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What is the condition and the initial treatment?

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What is the condition and the initial treatment?

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A 20-year-old student presents with intense gingival pain, spontaneous bleeding, and bad breath. The papillae appear “punched-out,” and a grayish-white pseudomembrane covers the necrotic gingiva. The patient reports high stress, poor sleep, and irregular meals.

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A 10-year-old boy taking anticonvulsants for epilepsy shows thick folds of gum tissue covering parts of his teeth. The overgrowth began about two months after starting the medication.

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A 38-year-old patient complains of pain in the lower right molar. The pain is severe, continuous, and worsens when chewing. Radiographs show bone loss at the apex of the tooth and a sinus tract draining through the alveolar bone.

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A 13-year-old boy presents with red, swollen gums that bleed easily when brushing. Oral hygiene is fair. There is no bone loss on X-rays.

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A 6-year-old girl becomes tearful and refuses treatment after hearing stories from his older sister about painful dental visits.