JICDRO is a UGC approved journal (Journal no. 63927)
CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 2  |  Page : 146-150

Idiopathic gingival enlargement and its management


1 Unit of Periodontics, Oral Health Science Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Periodontics, Regional Dental College, Bhangagarh, Guwahati, Assam, India

Correspondence Address:
Dr. Pawan Kumar
Senior Resident, Unit of Periodontics, Oral Health Science Centre, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-0754.164395

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Increase in the size of gingiva referred to as "gingival enlargement," usually overfills the interproximal spaces, ballooning out over the teeth and sometimes even protruding into the oral cavity. It may occur as localized enlargement in relation to a single tooth, a group of teeth, or may be generalized involving the entire dentition. It is multifactorial in origin having the influence of bacterial plaque, systemic factors or conditions, genetic predisposition (hereditary or familial), and various medications. Sometimes, it may appear as diffuse enlargement of gingiva without any specific etiologic factor. It is then considered as idiopathic enlargement. In this case report, an idiopathic gingival enlargement was successfully treated using gingivectomy by ledge and wedge procedure. The surgical technique performed yielded functionally as well as esthetically satisfying results. Gingivectomy provides a viable option to manage diffuse enlargement cases. This procedure provides the functional as well as esthetic demands and at the same time, it maintains the integrity of periodontium.


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