Generalized Gingival Enlargement in Young Adult with Chronic Periodontitis: A Case Report
DOI:
https://doi.org/10.36408/mhjcm.v12i2.1371Keywords:
calculus, gingival enlargement, gingivectomy, plaqueAbstract
BACKGROUND: Dental plaque is a natural biofilm that, if inadequately controlled, can lead to gingivitis and chronic inflammatory gingival enlargement. Persistent gingival overgrowth may impair both function and aesthetics, often requiring surgical intervention such as gingivectomy, when non-surgical treatments prove ineffective.
CASE REPORT: A 22-year-old male presented with swollen and bleeding gums. Patient reported no history of systemic diseases or the use of any specific medications. Intraoral examination revealed gingival hyperemia, enlargement, and carious lesions on multiple teeth. Despite initial treatment with scaling root planing (SRP) and oral hygiene instruction, gingival enlargement persisted. Panoramic radiography revealed additional findings, including alveolar crest resorption and impacted third molars. A four-stage gingivectomy was performed under local anesthesia, followed by postoperative care, including antibiotics (Clindamycin), analgesics, mouthwash, and strict oral hygiene maintenance. Restorative treatments and splinting of mobile teeth were also carried out.
DISCUSSION: The patient's gingival enlargement was primarily plaque-induced, further exacerbated by local factors such as dental caries. Scaling and root planing (SRP) alone proved insufficient due to the presence of fibrotic tissue, necessitating surgical intervention via gingivectomy. Postoperative healing was successful, with notable improvements in gingival contour, consistency, and oral hygiene indices. Patient education and adherence to postoperative care were crucial in achieving favorable outcomes.
CONCLUSION: Effective management of chronic inflammatory gingival enlargement requires accurate diagnosis, appropriate initial therapy, and surgical intervention when indicated. In this case, staged gingivectomy, combined with comprehensive oral care, successfully restored gingival health and aesthetics, emphasizing the importance of individualized treatment planning and patient cooperation.
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References
1. Peeran SW, Ramalingam K. Essentials of periodontics & oral implantology. Saranraj JPS Publication; 2021.
2. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza’s clinical periodontology. Elsevier Health Sciences; 2021.
3. Marsh PD. Dental plaque as a biofilm and a microbial community – implications for health and disease. BMC Oral Health. 2006;6(Suppl 1):S14.
4. Tetan-el D, Adam AM, Jubhari EH. Gingival diseases: plaque induced and non-plaque induced. Makassar Dent J. 2021;10:88–95.
5. Agrawal AA. Gingival enlargements: differential diagnosis and review of literature. World J Clin Cases. 2015;3:779.
6. Reddy S. Essentials of clinical periodontology & periodontics. JP Medical Ltd; 2017.
7. Kumar M, Reddy S, Kumari K. Generalized gingival enlargement: a multifactorial condition and its management. J Clin Diagn Res. 2022;16(4):ZE01–ZE04.
8. Rajasekar A, Selvamani M, Suresh S. Diagnosis and management of gingival enlargement: a clinical update. J Oral Maxillofac Pathol. 2021;25(1):18–24.
9. Singh A, Gupta N, Kaur M. Hormonal influences on periodontal tissues: a review. Int J Health Sci. 2023;17(2):11–19.
10. Artika MD, Priyatna IMY. Gingivectomy in gingival enlargement cases using conventional technique. Interdental J Kedokt Gigi. 2022.
11. Ozgoz M, Arabaci T. Chronic inflammatory gingival enlargement and treatment: a case report. Adv Dent Oral Health. 2018;9:555766.
12. Widagdo AK, Murdiastuti K. Gingivektomi menggunakan scalpel dan electrocautery pada perawatan gingival enlargement wanita pubertas. MKGK UGM (Maj Kedokt Gigi Klinik). 2015;1:1–4.
13. Ahmadi H, Ebrahimi A, Ahmadi F. Antibiotic therapy in dentistry. In: Goncalves L, editor. Int J Dent. 2021;1–10.
14. Agrawal AA. Gingival enlargements: differential diagnosis and review of literature. World J Clin Cases. 2015;3:779.
15. Schwendicke F, Dörfer CE, Schlattmann P, Page L. The survival of periodontally treated molars in long-term maintenance: a systematic review and meta-analysis. J Clin Periodontol. 2024;51(2):210–21.
16. Seki K, Sato S. A 15-year follow-up of a gingivectomy procedure for idiopathic gingival fibromatosis: a case report and literature review. J Clin Pediatr Dent. 2022;46(2):119–24.
17. Li N, et al. Seven-year follow-up of a patient with hereditary gingival fibromatosis treated with a multidisciplinary approach: case report. BMC Oral Health. 2021;21:1–7.
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