Chronic Inflammatory Gingival Enlargement: A Case Report.

Area of Science:

• Dentistry
• Oral Medicine
• Periodontology

Background:

• Gingival enlargement, characterized by increased gingival tissue size, has diverse etiologies including inflammation, drug induction, systemic diseases, malignancy, or pseudo-enlargement.
• The location of enlargement can be widespread, papillary, or marginal, impacting masticatory, functional, aesthetic, and psychological well-being.

Observation:

• A case report details a 31-year-old female patient presenting with a one-month history of swollen and bleeding gums, and a 15-day history of pain and tooth loosening.
• Clinical examination revealed significant gingival enlargement, prompting interventions including oral hygiene instructions, antimicrobials, analgesics, scaling, and sub-gingival curettage.

Findings:

• Following treatment focused on removing local irritants like plaque and calculus, the patient showed reduced inflammation and gingival enlargement within seven days.
• This case highlights the effectiveness of addressing the etiologic factors and maintaining meticulous oral hygiene for successful management.

Implications:

• Clinicians must possess thorough knowledge of gingival tissue alterations and their potential causes for accurate diagnosis and effective treatment planning.
• Early intervention, precise diagnosis, and elimination of causative factors are crucial for restoring gingival aesthetics and function.