Limits...
Long term follow up of idiopathic gingival enlargement associated with chronic periodontitis: A case report and review.

Nagarale GP, Ravindra S, Thakur S, Setty S - J Indian Soc Periodontol (2013)

Bottom Line: It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis.Histopathological investigations revealed atrophic epithelium with dense fibrocollagenous tissue.Lesions healed successfully following extraction and surgical excision, and no recurrence was observed after 1 year follow-up but recurrence was observed at 3 and 5-years follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, S D M College of Dental Sciences and Hospital, Dharwad, Karnataka, India.

ABSTRACT

Background: Idiopathic gingival enlargement is a rare condition characterized by massive enlargement of the gingiva. It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis.

Case description: This case report describes an unusual clinical form of gingival enlargement associated with chronic periodontitis. Clinical examination revealed diffuse gingival enlargement. The lesion was asymptomatic, firm, and pinkish red. Generalized periodontal pockets were observed. Radiographic evaluation revealed generalized severe alveolar bone loss. Histopathological investigations revealed atrophic epithelium with dense fibrocollagenous tissue. Lesions healed successfully following extraction and surgical excision, and no recurrence was observed after 1 year follow-up but recurrence was observed at 3 and 5-years follow-up.

Clinical implications: Successful treatment of idiopathic gingival enlargement depends on proper identification of etiologic factors and improving esthetics and function through surgical excision of the over growth. However, there may be recurrence.

No MeSH data available.


Related in: MedlinePlus

No evidence of recurrence of gingival enlargement at 1 year postoperative presentation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3713760&req=5

Figure 5: No evidence of recurrence of gingival enlargement at 1 year postoperative presentation

Mentions: Eleven teeth were extracted due to hopeless prognosis. Examination of extracted teeth revealed root resorption of molars and the presence of thick band of subgingival calculus covering the entire length of the roots. Clinical inflammation was minimal after scaling and root planing. Surgical therapy included internal bevel gingivectomy combined with the open flap debridement under local anesthesia, which was performed at an interval of 1 month. The recovery period was uneventful. Function and esthetics were restored early with removable partial dentures. The patient showed no evidence of recurrence during 1 year follow-up period [Figure 5]. Three more teeth were extracted due to hopeless prognosis at 3 years follow-up and scaling was done for the remaining teeth. At the most recent follow-up, 5 years after the procedure, recurrence of the gingival enlargement was observed in the lower right quadrant, and anteriors [Figure 6]. The appearance of the tissue was quite similar to that seen at the beginning. Re-evaluation revealed the presence of plaque and calculus and periodontal pockets.


Long term follow up of idiopathic gingival enlargement associated with chronic periodontitis: A case report and review.

Nagarale GP, Ravindra S, Thakur S, Setty S - J Indian Soc Periodontol (2013)

No evidence of recurrence of gingival enlargement at 1 year postoperative presentation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3713760&req=5

Figure 5: No evidence of recurrence of gingival enlargement at 1 year postoperative presentation
Mentions: Eleven teeth were extracted due to hopeless prognosis. Examination of extracted teeth revealed root resorption of molars and the presence of thick band of subgingival calculus covering the entire length of the roots. Clinical inflammation was minimal after scaling and root planing. Surgical therapy included internal bevel gingivectomy combined with the open flap debridement under local anesthesia, which was performed at an interval of 1 month. The recovery period was uneventful. Function and esthetics were restored early with removable partial dentures. The patient showed no evidence of recurrence during 1 year follow-up period [Figure 5]. Three more teeth were extracted due to hopeless prognosis at 3 years follow-up and scaling was done for the remaining teeth. At the most recent follow-up, 5 years after the procedure, recurrence of the gingival enlargement was observed in the lower right quadrant, and anteriors [Figure 6]. The appearance of the tissue was quite similar to that seen at the beginning. Re-evaluation revealed the presence of plaque and calculus and periodontal pockets.

Bottom Line: It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis.Histopathological investigations revealed atrophic epithelium with dense fibrocollagenous tissue.Lesions healed successfully following extraction and surgical excision, and no recurrence was observed after 1 year follow-up but recurrence was observed at 3 and 5-years follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, S D M College of Dental Sciences and Hospital, Dharwad, Karnataka, India.

ABSTRACT

Background: Idiopathic gingival enlargement is a rare condition characterized by massive enlargement of the gingiva. It may be associated with other diseases/conditions characterizing a syndrome, but rarely associated with periodontitis.

Case description: This case report describes an unusual clinical form of gingival enlargement associated with chronic periodontitis. Clinical examination revealed diffuse gingival enlargement. The lesion was asymptomatic, firm, and pinkish red. Generalized periodontal pockets were observed. Radiographic evaluation revealed generalized severe alveolar bone loss. Histopathological investigations revealed atrophic epithelium with dense fibrocollagenous tissue. Lesions healed successfully following extraction and surgical excision, and no recurrence was observed after 1 year follow-up but recurrence was observed at 3 and 5-years follow-up.

Clinical implications: Successful treatment of idiopathic gingival enlargement depends on proper identification of etiologic factors and improving esthetics and function through surgical excision of the over growth. However, there may be recurrence.

No MeSH data available.


Related in: MedlinePlus