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Searching: healthy gum
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Message Board
Views: 171 | Replies: 10
Healthy, 19 year old female not taking any medications presents today with pain and swollen gums. Said she has not started any new oral rinses or changed toothpastes lately. Allergic to penicillin so I prescribed Azithromycin and CHX, bringing her back for a debridement tomorrow. Any thoughts
May 11, 2026
Oral Pathology
Message Board
Views: 621 | Replies: 7
the inflamed tissue off, got a little food and plaque out, and the gingiva healed and the patient was happy with healthy gums. When I saw the patient a couple of weeks ago , she said the spot had grown and gotten sore over a period of 3 days. The tissue in no way resembled perio. In my 20
July 27, 2015
Oral Pathology
Message Board
Views: 122 | Replies: 7
is really good. Her teeth are in good shape, her gums are healthy. Not at this moment. She didnt report any changes. A lot of people with reduced salivary flow don't complain of xerostomia symptoms. Do you use a clinical oral dryness score, and xerostomia screening questionnaire? I've also seen
November 27, 2021
Oral Pathology
Message Board
Views: 204 | Replies: 3
daughter is graduating college soon. Says her tongue is not burning. I wish I got pictures, sorry. Probing is normal. Gums appear visibly healthy. Little to no BOP. My boss consulted and noted that her muscles feel like steel cables. I have an idea what was going on here, but still
April 09, 2015
Oral Pathology
Message Board
Views: 148 | Replies: 4
and there is no way to prevent this. I agree it can be root caries, the hesitation that I had regarding that is that there was very little to no communication to the oral environment, I had to dig around with the probe pretty hard to identify the location. Gums appeared very healthy. Also, there was no involvement
July 26, 2023
Oral Pathology
Message Board
Views: 261 | Replies: 9
Does it look precancerous? Does it need biopsy? White line, about 4mm long, elevated, hard to touch 56 yo male, it did not appear 6 months ago, located right at the gum line of #31 buccal. He will bring his night guard in 2 weeks to see if it is the margin irrigates it. Thanks Makes sense to check
April 23, 2026
Oral Pathology
Message Board
Views: 170 | Replies: 4
blood glucose control can also help prevent or relieve dry mouth caused by diabetes. Take good care of your teeth and gums! Develop or continue healthy oral care habits, like brushing and flossing. Research shows that brushing twice a day can help improve gum health in as little as four weeks
August 18, 2015
Oral Pathology
Message Board
Views: 10 | Replies: 0
but ambitious. Your mouth contains hundreds of species of bacteria, and when that balance shifts toward harmful organisms, it can drive cavities, gum disease, inflammation, and possibly even broader health issues. The process itself is almost laughably simple. You spit into a tube, send it to a lab
April 09, 2026
Oral Pathology
Message Board
Views: 29 | Replies: 0
microbiome samples from people with Parkinson's disease, they found significantly higher levels of S. mutans compared to healthy controls. They also discovered increased abundance of an enzyme produced by this bacterium called urocanate reductase, or UrdA. This enzyme converts histidine, an amino acid
January 16, 2026
Oral Pathology
Message Board
Views: 46 | Replies: 1
I have a couple of cases can you please let me know what you think is the cause and solution. For the gum one, we suspect it's from brushing too hard along the gums. Tongue is probably roybbing on a cusp or migratory glossitis.
January 31, 2026
Oral Pathology
Message Board
Views: 246 | Replies: 7
25YO Male Unremarkable Medical History I have a bump on my gums. It's been there about 2 months. I referred the patient to UTHSCSA Dental School Department of Oral Medicine. . No pocketing. No bone loss. And never forget, a pyoenic granuloma is neither pyogenic nor a granuloma
April 21, 2025
Oral Pathology
Message Board
Views: 2238 | Replies: 35
lingual tori. Clencher. 35 YO healthy female. Seeing OMFS on Friday. Gums were very sensitive and infected. Shes on abx for that. Giving her chlorhexidine tmrw and impressing for maxillary nightguard. Such a weird case Ive had it several times. Its a pain to remove. Have thought its related to 3rd molar removal, but could be viral related. I base this on its in attached lingual gingiva and has responded to acyclovir
March 15, 2021
Oral Pathology
Message Board
Views: 227 | Replies: 5
The patient says she gets mini-bubbles on her papilla and that she scratches them, they burst, and then look like they do in the image. Pt says she also had this occur on the other side about 2 months ago. Pt says they come and go. I probed around the area and interproximal pocket depths were 4mm....
March 10, 2020
Oral Pathology
Message Board
Views: 54 | Replies: 2
11 y/o female pt presented today with a PAINFUL purple/red lesion on the gingiva+mucosa buccal to #30 - Healthy pt, no medical conditions, no allergies, no medications - No systemic symptoms (no fever, illness, malaise, etc) - Lesion is painful when touched / painful when eating - Probing depths
January 22, 2026
Oral Pathology
Message Board
Views: 127 | Replies: 2
Hello, I have a female patient in her 40s. No medical hx, educated professional, no allergies that came in saying that her mouth and gums just hurt. Been like this for 5-6 months. Clinically there is nothing of interest in the soft tissue, everything looks pink and healthy. Only tx concerns
November 03, 2021
Oral Pathology
Message Board
Views: 130 | Replies: 2
Female pt has complain from darkness of the gum with pain .now she has ulcer.I give her oral ointment. Have u seen case like this? I see 2 things. (1) The papilla are inflamed. So she needs a cleaning and better hygiene. (2) There's an apthous ulcer which is unrelated to her gingivitis
February 16, 2015
Oral Pathology
Message Board
Views: 561 | Replies: 11
. His symptoms are generalized gingival pain with the worse pain being in the UR. He also reports bleeding gums when brushing. His OH and home care is good. His last dental visit in Germany was in June. PMHx is significant for hereditary Von Willibrand's disease which is asymptomatic. On his initial
December 10, 2016
Oral Pathology
Message Board
Views: 785 | Replies: 10
with pigmented gingival tissues. Ed Thanks Ed..... But the gum has the rough appearance as villi of the tongue and dental plaque builds easily. I vote natural pigmentation as well. It's just normal stippling in my opinion. +1+1 also. Thank you very much to all!! Have a nice weekend!!I've noticed some
June 16, 2014
Oral Pathology
Message Board
Views: 112 | Replies: 1
A healthy 32 years old male . non smoker , complain of a swelling on the back gum clinically there is hard swelling , all teeth in the quadrant tested positive . periodontal probing was normal . I took OPG could not find any thing abnormal Exostosis is my guess Drs?
August 15, 2015
Oral Pathology
Message Board
Views: 335 | Replies: 3
I had a 30 year old female who is being treated for Crohn's disease, otherwise healthy. She injects Humira to control the Crohn's and takes Meloxicam for a back injury. Good OH, min (if any plaque accum). States that her gums have been like this for the longest time. She stated that she has been
April 14, 2017
Oral Pathology
Message Board
Views: 333 | Replies: 12
and gums). Bad breath (probably because he hasn't been able to eat or brush in a few days).He also started using sensodyne since the cleaning so maybe he's allergic to something in that?Nothing medically to note at all. Completely healthy 40 yr old man.Thoughts??Thank you! Viral? Did you check
January 29, 2020
Oral Pathology
Message Board
Views: 359 | Replies: 14
53 y.o male healthy patient presented with these lesions on oral mucosa and tongue. Any thoughts on the nature of these lesions? Fungal? Tx suggestions are welcome. Duration of lesions? Onset? Symptoms? Can they be rubbed off? Are those all raised? Could be infectious absolutely
July 03, 2016
Oral Pathology
Message Board
Views: 471 | Replies: 12
I had a 22 year old white female patient in today. She is in good health with no contributory medical history and excellent oral hygiene. She has been dealing with bleeding gums for the past 2 months. Below is a timeline of recent medical events: January 2018: diagnosed with mononucleosis
June 25, 2018
Oral Pathology
Message Board
Views: 72 | Replies: 0
This is a regular patient of mine. Female, 7 1/2 years old. Good oral hygiene. No decay. Healthy. I saw her in November 2013 for a routine recall. 8 and 9 were present, but D and G were already out. I referred her to an orthodontist at that time. No notice of this lesion. Orthodontist did his
February 10, 2014
Oral Pathology
Message Board
Views: 958 | Replies: 7
healthy male 50 years old. had hip replacement 5 months ago. non smoker<br/>he reported bleeding gums.<br/>red inflammed buccal gums with white areas<br/>buccal mucosa/lower vestibule and retromolar pad areas with white striations<br/><br/>palate and tongue looked
April 18, 2015
Oral Pathology
Message Board
Views: 852 | Replies: 22
Otherwise healthy 17 year old patient presents today with swollen gums of 6 days duration. He went to the MD and received some oral antibiotics and CHX rinse and the MD recd he see a DDS. He reports having had a cold prior to the swollen gums and threw up yesterday but not since. They thought
April 30, 2014
Oral Pathology
Message Board
Views: 489 | Replies: 9
Hey everyone, I have a hygienist who's 25 and very healthy and just cant figure out what this little pimple is from. Its about half way down the root, tooth is cold test tve, probing depths are about 2mm, so I don't think its tooth/gum infection related. She doesn't remembering traumatizing
March 16, 2017
Oral Pathology
Message Board
Views: 193 | Replies: 7
I don't really have any experience treating geriatric patients that are suffering from advanced illness and are on vents or supplemental oxygen or such. A neighbor of mine has her mom set up on hospital bed with all kinds of equipment and they're finding a leathery type build up on her teeth, gums
October 23, 2020
Oral Pathology
Message Board
Views: 246 | Replies: 4
sweets or chocolate that he has to rinse his mouth afterwards. If he doesn't the gums ache and then travel up his head and he gets headaches. Gingiva appeared healthy, pink, firm, stippled and WNL. I attached a PAN. The only thing I noticed was proximity of the sinus to the ridge, but other than
January 09, 2014
Oral Pathology
Message Board
Views: 103 | Replies: 1
Hello dentists. I had a 16 year old healthy patient present for fillings today. -He had a fever a few days ago, as high as 39 degreesC and has improved since. -He had ulcers all over his mouth, all along the gingiva, lateral border of the tongue, incisive papilla, cheek and lips. (For some reason
August 22, 2019
Oral Pathology
Message Board
Views: 130 | Replies: 10
Feeling a little rusty here pt came in with Gums looking grumpy but not the usual. I feel like Ive seen it before but its been a minute. Probed a little deep like 4.5 not lots of attached gingiva mom says its been that way for a few months I want to say it looks like granulation tissue. It looks
August 08, 2025
Oral Pathology
Message Board
Views: 157 | Replies: 3
15 year old female presents with chronic sore gums. She reports this redness and soreness has been going on (off and on) for several years. It flares up in late winter/early spring and becomes blisters and then settles back to this normal look. She has had her thyroid removed but her levels
January 27, 2016
Oral Pathology
Message Board
Views: 425 | Replies: 10
Did an excisional biopsy of this growth on the right lateral border of the tongue. Approx 12mm in diameter. Got the path report back today.Fibroma?Pyogenic granuloma/ oral granuloma gravidarumI also vote PG.Squamous CAPyogenic granuloma Bubble gum dd: Fibroma. Pyogenic Granuloma
May 25, 2018
Oral Pathology
Message Board
Views: 743 | Replies: 41
Patient told me she likes using hydrogen peroxide daily because it makes her gums feel good. She asked me if that is ok. Thought I would check with you all if I should give her my blessing, or tell her not to use it? Thanks in advance. I wouldn't see a problem as long as they dilute it to a 50/50
June 11, 2023
Oral Pathology
Message Board
Views: 390 | Replies: 14
Dear Dentaltown, Last Wednesday, we had a drop in emergency patient that was reeking of Marijuana. Patient has a history of crystal meth use. His cc: was that his gums were swollen on his top/bottom front teeth. I took a look inside his mouth, and suspect that he's got ANUG. I numbed him up
February 25, 2020
Oral Pathology
Message Board
Views: 233 | Replies: 5
I am not good at oral path! My patient (healthy 60yo female only taking synthroid) presented with these lesions and a CC of my gums keep blistering and peeling. She is a tough patient with a high tolerance for pain so she says she is doing alright but its uncomfortable. Areas are widespread
May 12, 2022
Oral Pathology
Message Board
Views: 140 | Replies: 7
This is a new one to me. New patient this morning (23yo white male in excellent health, no reported allergies, conditions, ANYTHING) tells me that he can't drink straight soda of any kind, or it makes his gums extremely red, puffy, and bleed a lot. He reports it's generalized, but one area around
March 22, 2014
Oral Pathology
Message Board
Views: 728 | Replies: 11
. Good luck on diagnosis and treatment of this one. I have a couple of patients that have had bright red gums for 30 years. We go through the usual diagnosis of toothpaste allergy, candidiasis etc. I have come to the conclusion that it is eczema of the gums, an autoimmune
January 31, 2017
Oral Pathology
Message Board
Views: 500 | Replies: 12
Just sharing a case from this morning: The patient's chief complaint was My gums are killing me ever since the cleaning two weeks ago. I see this every once in a while and it's always the same thing, a herpetic flareup on the gingiva
April 27, 2015
Oral Pathology
Message Board
Views: 138 | Replies: 10
so 15 year old female walks into my office today complain of gum bleeding all her medical history indicates healthy otherwise i take a look at her gingiva and it scares me ! I also attempt to scale maxilla and her bleeding is uncontrollable and she is spitting a dark ( almost black ) blood , a lot
December 16, 2016
Oral Pathology
Message Board
Views: 241 | Replies: 4
I'm wondering if anyone else has seen issues with this toothpaste. Had a long term elderly female patient suddenly develop lichen planus like lesions on the attached gingiva. Ended up biopsying an area and it came back as plasma cell gingivitis. Turns out she recently started using this...
October 13, 2020
Oral Pathology
Message Board
Views: 189 | Replies: 3
Sorry for poor quality, but my office doesn't have intraoral cameras...just a regular digital camera and mini printer. :-p Saw this lesion yesterday in a healthy 10yr girl. Left side on floor of mouth, ~1cm long,erythemic with a little white covering, soft to touch. No pain. Present like 1-2
April 01, 2015
Oral Pathology
Message Board
Views: 270 | Replies: 6
Got word today from my oral surgeon that my 67 year old female patient has diffuse large B cell lymphoma. Pt presented on 1/6/2021 with CC: I have a bump on my UL gums that I noticed right around Christmas. All teeth tested vital on the UL and probe depths were 2-6 mms. I gave patient
February 08, 2021
Oral Pathology
Message Board
Views: 164 | Replies: 2
it was. The mucosal borders of the furrow were white and dry. Red areas extending posteriorly to the extent of the retromolar trigone area. Patient has a history of smoking but no smokeless tobacco. He is healthy otherwise. I told him I didn't think it looked good but I couldn't diagnose cancer without a biopsy
October 11, 2016
Oral Pathology
Message Board
Views: 330 | Replies: 7
Need some input on what this is and what is the best way to treat. 32 y.o. female. Presents with CC of very sore area on gums. Sore area has been there for 6+ months, but has increased in intensity last week. Patient cannot adequately brush teeth in that area due to pain. I lightly probed
February 10, 2015
Oral Pathology
Message Board
Views: 657 | Replies: 24
46 years old Healthy Does not smoke or drink Just got implants and temporary bridge on that side Dentist who did the work have not noticed anything ( a month ago) Pt rub her tongue against it No pain Immediate post op picture After laser treatment Pre op O.o Include syphilis in your
June 14, 2019
Oral Pathology
Message Board
Views: 322 | Replies: 15
so, this young otherwise healthy 21 year old comes to see me today for a spec exam says she just noticed this lesion Sunday and is worried its something serious first I thought it was a mucocele but the PA showes significal bone loss sulcus depth WNL 2-3 mm and all teeth tested vital with endo ice
January 19, 2017
Oral Pathology
Message Board
Views: 311 | Replies: 8
yesterday and the growth has spread to the buccal of #3/4 area - it almost looks like a pyogenic granuloma in this area, but it is the same growth on the hard palate. He again refuses biopsy. He is otherwise reportedly healthy. Do you all have a diagnosis based on clinical appearance and the lack
November 19, 2015
Oral Pathology
Message Board
Views: 488 | Replies: 18
. when you move your tongue it moves more then just the tongue. I see people whose tongues just wont hold still. Trying to rub a bump off of their gums, and end up exposing the bone. All of them insist the tongue had nothing to do with it. You clearly don't believe me when I say
April 15, 2019
Oral Pathology
Message Board
Views: 1428 | Replies: 17
that a crown on #29 was loose because if felt as though her gum was being pinched. I did a focused examination and was not able to find any issues with her crown. The gingiva looked a little sore, but she had just had her teeth cleaned so I did not think much of that. Fast forward to 2 weeks ago. She
September 20, 2018
Oral Pathology
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