Periodontol 2000. 2017 Jun;74(1):176-181. doi: 10.1111/prd.12197.
A wide variety of lesions may arise from the oral mucosa, fibrous connective tissue, bone and cementum of the periodontium. The commonest pathology occurs as a result of bacterial infection and is very well known to dentists and periodontists, but rarer conditions present as gingival pathology. The pathogenesis of these conditions ranges from genetic to traumatic to immunological to neoplastic, and includes benign, malignant and metastatic lesions. This paper outlines some of these conditions and describes how the periodontist and oral pathologist can work together using a framework, and how with careful consideration of the clinical features and the use of appropriate special tests, including obtaining an adequate tissue specimen, a timely and accurate diagnosis can be obtained.
口腔黏膜、纤维结缔组织、牙周的骨和牙骨质可发生各种各样的病变。最常见的病变是由细菌感染引起的,这是牙医和牙周病学家非常熟悉的,但较少见的病变表现为牙龈病变。这些病变的发病机制从遗传到创伤到免疫到肿瘤不等,包括良性、恶性和转移性病变。本文概述了其中一些病变,并描述了牙周病学家和口腔病理学家如何使用一个框架共同工作,以及如何通过仔细考虑临床特征和使用适当的特殊检查,包括获得足够的组织标本,及时准确地做出诊断。