scholarly journals Comparison of Scalpel and Diode Laser in Management of Gingival Enlargement: A Case Report

2021 ◽  
Vol 4 (12) ◽  
pp. CR1-CR3
Author(s):  
Abhinav Bhasker ◽  
Viniti Goel ◽  
Deept Jain ◽  
Vijita Mehta
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Treatment Modalities ◽  
Gingival Tissue ◽  
Hygiene Practices ◽  
Gingival Enlargement ◽  
Separate Treatment ◽  
Root Planning ◽  
Inflammatory Component ◽  
Scaling And Root Planning

Inflammatory gingival enlargement is an excessive growth of gingival tissue due to inflammation in response to plaque accumulation. Enlargement of gingiva hampers the efficiency of daily oral hygiene practices which in turn accumulates more plaque, thus causing inflammation. Phase I therapy, consisting of scaling and root planning only reduces the inflammatory component of the enlarged gingival tissues but the fibrotic gingival enlargement remaining thereafter is then removed surgically by gingivectomy. Apart from the conventional scalpel gingivectomy, many other treatment modalities such as gingivectomy by lasers and electrocautery are now being widely used in the field of surgical periodontal therapy. This case report describes the management of gingival enlargement in relation with gingivae of maxillary teeth by administering separate treatment modalities i.e. diode laser and conventional scalpel gingivectomy.

Surgical Management of Amlodipine Induced Gingival Enlargement - A Case Report

2020 ◽  
Vol 4 (1) ◽  
pp. 31-34
Author(s):  
Benju Shrestha ◽  
Krishna Prasad Lamichhane ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali ◽  
Pramod Kumar Koirala
Keyword(s):  
Case Report ◽  
Calcium Channel ◽  
Oral Hygiene ◽  
Pathogenic Bacteria ◽  
Channel Blocker ◽  
Surgical Excision ◽  
Gingival Tissue ◽  
Gingival Enlargement ◽  
Root Planning ◽  
Scaling And Root Planning

Amlodipine, a calcium channel blocker, used with increasing frequency as antihypertensive and anti-angina drug has been found associated with gingival enlargement. It causes unesthetic appearance and formation of new niches for periodonto-pathogenic bacteria. If severe, it causes difficulty in mastication, speech and oral hygiene maintenance. Its treatment is still largely limited to meticulous oral hygiene maintenance, drug substitution, professional scaling and root planning and surgical excision of enlarged gingival tissue. There are very few reports of amlodipine-induced gingival enlargement at a dose of 5 mg. This case report discusses amlodipine-induced gingival enlargement and its management.

scholarly journals Laporan Kasus: Manifestasi Oral Penderita Hipertensi berupa Ginggival Enlargement

2020 ◽  
Vol 17 (2) ◽  
pp. 54
Author(s):  
Anindita L. ◽  
Aris Aji K. ◽  
Arcadia Sulistijo J.
Keyword(s):  
Case Reports ◽  
Gingival Tissue ◽  
High Dose ◽  
Gingival Inflammation ◽  
Gingival Enlargement ◽  
History Of ◽  
Root Planning ◽  
Pro Inflammatory Cytokines

Hypertension presents an increase in blood pressure following the oral manifestations, such as gingival enlargement. A 42-year-old woman came to the General Sudirman University Dental and Oral Hospital complaining of enlarged front gums seven years ago. The patient had a history of hypertension and regularly consumed drugs, amlodipine 5 mg. Extraoral examination revealed no lymphadenopathy and no swelling of the head and neck area. Intraoral examination revealed a gingival enlargement involving the papilla to the gingival margin present on the entire upper and lower labial gingival surface. The patient's diagnosis was gingival enlargement caused by gingival enlargement due to the use of amlodipine. Gingival enlargement has been noted with long-term or high-dose amlodipine use. The mechanism of amlodipine in causing gingival enlargement is through the role of fibroblasts with abnormal susceptibility to the drug, resulting in increased levels of protein synthesis, especially collagen. The role of pro-inflammatory cytokines occurs through an increase in interleukin-1β (IL-1β) and IL-6 in the inflamed gingival tissue due to the gingival fibrogenic response to drugs. Therapies were DHE and scaling and root planning as phase I in periodontal treatment. Plaque elimination is vital to reduce gingival inflammation that may occur. Substitution of the drug amlodipine may be needed if there is no improvement. Based on case reports, hypertension patients who took amlodipine could have gingival enlargement. The therapy given was plaque elimination in the form of DHE and Scaling and regular check-ups with the dentist.

Gingival Enlargement in Neurofibromatosis Type 1: A Case Report and Literature Review

2010 ◽  
Vol 11 (2) ◽  
pp. 57-63 ◽  
Author(s):  
Ashu Bhardwaj ◽  
Ajay Mahajan
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Neurofibromatosis Type 1 ◽  
Neurofibromatosis Type ◽  
Skin Lesions ◽  
Neurological Complications ◽  
Malignant Potential ◽  
Gingival Tissue ◽  
Gingival Enlargement

Abstract Aim The purpose of this article is to describe a rare case of neurofibromatosis1 (NF1) of the gingiva and a review of the current literature. Background Neurofibromatosis1 (NF1) of the gingiva is an uncommon cause of gingival enlargement. The disease is clinically characterized by epidermal melanosis, nevi, and flabby skin or bone malformations; in addition, the lesions may undergo malignant transformation. Involvement of the gingiva with or without concurrent skin lesions has been reported only occasionally. Case Description A 40-year-old male patient with a history of NF1 came to us with a chief complaint of enlargement of the gums. Clinical examination revealed diffuse gingival enlargement with no signs of inflammation. The characteristic skin lesions associated with NF1 were also present. A gingival specimen was sent for biopsy. Results Based on the history, clinical, and histological findings, NF1 was established as the cause of the gingival enlargement. Summary NF1 may affect the gingival tissue; considering the neurological complications and malignant potential, NF1 must be diagnosed early and monitored regularly. Clinical Significance The clinician should be aware of clinical and histopathological findings of NF1 considering the fact that the condition has malignant potential. Citation Mahajan A, Dixit J, Bhardwaj A. Gingival Enlargement in Neurofibromatosis Type 1: A Case Report and Literature Review. J Contemp Dent Pract [Internet]. 2010 March; 11(2):057-063. Available from: http://www.thejcdp. com/journal/view/volume11-issue2-mahajan.

Esthetic Management of Melanin Hyperpigmentation using Diode Laser: A Report of Four Cases

2015 ◽  
Vol 6 (2) ◽  
pp. 56-59
Author(s):  
Samba Siva Reddy ◽  
Amera Ayubi ◽  
Vinaya K Ramachandra
Keyword(s):  
Diode Laser ◽  
Case Series ◽  
Treatment Modalities ◽  
Gingival Tissue ◽  
Melanin Pigmentation ◽  
Yellow Color ◽  
Increasing Demand

ABSTRACT Gingival hyperpigmentation occurs as triangular/linear/diffuse patches of dark brown to black or light brown to yellow color. Pigmentation may be seen at any age irrespective of sex, although it varies among different races and population. Melanin pigmentation is caused by melanin granules in gingival tissue, which are produced in melanosomes of melanocytes. The ever-increasing demand for esthetics has made individuals conscious of any dark patches of pigmentation, especially on the facial aspects of the anterior gingiva. Melanin hyperpigmentation although medically insignificant is an esthetic concern that is aggravated in individuals with excessive gingival display. Among the plethora of treatment modalities used for depigmentation, lasers have yielded promising results. This case series highlights the effectiveness of diode laser in the management of gingival melanin pigmentation. How to cite this article Reddy SS, Ayubi A, Ramachandra VK. Esthetic Management of Melanin Hyperpigmentation using Diode Laser: A Report of Four Cases. J Health Sci Res 2015;6(2): 56-59.

scholarly journals TREATMENT OF ORTHODONTICALLY INDUCED GINGIVAL HYPERPLASIA BY DIODE LASER - CASE REPORT

2015 ◽  
Vol 05 (02) ◽  
pp. 066-068
Author(s):  
Manavi Prabhu ◽  
Amitha Ramesh ◽  
Biju Thomas
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Negative Impact ◽  
Anterior Region ◽  
Gingival Hyperplasia ◽  
Anterior Teeth ◽  
Gingival Enlargement ◽  
Crown Lengthening

AbstractIt is well known that excessive gingival display in the anterior region can have a very negative impact on the patients smile and psychology. This excessive gingival display could be due to gingival enlargement or altered passive eruption of the teeth. These defects can be corrected through periodontal surgeries. This case report describes successful aesthetic crown lengthening in maxillary and mandibular anterior teeth using diode laser.

scholarly journals Diagnosis and Management of Chronic Gingival Overgrowth

2017 ◽  
Vol 2 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Meenakshi Meena ◽  
Ashish Yadav ◽  
Kriti Goyal ◽  
CG Devaraj
Keyword(s):  
Case Report ◽  
Critical Factor ◽  
Gingival Overgrowth ◽  
Local Factor ◽  
Diagnosis And Management ◽  
Gingival Enlargement ◽  
Patient Reported ◽  
Systemic Factors ◽  
Success Of Treatment ◽  
Inflammatory Component

ABSTRACT Introduction and objectives Chronic inflammatory gingival enlargement also called as chronic hyperplastic gingivitis is an enlargement of the gingiva as a result of chronic inflammation due to local or systemic factors; most important local factor appears to be the dental plaque and calculus. This case report aimed to present the clinical, histopathological features and treatment of inflammatory gingival enlargement which disturbed the esthetics and masticatory function of the patient. Materials and methods A 34-year-old male patient reported with a chief complaint of swelling and bleeding in the gums of teeth in maxillary and mandibular anterior region. The enlargement was firm and fibrotic accompanied by an inflammatory component probably due to inability to maintain adequate personal oral hygiene. Periodontal surgical therapy was performed for good esthetic outcome. Results and interpretation No recurrence was reported 6 months postsurgery. The importance of patient motivation and compliance during and after therapy as a critical factor in the success of treatment has also been highlighted through this case report. Conclusion Gingival overgrowth interferes with mastication and speech of the patient. A thorough diagnosis and treatment planning is essential. How to cite this article Devaraj CG, Yadav A, Sharma S, Meena M, Goyal K. Diagnosis and Management of Chronic Gingival Overgrowth. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):47-50.

scholarly journals Diode Laser Has an Additional Benefit When Used with Conventional Scaling and Root Planning for Chronic Periodontitis Treatment - Comparative Analysis

2021 ◽  
Vol 10 (32) ◽  
pp. 2548-2553
Author(s):  
Himanshu Deswal ◽  
Amit Bhardwaj ◽  
Harpreet Singh Grover
Keyword(s):  
Diode Laser ◽  
Surgical Approach ◽  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Root Planing ◽  
Laser Group ◽  
Root Planning ◽  
Scaling And Root Planning

BACKGROUND Almost 47 % of the population over the age group of 30 is affected by chronic periodontitis. Although the first and gold standard therapy in periodontal treatment is scaling and root planing (SRP), which is a non-surgical approach towards treatment, yet another therapy for the treatment of chronic periodontitis is to irradiate the periodontal pockets with laser. The purpose of this study was to confirm as to whether the use of diode laser (800 – 980 nm) as adjunct to scaling and root planning (SRP) improved the results of conventional mechanotherapy in the treatment of chronic periodontitis patients. METHODS In this study we designed our groups in such a way that 40 patients (20 males and 20 females) with two deepest nonadjacent pockets ≥ 5mm in two different quadrants were selected. In this study each treatment group belonged to a separate quadrant of the mouth. One group was allotted to SRP group while the second one was allotted to SRP + Diode Laser group. Clinical parameters like (Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), Bleeding on Probing (BOP) in chronic periodontitis patients were measured and evaluated at baseline, after 1 month and after 3 months of the treatment. Statistical analysis was also done intra group and inter group. RESULTS From this we infer that PPD was significantly reduced in SRP and SRP + Diode laser groups from baseline and post 1 month (P < 0.001), between baseline and post 3 months (P < 0.001) and between 1 month and 3 months (P < 0.001). There was also significant improvement in CAL in SRP and SRP + Diode Laser groups from baseline and post 1 month (P < 0.0001), between baseline and post 3 months (P < 0.0001) and between 1 month and 3 months (P < 0.0001). BOP also reduced in SRP and SRP + Diode Laser group from baseline. When SRP and SRP + Diode laser groups were compared they showed non statistically significant results but individually both the groups showed statistically significant results. CONCLUSIONS The results of the present study indicate that, comparison of SRP alone group which is a conventional method with SRP as adjunct to Diode laser group i.e., a non-surgical approach showed improvement of CAL and also reduction in PPD and BOP for the treatment of chronic periodontitis patients. KEY WORDS Periodontitis, Laser, Scaling and Root Planing, Adjunct Therapy, Diode Laser

Unusual Gingival Enlargement with Aggressive Periodontitis: A Case Report

2010 ◽  
Vol 11 (3) ◽  
pp. 49-55 ◽  
Author(s):  
Shivlal L. Vishnoi ◽  
Mangesh B. Phadnaik
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Aggressive Periodontitis ◽  
Gingival Tissue ◽  
Radiographic Examination ◽  
Unknown Etiology ◽  
Moderate Increase ◽  
Gingival Hyperplasia ◽  
Hormonal Changes ◽  
Gingival Enlargement

Abstract Aim This article describes the surgical management of a young, female patient with severe gingival enlargement of unknown etiology. Background Gingival enlargement frequently occurs as gingival hyperplasia, representing a reaction to a known stimulus or agent and, histopathologically, implies an increase in both extracellular matrix and cell numbers. The enlargement may range from mild, in which gingival architecture is minimally affected, to severe, in which the gingiva becomes bulbous and covers the clinical crowns of teeth. A number of local and systemic factors, such as plaque, hormonal changes, drug ingestion, and heredity, can cause or influence gingival enlargement. Mild to moderate increase in gingival bulk is relatively common, but massive gingival enlargement with associated bone resorption is rare. Case Description This case involved a 19-yearold female patient who presented with generalized severe gingival enlargement with aggressive periodontitis, a condition of some five to six months in duration. Results Based on a thorough clinical and radiographic examination, laboratory tests, and oral hygiene instructions, an internal bevel gingivectomy was performed to remove excess gingival tissue and areas of bone loss were debrided properly. There was no recurrence eight months following the last surgery. Summary Although we were not able to identify the exact cause of the gingival enlargement, amelioration of the unusual very soft, friable, enlarged gingivae and the severe periodontal attachment loss was observed. Clinical Significance Before initiating any periodontal management of a case of severe gingival enlargement with aggressive periodontitis, it is recommended to perform a complete extraoral and intraoral examination with radiographs, take a family and medical history, and determine if any medications may be responsible for the gingival enlargement. Additional testing and analysis, as described in this case, may be necessary. Citation Vishnoi SL, Phadnaik MB. Unusual Gingival Enlargement with Aggressive Periodontitis: A Case Report. J Contemp Dent Pract [Internet]. 2010 May; 11(3):049-055. Available from: http://www.thejcdp.com/journal/ view/volume11-issue3-vishnoi.

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