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Severe gingival enlargement associated with aggressive periodontitis
Shyam Padmanabhan1, C D Dwarakanath
1Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre, Bhimavaram, India.
Journal of Indian Society of Periodontology
|May 2, 2013
Summary
Severe gingival enlargement in an 18-year-old female, linked to aggressive periodontitis, was treated with gingival electrosection. This rare case highlights a significant oral health challenge.
Area of Science:
- Dentistry
- Periodontology
- Oral Pathology
Background:
- Gingival enlargement has multiple etiologies, with inflammatory and drug-induced hyperplasia being most common.
- Severe gingival enlargement associated with aggressive periodontitis is infrequently encountered.
Observation:
- An 18-year-old female presented with severe maxillary and mandibular gingival enlargement.
- The enlargement obscured the incisal edges of all teeth, accompanied by generalized loss of attachment and reduced bone height on radiographs.
- The patient had generalized vitiligo but no systemic symptoms or family history of periodontitis.
Findings:
- The clinical presentation and radiographic findings strongly suggested aggressive periodontitis.
- The co-occurrence of severe gingival enlargement and aggressive periodontitis in this case is noteworthy.
Implications:
- This case underscores the importance of considering aggressive periodontitis in severe gingival enlargement, even without typical systemic indicators.
- Effective management, such as gingival electrosection, can address significant tissue overgrowth.
- Further research into the specific mechanisms linking vitiligo and aggressive periodontitis may be warranted.
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