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Unusual gingival enlargement: a rare case report
Ashutosh Dixit1, Seema Dixit2, Pravin Kumar2
1Department of Periodontics, Seema Dental College, Rishikesh, India.
Case Reports in Dentistry
|April 10, 2014
Summary
This case report details an unusual instance of unilateral gingival enlargement and aggressive periodontitis in a young male. Surgical gingivectomy effectively treated the condition, leading to a favorable outcome.
Area of Science:
- Dentistry
- Periodontology
- Oral Pathology
Background:
- Gingival enlargement can present unilaterally and be associated with aggressive periodontitis.
- Gingival fibromatosis is a rare condition characterized by slow-growing, fibrous enlargement of the gingiva.
Purpose of the Study:
- To report an atypical case of unilateral gingival fibromatosis and aggressive periodontitis.
- To highlight the clinical, histological, and radiographic findings in such a case.
- To describe the management and outcome of surgical treatment.
Main Methods:
- Clinical examination including assessment of gingival overgrowth and periodontal status.
- Histopathological examination of the enlarged gingival tissue.
- Radiographic evaluation to assess alveolar bone loss.
- Surgical management via conventional gingivectomy under local anesthesia.
Main Results:
- A 20-year-old male presented with significant unilateral gingival enlargement covering posterior teeth.
- Diagnosis confirmed as gingival fibromatosis and aggressive periodontitis.
- Conventional gingivectomy resulted in an uneventful postoperative recovery.
Conclusions:
- Unilateral gingival fibromatosis can co-exist with aggressive periodontitis.
- Early diagnosis and appropriate surgical intervention are crucial for managing such conditions.
- Conventional gingivectomy is an effective treatment for gingival enlargement in this context.
