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Idiopathic gingival enlargement and its management
Arvind K Shetty1, Hardik J Shah, Mallika A Patil
1Department of Periodontics and Oral Implantology, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, India.
Journal of Indian Society of Periodontology
|July 7, 2011
Summary
Idiopathic gingival enlargement, a fibrous tissue overgrowth, causes significant cosmetic and functional issues. This case report details the diagnosis and surgical management of this condition in a young patient.
Area of Science:
- Dentistry
- Oral Pathology
- Periodontology
Background:
- Idiopathic gingival enlargement presents as a proliferative fibrous lesion impacting gingival tissue.
- It leads to esthetic concerns and functional impairments, affecting speech and mastication.
- Both genetic and pharmacological factors can induce gingival enlargement.
Observation:
- A 13-year-old female experienced generalized, diffuse gingival enlargement across maxillary and mandibular arches.
- The enlargement extended to buccal and lingual/palatal surfaces, covering the incisal/occlusal tooth third.
- Symptoms of difficulty in speech and mastication persisted for three years, with a history of prior surgical intervention suggesting recurrence.
Findings:
- Biopsy confirmed the diagnosis as gingival hyperplasia.
- Surgical gingivectomy was performed in all four quadrants.
- Four distinct surgical methods were employed for treatment.
Implications:
- This case highlights the diagnostic and therapeutic challenges of idiopathic gingival enlargement.
- Effective management requires addressing both the hyperplasia and potential recurrence.
- Successful surgical intervention can restore esthetics and function, improving patient quality of life.
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