Clinical Management of an Unusual Case of Gingival Enlargement

2007 ◽  
Vol 8 (4) ◽  
pp. 88-94 ◽  
Author(s):  
S. Sumanth ◽  
K. Mahalinga Bhat ◽  
G. Subraya Bhat
Keyword(s):  
Oral Hygiene ◽  
Clinical Management ◽  
Unusual Case ◽  
Periodontal Therapy ◽  
Response To Therapy ◽  
The Body ◽  
Hygiene Measures ◽  
Nonsurgical Periodontal Therapy ◽  
Gingival Enlargement ◽  
One Year

Abstract Aim The purpose of this article is to report a case of conditioned gingival enlargement managed by nonsurgical periodontal therapy. Background Hormones are specific regulatory molecules that modulate a host of body functions. Hormonal effects reflect physiologic and pathologic changes in almost all tissues of the body with the periodontium being no exception. Physiologic changes like puberty, the menstrual cycle, and pregnancy cause hormonal variations that may cause inflammation of the gingiva. Oral contraceptives that contain estrogen and/or progesterone are associated with gingival enlargement. Report A 28-year-old female presented with a complaint of swelling of the gingiva with spontaneous bleeding in the maxillary anterior region for a period of one year. The health history documented the use of contraceptives for one year, and a clinical examination revealed the existence of poor oral hygiene and englarged painful gingival tissues that bled when touched. Summary This case reaffirms the fact plaque control is the most important procedure in any periodontal therapy. Another factor contributing to the excellent response to therapy is patient compliance. The patient followed home care instructions well and was effective in personal oral hygiene measures. Citation Sumanth S, Bhat KM, Bhat GS. Clinical Management of an Unusual Case of Gingival Enlargement. J Contemp Dent Pract 2007 May;(8)4:088-094.

scholarly journals Oral Contraceptives Induced Gingival Overgrowth – A Clinical Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Anushi Mahajan ◽  
Ritesh Sood
Keyword(s):  
Oral Contraceptives ◽  
Oral Hygiene ◽  
Periodontal Therapy ◽  
Response To Therapy ◽  
Drug Induced ◽  
Gingival Overgrowth ◽  
Periodontal Tissues ◽  
Hygiene Measures ◽  
Nonsurgical Periodontal Therapy ◽  
Gingival Enlargement

Aim: The purpose of this article is to report a case of drug induced gingival enlargement due to oral contraceptives, managed by nonsurgical periodontal therapy. Background: Drug-induced gingival overgrowth remains the most widespread unwanted effect of systemic medication on the periodontal tissues. Hormones are specific regulatory molecules that modulate a host of body functions. Oral contraceptives that contain estrogen and/or progesterone are associated with gingival enlargement. Report: A 32-year-old female presented with a complaint of swelling of the gingiva with spontaneous bleeding in the mandibular anterior region for a period of two years. The health history documented the use of contraceptives for two years, and a clinical examination revealed the existence of poor oral hygiene and enlarged painful gingival tissues that bled when touched. Summary: Females on oral contraceptives can be considered as a “risk group” for periodontal diseases. Not all females on oral contraceptives respond in similar way. Plaque control is the most important procedure in periodontal therapy. Although the initial picture presented the possibility of surgical intervention, the clinical problems were resolved with non-surgical treatment. Another factor contributing to response to therapy is patient compliance. The patient followed home care instructions well and was effective in personal oral hygiene measures. Keywords: Gingival enlargement, Sex hormones, Oral contraceptives.

scholarly journals Management of Chronic Gingivitis with localized periodontitis by Nonsurgical (Phase I) Periodontal Therapy- A Case Report

2018 ◽  
Vol 7 (2) ◽  
pp. 33-37
Author(s):  
Md Huzzatul Islam Khan ◽  
Sultana Akter Eka ◽  
Md Ashif Iqbal
Keyword(s):  
Phase I ◽  
Oral Hygiene ◽  
Alveolar Bone ◽  
Bone Destruction ◽  
Chronic Inflammatory Disease ◽  
Periodontal Therapy ◽  
Periodontal Treatment ◽  
Periodontal Tissues ◽  
Hygiene Measures ◽  
Tissue Flap

Periodontitis is a chronic inflammatory disease of the periodontal tissues (periodontium) which surround and support the teeth, that results in attachment loss and alveolar bone destruction leads to ultimate tooth loss. It is caused by the bacteria present in dental plaque, which is a tenacious substance that forms on teeth and gingiva just after teeth are brushed. Periodontal treatment is aimed at controlling the infection in order to stop the progression of the disease and to be able to maintain a healthy periodontium. Mechanical debridement of supragingival and subgingival biofilms, together with adequate oral hygiene measures is the standard periodontal therapy. This mechanical subgingi- val biofilm debridement consists of an initial (nonsurgical /phase I) phase involving scaling and root planing (SRP) and the elimination of plaque retentive factors, followed by a surgical phase (if needed) including the elevation of a tissue flap and bone remodeling in further stages. The adjunct use of antibiotics has proven to additionally improve the outcome of periodontal treatment. A clinical case of a 40-years-old male patient with generalized severe chronic periodontitis with localized gingival swell- ing was treated with nonsurgical (phase I) periodontal therapy that was confined to oral hygiene instruction (OHI), SRP with an adjunct antimicrobial regimen.Update Dent. Coll. j: 2017; 7 (2): 33-37

scholarly journals Nonsurgical Periodontal Therapy decreases the Severity of Rheumatoid Arthritis: A Case–control Study

2016 ◽  
Vol 17 (6) ◽  
pp. 484-488 ◽  
Author(s):  
Neha Khare ◽  
Bhavuk Vanza ◽  
Deepak Sagar ◽  
Kumar Saurav ◽  
Rohit Chauhan ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oral Hygiene ◽  
Case Control Study ◽  
Case Control ◽  
Periodontal Therapy ◽  
Clinical Observations ◽  
Nonsurgical Periodontal Therapy ◽  
Group A ◽  
Group B ◽  
Control Study

ABSTRACT Introduction Rheumatoid arthritis (RA) and periodontitis are common chronic inflammatory conditions. Several studies suggested a relationship between RA and periodontitis. Recent studies have shown a beneficial effect of periodontal treatment on the severity of active RA. So the aim of this study was to examine the effect of nonsurgical periodontal therapy on the clinical parameters of RA. Materials and methods A total of 60 subjects with moderateto- severe chronic generalized periodontitis and active RA in the age range 18 to 65 were selected for the study. They were divided into two groups. Group A (control group) consisted of 30 subjects with chronic generalized periodontitis and RA, and group B of 30 subjects with chronic generalized periodontitis and RA and they received nonsurgical periodontal therapy (scaling, root planning, and oral hygiene instructions). Evaluation of clinical observations of Simplified Oral Hygiene Index (OHI-S), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), number of swollen joints (SJ), number of tender joints (TJ), values of erythrocyte sedimentation rate (ESR), visual analogue scale (VAS) for patient's global assessment, 3 months disease activity score (DAS) index, and C-reactive protein (CRP) was done at baseline and 3 months. Statistical evaluation of clinical observations was carried out. Results Group B subjects who received nonsurgical periodontal therapy showed statistically significant improvement in all periodontal and RA parameters at 3 months, compared with group A who did not receive periodontal therapy. Conclusion It can be concluded from the result that nonsurgical periodontal therapy may contribute to reduction in severity and symptoms of RA. Clinical significance Rheumatoid arthritis patients should be evaluated for periodontitis and treated for the same in order to reduce its severity level. How to cite this article Khare N, Vanza B, Sagar D, Saurav K, Chauhan R, Mishra S. Nonsurgical Periodontal Therapy decreases the Severity of Rheumatoid Arthritis: A Case–control Study. J Contemp Dent Pract 2016;17(6):484-488.

scholarly journals Keberhasilan terapi fase inisial periodontal pada gingival enlargement pasien anak dengan hidrosefalusThe success of initial periodontal therapy phase in gingival enlargement paediatric patient with hydrocephalus

2020 ◽  
Vol 32 (3) ◽  
pp. 244
Author(s):  
Nunung Rusminah ◽  
Zavani Nur Hikmah ◽  
Fahmi Oscandar
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Oral Hygiene ◽  
Chronic Periodontitis ◽  
Periodontal Therapy ◽  
Paediatric Patients ◽  
Root Planing ◽  
Gingival Enlargement ◽  
And Control ◽  
Oral Hygiene Instruction

Pendahuluan: gingival enlargement umumnya terjadi akibat inflamasi kronis yang disebabkan oleh faktor lokal, seperti induksi plak pada gingiva dan faktor sistemik seperti  pengaruh hormon dan obat-obatan sistemik tertentu. Hidrosefalus merupakan kondisi yang diakibatkan adanya volume cerebrospinal fluid (CSF) berlebih yang tidak terserap sempurna, dalam jumlah yang sangat tinggi pada ventrikel di otak dan terkadang juga terdapat di ruang subarachnoid, yang menyebabkan terjadinya dilatasi ventrikel secara progresif. Kondisi ini menghasilkan peningkatan tekanan intrakranial dan sering merusak jaringan di sekitarnya. Pasien hidrosefalus menunjukkan pembesaran kepala dan mengalami keterlambatan pertumbuhan. Tujuan penelitian laporan kasus ini adalah menjelaskan keberhasilan terapi fase inisial perawatan periodontal pada gingival enlargement pasien anak dengan hidrosefalus. Laporan kasus: Pasien hidrosefalus laki-laki berusia 12 tahun, mengalami pembesaran gingiva pada rahang atas, sering berdarah pada saat tersentuh sikat gigi ataupun terkena sentuhan lainnya, terjadi kurang lebih sejak dua bulan yang lalu, pasien tidak mengonsumsi obat-obatan secara sistemik. Hasil pemeriksaan klinis dan radiologis dapat ditegakkan diagnosis inflammatory gingival enlargement rahang atas disertai periodontitis kronis gigi 27, dengan diagnosis banding periodontitis kronis. Gingival enlargement merupakan faktor predisposing pembentukan plak. Gingival enlargement pada pasien ini dirawat dengan terapi inisial yaitu Oral hygiene Instruction (OHI), scaling, root planing, dan kontrol. Simpulan: Terapi fase inisial periodontal berupa OHI, scaling, root planing, dan kontrol, berhasil menghilangkan gingival enlargement pada pasien anak dengan hidrosefalus.Kata kunci: Gingival enlargement, hidrosefalus, perawatan inisial periodontal. ABSTRACTIntroduction: Gingival enlargement generally occurs due to chronic inflammation caused by local factors, such as plaque induction on the gingiva and systemic factors such as hormonal influences and certain systemic drugs. Hydrocephalus is a condition that results from the incompletely absorbed excess volume of cerebrospinal fluid (CSF), with very high amounts in the ventricles in the brain and sometimes also in the subarachnoid space, leading to progressive dilation of the ventricles. This condition results in increased intracranial pressure and often damages surrounding tissue. Hydrocephalus patients show head enlargement and growth delay. This case report was aimed to describe the success of the initial phase of periodontal therapy in gingival enlargement of paediatric patients with hydrocephalus. Case report: A 12-year-old male hydrocephalus patient, had enlarged maxillary gingiva, often bled when touched by a toothbrush or when exposed to other touches, occurred for about two months prior, and the patient did not take any medication systemically. The clinical and radiological examination results can confirm the diagnosis of inflammatory maxillary gingival enlargement with chronic periodontitis in tooth #27, with a differential diagnosis of chronic periodontitis. Gingival enlargement is a predisposing factor for plaque formation. Gingival enlargement in this patient was treated with initial therapy, namely oral hygiene instruction (OHI), scaling, root planing, and control. Conclusion: The initial periodontal therapy phase in the form of OHI, scaling, root planing, and control, succeeded in eliminating gingival enlargement in paediatric patients with hydrocephalus.Keywords: Gingival enlargement, hydrocephalus, initial periodontal therapy.

scholarly journals Gingival overgrowth and associated factors in a population of Nigerian hypertensives

2021 ◽  
Vol 12 (3) ◽  
pp. 164-174
Author(s):  
Soroye Modupeoluwa Omotunde ◽  
Sorunke Modupeore Ekua
Keyword(s):  
Oral Hygiene ◽  
Associated Factors ◽  
Statistical Significance ◽  
Gingival Tissue ◽  
Age Group ◽  
Gingival Inflammation ◽  
Drug Induced ◽  
Gingival Overgrowth ◽  
Hygiene Measures ◽  
Gingival Enlargement

Background: Gingival overgrowth may be idiopathic or secondary. Drug Induced Gingival Overgrowth (DIGO) occurs within 3 months of treatment and is more prevalent in younger age group with predilection for the anterior gingival tissue and usually not associated with attachment loss or tooth mobility unless there is an existing periodontal disease. Methodology: 170 hypertensive patients were recruited for the study; 85 calcium channel blocker (CCB) and 85 non-CCB users. Interviewer-administered questionnaires was used to obtain socio-demographic information as well as medical and drug history. GO was assessed using New Clinical Index for DIGO and data was analyzed with SPSS version 21 (Armonk, NY: IBM Corp). Continuous and nominal variables were described with means, standard deviations and frequencies. Statistical significance was set at P < 0.05. Results: Amlodipine was the most commonly used CCB. The prevalence of DIGO in CCB and non-CCB was the same (49.5%). Gingival enlargement was found equally among both sexes in the CCB and non-CCB groups. A third of the participants with GO were 70 years and above while those without were majorly in the fifth and sixth decade of life. Two-third of those with DIGO had fair oral hygiene status, two-fifth had gingival bleeding and three-fifth had mild gingival inflammation. Those without DIGO in both groups had a slight female predominance and majorly good oral hygiene. Associated factors with DIGO were female sex, 60-69 age group, 10mg drug dosage, been on medication less than 10 years, mild gingival inflammation and generalized gingivitis. Conclusion: There was no difference in the prevalence of DIGO between BBC and non-BBC users. However, there was mild gingival inflammation in all participants with DIGO and amlodipine users were three times more at risk of developing DIGO than nifedipine users. Thus, it is imperative to advise the hypertensives on the importance of maintaining adequate oral hygiene measures and incorporate periodontal care in their management so as to ameliorate the side effects of their medication.

Uncommon presentation of inflammatory gingival enlargement: Resolution by means of nonsurgical periodontal therapy only

2018 ◽  
Vol 13 (2) ◽  
pp. 104
Author(s):  
BinduSuresh Singh ◽  
PriyankaGanesh Jaiswal ◽  
PrasadVijay Dhadse ◽  
AnkitaArun Agrawal ◽  
VikasVilas Pakhare
Keyword(s):  
Periodontal Therapy ◽  
Uncommon Presentation ◽  
Nonsurgical Periodontal Therapy ◽  
Gingival Enlargement

scholarly journals Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis

2017 ◽  
Vol 59 (1) ◽  
pp. 111-120 ◽  
Author(s):  
Maaz Asad ◽  
Alwani W. Abdul Aziz ◽  
Renukanth P. C. Raman ◽  
Himratul-Aznita W. Harun ◽  
Tara Bai T. Ali ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Chronic Periodontitis ◽  
Periodontal Therapy ◽  
Nonsurgical Periodontal Therapy ◽  
Oral Hygiene Instruction

Unusual case of postpartum gingival enlargement: diagnosis and management

2016 ◽  
Vol 4 (2) ◽  
pp. 79
Author(s):  
Shipra Arora ◽  
Abdul Ahad ◽  
Shruti Tandon ◽  
Arundeep Lamba ◽  
Farrukh Faraz
Keyword(s):  
Bone Loss ◽  
Unusual Case ◽  
Radiographic Analysis ◽  
Lactation Period ◽  
Normal Limits ◽  
Female Sex Hormones ◽  
Crestal Bone Loss ◽  
Gingival Enlargement ◽  
Systemic Factors ◽  
One Year

Gingival enlargement is a clinical condition that has been widely studied. Usually, it is related to specific local or systemic factors. However, it is difficult sometimes to find out a definite etiology, and treatment has to be done according to presenting clinical features.  This article presents an unusual case of gingival enlargement that occurred after pregnancy without any clear underlying etiology. A female aged 31 years reported with gingival enlargement and mobility of teeth during lactation period. Gingival enlargement had started 2 months after child birth.  All female sex hormones were found to be within normal limits. Karyotyping was also found to be normal, without any genetic alteration. Radiographic analysis revealed generalized severe crestal bone loss. After phase I periodontal therapy, enlargement was managed surgically under local anaesthesia. On histological examination of excised specimen, tissue was found to be hyperplastic. Although a definite etiology could not be ascertained, the treatment was successful and there has been no recurrence after one year post-treatment interval.

scholarly journals Non-surgical periodontal therapy: Case Report

2020 ◽  
Author(s):  
Sohini Banerjee ◽  
Chhanda Biswas ◽  
Tirthankar Debnath ◽  
Pradip Giri
Keyword(s):  
Chronic Periodontitis ◽  
Alveolar Bone ◽  
Inflammatory Diseases ◽  
Periodontal Therapy ◽  
Periodontal Infection ◽  
Hygiene Measures ◽  
Nonsurgical Periodontal Therapy ◽  
Long Term Follow Up ◽  
Micro Organisms ◽  
Pocket Formation

Chronic periodontitis is the inflammatory diseases of the supporting tissues of teeth caused by micro-organisms resulting in progressive destruction of the periodontal ligament and alveolar bone with pocket formation, recession, or both. Mechanical debridement of supra-gingival and subgingival biofilms, together with adequate oral hygiene measures is the standard periodontal therapy. Nonsurgical periodontal therapy which aims to eliminate both living bacteria in the microbial biofilm and calcified biofilm microorganisms still remains the gold standard and first recommended approach to control periodontal infection. This article would highlight about the long term follow-up and management of chronic periodontitis cases through non-surgical periodontal therapy and its importance and efficacy in day to day clinical practice. Key words: Chronic periodontitis, nonsurgical periodontal therapy, efficacy.

scholarly journals Idiopathic gingival enlargement: A case report

2015 ◽  
Vol 11 (1) ◽  
pp. 26-28
Author(s):  
Rajesh Shah ◽  
Shivalal Sharma
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Rare Condition ◽  
Psychological Disturbances ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis ◽  
One Year ◽  
Maxillary Region

Idiopathic gingival fibromatosis is a relatively rare condition characterized by the proliferation of the gingival tissues resulting in masticatory, esthetics, phonetics and psychological disturbances. We present a case with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal/occlusal third of the tooth in the left maxillary region. Gingivectomy was carried out in all four quadrants. Periodic recalls showed maintenance of good oral hygiene and one year follow-up revealed no recurrence.JCMS Nepal. 2015;11(1): 26-28

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