناتنا الجديدة مع عمل هشتاج لكل مادة لاتنسونا من دعائكم فقد كلفني هذا وقت وجهد حتى اكملت ترتيب مواضيع الشروحات واضافة شروحات جديدة رابط الانظمام لقناتنا الجديدة اضغط هنا 👇👇 https://t.me/dentistry_lecture

*عـيــدُ فـطرٍ سـعـيـد😍* *أَعادهُ الله عليكــم بالخـير والصحـة والعافية*♥ *دمتــم طيبيـــن*🌷 *~گـْـْـْل عام وأنـتـم بـخــيـر~*❤ 🌻

لــلــوصــول لــشروحات الــمـادة الــمــطلوبة انـظـــم للقناة اولا ثم اضغط ع الهشتاج 👇 #Oral_radiology #endo #Pharma_drugs #systemic_diseases #crown_bridge #oral_surgery_local_anesthesia #oral_surgery_extraction #general_information #ortho_occlusions #Occlusion #R_P_D #oral_medicine #operative_1 #Amalgam_material #composite_material #Zinc_oxide_Eugenol_cement #Cement_material https://t.me/dentistry_lecture

لــلــوصــول لــشروحات الــمـادة الــمــطلوبة انـظـــم للقناة اولا ثم اضغط ع الهشتاج 👇 #Oral_radiology #endo #Pharma_drugs #systemic_diseases #crown_bridge #oral_surgery_local_anesthesia #oral_surgery_extraction #general_information #ortho_occlusions #Occlusion #R_P_D #oral_medicine #operative_1 #Amalgam_material #composite_material #Zinc_oxide_Eugenol_cement #Cement_material https://t.me/dentistry_lecture

♨️📣تنووووووووووية 🔊♨️ واخيـــــــرآ نزولا عند رغبة طلبات جميع الاعضاء في البوت حتى يتسنى لكم العودة للشروحات والمعلومات وباسرع وقت وبدون تعب 😍😍😍تمممممممم انشاء قـــنــاة جديدة وتـــم نقل جميع محتوى هاذي القناة الى القناة الجديدة بترررتيب الشرووحات ع حسب كل مادة لتسهيل الوصول اليها وتناسق المعلومات دون تعب بالبحث عنها وتم اضـــافـة شرووحات جديدة 😍 وتــم عمل هشتاج ببداية شرح كل مادة وتثبيت الهشتاج ع القناة الجديدة ســيــتم حذف جميع منشورات هاذي القناة وسيتم البداء بالــشروحــات الجديدة ع قناتنا الجديدة مع عمل هشتاج لكل مادة لاتنسونا من دعائكم فقد كلفني هذا وقت وجهد حتى اكملت ترتيب مواضيع الشروحات واضافة شروحات جديدة رابط الانظمام لقناتنا الجديدة اضغط هنا 👇👇 https://t.me/dentistry_lecture

🆑Nonspecific Conditioned gingival enla rgement(Pyogenic granuloma) *This is a tumor _like gingival enlargement of unclear etiology and considered as an exaggerated conditioned response to a minor trauma. ⭕Clinical features:; *Lesion appears as discrete spherical tumor_like mass,with pedicle involving the gingiva . It has bright red or purple color and it is friable or firm depending on its duration. This lesion is similar to pregnancy gingival enlargement and différentiation betmeen them is by the patient's history. 🆎Developmental gingival enlargement. 🔆Appears us bulbous distortion of labial and marginal gingiva during various stages of teeth eurption. Enlargement persists until complete tooth eruption. This enlargement can be considered as physiologic condition. ❌Neoplastic gingival enlargement 1⃣Benign 🔴Epulis 🔴Fibroma🔴Myoblastoma🔴Hemangioma🔴Papilloma🔴Peripheral giant cell granuloma🔴Leukoplakia🔴gingival cyst🔴Nevus. 2⃣Malignant 🔴Syuamous cell carcinoma 🔴Malignant melanoma🔴Sarcomas(fibro _ sarcomas, Iympho_sarcoma) 🔴Metastasis.

a is complicated by an Inflammatory process where this enlargement provide adequate media for more plaque accumulation. ✅😊Treatment;: 1/Removal of local irritants will reduce the lesion size caused by inflammation. 2\Correction of causative factors causes hyperplasia. 3/Severe cases:( Gingivectomy or gingivoplasty) . ❇Idiopathic gingival en largement ( Hereditary gingival fibromatosis) ❇ 👆🏻👆🏻🙄تضخم لثوي مجهول ( تضخم لثوي وراثي ) *It is a rare conditions of Unknown etiology characterized by enlargement of attached, marginal and papillary gingiva. ⭕Clinical features:; The gingiva is pink , firm and pebbled with no bleeding tendency. The enlarged gingiva causes formation of pseudopockets. ⭕Etiology:; It is unknown, but heredity may play a role . Local irritant may be complicating factor. ✅😊Treatment 1/ Removal of local irritative factors (plaque , calculus, ,,,etc.) 2/Surgical excision of excessive tissue. 3/Regular periodic prophylaxis with rigid plaque control to reduced recurrence rate as this condition is highly recurrent. ❇Conditioned gingival enlargement❇ 🔆1⃣Specific Conditioned Gingival En- largement:; 1/Gingival Enlargement during pregnancy and puberty. 2/Gingival Enlargement associated with Leukemia. 3/Gingival Enlargement associated with VitaminC deficieency. 2⃣Non_Specific Conditioned Enlargement:; 1/Pyogenic granuloma. نشرح كلا من👆🏻🙄 👇🏻 🔆Specific Conditioned gingival En largement:: It is caused by systemic condition which exaggerates the usual gingival response to local irritation. 🅰Enlargement of gingival during pregnancy:; *Pregnancy itself does not cause gingival enlargement but the altered tissue metabolism during pregnancy accentuates the response to local irritation.lt ma y be:; marginal gingival enlargement(Pregnancy gingivitis) or tumor_like gingival enlargement(pregnancy tumor) . ⭕Clinical features:; 1_ pregnancy gingivitis The gingiva is bright red ,soft friable and has smooth shiny surface. Bleeding occurs spontaneously or upon slight trauma. 2_ Pregnant tumor:; (It is not true neoplasm)appears as discrete, flattened spherical mass, which protrudes from gingival margin or the interproximal space. This mass may by sessile or with pedicle. It is usually painless unless it has large size interfering with teeth occlusion, which causes painful ulceration of the lesion. ✅Treatment:; 1/Removal of local irritation and/establishment of excellent oral hygiène. 2/Tumors will regress spontaneously after delivery. If no , it should be removed surgically. It should not be removed during pregnancy unless it interfere with esthetic and function. 🅱Enlargement of gingiva during puberty:; *Both males and females are affected. Marginal gingiva and interdental papillae are enlarged mainly on facial surfaces. The gingiva has features associated with chronic gingival inflammation. 🆑Gingival Enlargement associated with Leukemia:; *It is caused by à dense infiltration of immature and proliferating leukocytes. True Leukemia gingival enlargement,occurs in acute or sub_acute Leukemia but not in chronic Leukemia. ⭕Clinical features *Gingival Enlargement may be diffuse or marginal:; Localized or generalized. The gingival color is bluish red and has a shiny surface,Moderately firm in consistency with increased tendency toward bleeding either spontaneously or upon minor trauma. Acut painful ulceration of gingiva can be occurred. 🆎Gingival Enlargement associated with vitamin C deficiency *Deficiency in vitamin C(scurvy) itself does not cause gingival inflammation but can cause hemorrhage/ collagen degeneration and edema of gingival connective tissue. *This will modify the response of gingiva to the local factors, which produce massive gingival enlargement. Marginal gingiva is involved and become bluish red soft friable and has smooth shiny surface with increased tendency toward bleeding. ✅Treatment:; This is carried out through the removaloof the lesion surgically and élimination of local factors. However,recurrence rate is about 15% of the cases.

☺سنأخذ اليوم مع بعض محاضره. ملخصه بعنوان Gingival Enlargement تضخم اللثه 🛑Definition 👇🏻تعريف It is an increased size of the gingiva which is considered as hyper plastic changes but not hypertrophy. 👉🏻Hyperplasia :;فرط التنسج👇🏻 Is an increase in an organ size or its part , due to increased number of its cellular elements. 👉🏻 Hypertrophy:; زياده التضخم 👇🏻 Is an increased size of thé cells, resulting in an increased organ size. ❇Classification of gingival enlargement❇ تصنيف تضخم اللثه 1⃣According to distribution . وفقاً للتوزيع . 2⃣According to location وفقاً للموقع. 3⃣According to etiology وفقاً للاسباب . ☺الآن نشرح 👆🏻بتفصيل كلاً على حدى👇🏻 🔅According to distribution:; 1/ Localized موضعي : Limited to gingiva adjacent to single tooth or a group of teeth. 2/ Generalized عام Whole gingiva throughout mouth is involved. 🔅According to location 1/ Marginal الحواف confined to marginal gingiva . 2/ Papillary الحلمات بين السنية confined to interdental papilla. 3/ Diffuse : involving all gingival parts : marginal attached and interdental papillae. 4/ Discrète: isolated gingival en- largement , which may .be sessile or has pedicle( pedunculated) 🔅Classification According to etiology 1/ Inflammatoryاللتهابيه (Chronic or acute) 2/ Non - Inflammatory غير اللتهابيه ( Drug - induced e.g. phenytoin - cyclosporine _ Nifedipine) . 3/ Combinedمشتركه ( Inflammatory with non- Inflammatory) 4/ Hereditaryوراثيه gingival fibromatosis 5/ Conditionedحالات مرضيه (Hormonal _ Leukemic _ Vit C _ deficiency _ Non- specific) 6/ Developmentalتطوري ( Eruptive) 7/ Neoplasticاورام ( Benign and malignant) ❇Inflammatory gingival Enlargement❇ 1⃣Chronic *It is à gingival response to local irritation and starts as swelling in thé interdental papillae and / or marginal gingiva. It may.be localized or generalized .Its progression is slow without pain unless acute2 infection or trauma complicates it . Thé gingiva can bleed easily , appears deep red or bluish red in color . It has soft and smooth21 shiny surface. ✴Etiology ❓ 1/ poor oral hygiene.ض فقر ( سوء) العنايه الفموية 2/ Food impactions. الطعام بين الأسنان . 3/ Cervical caries and improper restorations . 4/Badly constructed prosthetic and faulty orthodontic appliances. 5/Bad habits as mouth breathing and pressing tongue against gingiva. ✅Treatment: 1/ proper recognition and elimmination of etiologic factor . 2/ Then , correction of the condition . 2⃣Acute:; ⭕Types:; 1_ Gingival abscess خراج لثوي 2_ Periodontal bscess خراج حول الأسنان ( الدواعم) 3_ Pericoronal bscess خراج حول التاج ❇Non _ Inflammatory( Drug _ induced) gingival enlargement❇ *This group is termed gingival hyperplasia, as it not common condition and its cause is not persistance of local irritation s as in Inflammatory group , but most cases are associated with some drugs as 🛑( Phenytion Cyclosporine Nifedipine.) 🔆Clinical featuer:; 1/ The Clinical changes of drug_induced overgrowth are very similar irrespective of the drug involved. 2/ Thé first signs of changes are se en after3_4months of drug administration. 3/ Progress: The interdental papilla become nodular before enlarging more diffusely to encroach upon the labial tissue. 4/ Site:; The anterior part is most severely and frequently involved. 5/ Symptoms;: with à good standard of oral hygiene, overgrowth gingiva is pink_ firm_stipplled, when there is à pré_exiting gingivitis, the enlarged tissues compromise an already poor standard of plaque control. The gingiva then exhibit the classical signs of gingivitis. ✅Treatment:; 😊 1/ Modification or changes of the causative drug. 2/Mild casesتضخم بسيط oral hygiene instruction, scaling and polishing . 3/ Severe casesتضخم حاد Surgical removal(Gingivectomy or gingivoplasty ). 4/ À follow _ up program is essential to ensure à high standard of plaque control and to detect an y recrrence of the overgrowth. اللهم صلي وسلم على سيدنا وحبيبنا محمد وال محمد💚 ❇Combined gingival enlargement❇ *In this condition, the gingival hyperplasi

حسبنا الله سيؤتينا الله من فضله اللهم ان كانت هذه لليله القدر اللهم قدر لنا فيها السعاده في الدنيا والاخره واجعلنا من اهل الجنه اللهم انك عفوا تحب العفو فاعفو عنا وعن والدينا وع جميع المسلمين يااارب لُا تْنَسِوَوَنَا مٌنَ دِْعائكِمٌ ❤️

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