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Idiopathic gingival enlargement and its management.

Shetty AK, Shah HJ, Patil MA, Jhota KN - J Indian Soc Periodontol (2010)

Bottom Line: The patient presented 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 resulting in difficulty in speech and mastication since last three years.Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence.Gingivectomy was carried out in all four quadrants by using four different methods.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics and Oral Implantology, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, India.

ABSTRACT
Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Both genetically and pharmacologically induced forms of gingival enlargement exist. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a 13-year-old female. The patient presented 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 resulting in difficulty in speech and mastication since last three years. Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence. Biopsy report confirmed the diagnosis of gingival hyperplasia. Gingivectomy was carried out in all four quadrants by using four different methods.

No MeSH data available.


Related in: MedlinePlus

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Mentions: Intraoral periapical and panoramic radiograph revealed no bone loss [Figure 2]. Over-retained deciduous teeth 53 and 74 were present. Hematological investigations were within normal limits. Punch biopsy was carried out which revealed bulbous increase in the connective tissue, which was relatively avascular and had densely arranged collagen-fiber bundles, numerous fibroblasts, and mild chronic inflammatory cells. The overlying epithelium exhibited hyperplasia and had elongated rete ridges suggesting histological diagnosis of fibroepithelial hyperplasia.


Idiopathic gingival enlargement and its management.

Shetty AK, Shah HJ, Patil MA, Jhota KN - J Indian Soc Periodontol (2010)

OPG
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3118079&req=5

Figure 2: OPG
Mentions: Intraoral periapical and panoramic radiograph revealed no bone loss [Figure 2]. Over-retained deciduous teeth 53 and 74 were present. Hematological investigations were within normal limits. Punch biopsy was carried out which revealed bulbous increase in the connective tissue, which was relatively avascular and had densely arranged collagen-fiber bundles, numerous fibroblasts, and mild chronic inflammatory cells. The overlying epithelium exhibited hyperplasia and had elongated rete ridges suggesting histological diagnosis of fibroepithelial hyperplasia.

Bottom Line: The patient presented 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 resulting in difficulty in speech and mastication since last three years.Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence.Gingivectomy was carried out in all four quadrants by using four different methods.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics and Oral Implantology, Padmashree Dr. D. Y. Patil Dental College and Hospital, Nerul, Navi Mumbai, India.

ABSTRACT
Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Both genetically and pharmacologically induced forms of gingival enlargement exist. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a 13-year-old female. The patient presented 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 resulting in difficulty in speech and mastication since last three years. Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence. Biopsy report confirmed the diagnosis of gingival hyperplasia. Gingivectomy was carried out in all four quadrants by using four different methods.

No MeSH data available.


Related in: MedlinePlus