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7) Lack of stippling
8) Flabbier tissue
9) Rounded and rolled gingival margins
10) PDL fibers run parallel to teeth (run horizontal in adult)
11) Alveolar bone thinner
Gingivitis
-very common in children and treated w/ improved oral hygiene
-parental participation needed in oral hygiene in children under 8 yrs old due to lack of manual dexterity
-parental supervision may be needed in children over 8 yrs due to lack of interest or understanding of consequences
-common conditions in children can aggravate gingivitis:
a) mouth breathing
c) erupting teeth
b) crowded teeth
d) braces
Puberty Gingivitis
-characterized by enlarged, bulbous interproximal gingival tissue on labial aspects of anterior teeth
-treatment involves improved OH, removing local irritants, and nutrition counseling
Herpes Simplex Infection (HSV-1)
1) Primary herpetic gingivostomatitis
-usually occurs in children under 6 yrs old w/ no previous exposure to HSV
-most infxns are subclinical
2) Acute herpetic gingivostomatitis
-liquid-filled yellow vesicles found intraorally and periorally
-vesicles rupture to form yellow pseudomembrane and erythematous border
-located on tonsils, palate, buccal mucosa, and gingiva
-also have fever, malaise, and lymphadenopathy
-txt: topical anesthetic, diphenydramine, antivirals (acyclovir), and analgesics (ibuprofen)
3) Recurrent herpes simplex (cold sore/fever blister)
-usually found on outside lips
-recurrence associated w/ stress or local trauma
-txt: systemic or topical antiviral, lysine