Deshpande Abhinav*, Mala Dixit Baburaj, Pimpale Sandeep and Tambe Lashika
Department of Periodontics, Nair Hospital Dental College, Maharashtra University of Health Sciences, India
*Corresponding Author: Deshpande Abhinav, Department of Periodontics, Nair Hospital Dental College, Maharashtra University of Health Sciences, India.
Received: July 30, 2018; Published: August 24, 2018
Citation: Deshpande Abhinav. “The Problem of Excess: A Case Series on Gingival Enlargement". Acta Scientific Dental Sciences 2.9 (2018).
Background: Inflammatory gingival enlargement represents an abnormal overgrowth of gingiva in response to local irritants. The overzealous reaction to irritants manifests in inflammation and enlargement of gingiva causing functional disturbances and hinder oral hygiene maintenance. This case series reports 3 different ways of management of inflammatory gingival enlargement
Methods: The treatment strategy depends upon tissue changes. It involves a Non-surgical and surgical approach. Non-surgical therapy involving scaling and root planing aims to remove local irritants and reverse the inflammatory changes. Splinting of mobile teeth helps in stabilizing dentition and providing optimum conditions for healing. When there is no significant reduction of enlargement, gingivectomy (External bevel or Internal bevel Gingivectomy) helps in restoring the gingival contours.
Results: Periodontal therapy aims to restore the health and function of the dentition. The systematic treatment approach resulted in uneventful healing and stable results which are easily maintained by the patients
Conclusion: As Periodontal therapy is diagnosis- driven, thorough periodontal assessment helps in development of a rational treatment plan. This should include modification of risk factors which potentiates progression of plaque induced periodontal disease. The specific therapeutic endpoint includes establishment of gingival contours amenable to cleaning and health.
Keywords: Gingival Enlargement; Gingivectomy; Scaling and Root Planing; Chronic Irritation; Hyperplasia
Copyright: © 2018 Deshpande Abhinav., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.