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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

Third quadrant - Electrocautery
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Figure 5: Third quadrant - Electrocautery

Mentions: After completion of Phase I treatment, a quadrant-wise gingivectomy was performed under local anesthesia using four different techniques. In first quadrant, ledge and wedge technique was performed [Figure 3] followed by external bevel gingivectomy in second quadrant after ten days [Figure 4]. Kirkland knives were used for incisions on the facial and lingual surfaces. Orban periodontal knives were used for interdental incisions. Ten days later, surgery using an electrocautery device with a medium size, loop electrode was performed in third quadrant [Figure 5]. A soft tissue diode laser was used for gingivectomy in the fourth quadrant [Figure 6]. Co-pack was given in all four quadrants to reduce patient discomfort. Use of laser and electrocautery provided excellent hemostasis and better immediate postoperative result. Also the patient acceptance towards the treatment was better with these two rather than the conventional approach [Figure 7].


Idiopathic gingival enlargement and its management.

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

Third quadrant - Electrocautery
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Third quadrant - Electrocautery
Mentions: After completion of Phase I treatment, a quadrant-wise gingivectomy was performed under local anesthesia using four different techniques. In first quadrant, ledge and wedge technique was performed [Figure 3] followed by external bevel gingivectomy in second quadrant after ten days [Figure 4]. Kirkland knives were used for incisions on the facial and lingual surfaces. Orban periodontal knives were used for interdental incisions. Ten days later, surgery using an electrocautery device with a medium size, loop electrode was performed in third quadrant [Figure 5]. A soft tissue diode laser was used for gingivectomy in the fourth quadrant [Figure 6]. Co-pack was given in all four quadrants to reduce patient discomfort. Use of laser and electrocautery provided excellent hemostasis and better immediate postoperative result. Also the patient acceptance towards the treatment was better with these two rather than the conventional approach [Figure 7].

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