A 12-year-old boy complains of painful and bleeding gums on his upper jaw. Objectively the gingival margin in the area of the 13, 12, 11, 21, 22, 23 teeth is swollen, hyperemic, deformed due to overgrowths. Gingival papilla cover the crowns by 1/3 of their height, bleed on touch. Upper front teeth are overcrowded. X-ray shows no pathological changes of the periodontium. What drugs should be administered for topical treatment in the first place?

Answer options

1. Sclerosants
2. Steroidal antiinflammatory drugs
3. Nonsteroidal antiinflammatory drugs
4. Keratoplastic agents
5. Cytostatic agents

Explanation

Division of the task – selection of treatment diagnose – Chronic generalized hypertrophic gingivitis I degree.Why?Gingivitis – (complaints of painful and bleeding gums, the gingival margin is hyperemic, swollen, X-ray shows no pathological changes of the periodontium). Generalized – means more than 3 teeth (in the area of the 13, 12, 11, 21,22, 23 teeth).Hypertrophic – gingival margin is deformed due to overgrowths degree (Gingival papilla cover the crowns by 1/3 of their height). Selection of treatment due to priority Nonsteroidal antiinflammatory drugs (can reduce inflammation, while less dangerous at this age than Steroidal anti-inflammatory drugs).Sclerosants are used only after the removal of inflammation. Keratoplastic agents should not be administered because there are no signs of ulcers or other damages (the purpose of their application promoting the production of keratin, after removal of inflammation).Cytostatic agents should not be administered because of overgrowths due to inflammation, not due to cancer.