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Fordyce spots (also termed Fordyce granules) are harmless and painless visible sebaceous glands typically appearing as white/yellow small bumps or spots on the inside of lips or cheeks, gums, or genitalia. [1] [2] They are common, [3] and are present in around 80% of adults. [1]
Plasma cell gingivitis in an adult (histologically verified). Plasma cell gingivitis [ 1 ] [ 2 ] is a rare condition, [ 3 ] appearing as generalized erythema (redness) and edema (swelling) of the attached gingiva , occasionally accompanied by cheilitis (lip swelling) or glossitis (tongue swelling). [ 4 ]
It is a very thin, black-blue line visible along the margin of the gums, at the base of the teeth. [1] [2] It is caused by the reaction between circulating lead and sulphur ions produced by oral bacteria, forming deposits of lead sulfide in the gums. [3] The sign was described in 1840 by Henry Burton: [4]
Due to this, dark pigmentation may be visible on the oral mucosa or skin. [10] Most common oral sites include: buccal mucosa, lips, gums, hard palate or tongue. Intraoral sites are usually seen as the first sign and they usually develop prior to the skin lesions. [ 11 ]
Dark-skinned people may have a melanotic line along the gum margin. Abnormal findings include swelling, cyanosis, paleness, dryness, sponginess, bleeding or discoloration. Diseases include leukoplakia, epulis , gingival hyperplasia , gingivitis , periodontitis and aphthous ulcer (canker sore).
Periodontal pathology, also termed gum diseases or periodontal diseases, are diseases involving the periodontium (the tooth supporting structures, i.e. the gums). The periodontium is composed of alveolar bone , periodontal ligament , cementum and gingiva .
Desquamative gingivitis is a descriptive clinical term, not a diagnosis. [1] Dermatologic conditions cause about 75% of cases of desquamative gingivitis, and over 95% of the dermatologic cases are accounted for by either oral lichen planus or cicatricial pemphigoid. [1]
This has led to the popular belief that necrotizing gingivitis is contagious, but this is not the case. The main features of necrotizing gingivitis are painful, bleeding gums and ulceration and necrosis of the interdental papilla. There may also be intra-oral halitosis, cervical lymphadenitis (swollen lymph nodes in the neck) and malaise.