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Massive pregnancy gingival enlargement: A rare case.
Amitabh Srivastava1, Krishna Kumar Gupta, Sunita Srivastava
1Department of Periodontology and Implantology, Sardar Patel Post Graduate Institute of Dental and Medical Sciences, Lucknow, India.
Journal of Indian Society of Periodontology
|November 1, 2013
Summary
Pregnancy can cause gingival enlargement due to hormonal changes affecting oral tissues. Local factors can worsen this condition, sometimes leading to massive growths.
Area of Science:
- Oral Medicine
- Periodontology
- Endocrinology
Background:
- Pregnancy induces significant physiological and immunological changes.
- Elevated progesterone and estrogen levels impact oral mucosa.
- Hormonal shifts can predispose women to periodontal issues.
Observation:
- A 23-year-old pregnant patient presented in her 8th month.
- She exhibited localized gingival enlargement on the upper left central incisor to canine.
- This oral manifestation occurred on the buccal aspect.
Findings:
- Hormonal fluctuations during pregnancy are linked to gingival enlargement.
- Localized or generalized enlargement can occur.
- Co-existing local factors can exacerbate the gingival response.
Implications:
- Understanding hormonal influences is crucial for managing pregnancy-related gingival issues.
- Early detection and intervention can prevent severe complications.
- This case highlights the potential for significant localized oral changes during gestation.

