MANAGEMENT OF BACTERIAL PLAQUE-INDUCED GINGIVAL ENLARGEMENT: CASE REPORT

Authors

  • Martina Amalia Periodontia Department, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia
  • Cut Ati Ningsih Periodontia Specialist Programme, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia.
  • Widianto Meydhiono Dental Union, Medan, Indonnesia

DOI:

https://doi.org/10.46862/interdental.v20i1.6947

Keywords:

Dental plaque, Epulis, Gingival enlargement, Gingivectomy

Abstract

Introduction: Gingival enlargement is a condition that we often encounter in the oral cavity. This condition can be caused by plaque accumulation, systemic disorders, and side effects of some drugs as well as genetic factors. Gingival enlargement due to the accumulation of bacterial plaque generally shows signs and symptoms of inflammation which can be a major risk factor for periodontitis. This case report aims to describe two cases of plaque-induced gingival enlargement, one of which was accompanied by the presence of granulomatous epulis.

Case: The first case was a 23-year-old woman complaining that her gums often bleed when brushing her teeth since 1 year ago. Intra oral examination can see swelling of the gingiva in the anterior area of RA and RB. The second case is a 40-year-old woman with complaints of swelling of the lower right back gum since 2 years ago. An enlargement of the gingiva in the anterior area is seen accompanied by granulomatous epulis with fibrous consistency in the posterior area of RB.

Treatment: In the first case, non-surgical treatment was carried out and continued with regular visits every 3 months. In the second case, non-surgical and surgical procedures were performed. Treatment begins with tooth root extraction and scaling and root planning. Furthermore, gingivectomy surgery was performed to excise the enlarged gingiva. 

Discussions: The treatment results look good, where it can be seen that the etiological factor can be ruled out. After the surgical treatment, the healing went well, marked by no inflammation around it.   

Conclusion: Gingival enlargement can affect aesthetics and interfere with the patient's masticatory function. Identification of the etiological factors is necessary for an appropriate treatment plan.

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References

Shetty A, Krishnamurthy NN, Davis A, Rai D, Mathew RM, George C. Gingival Enlargement: A Review. International Journal of Innovative Science and Research Technology 2022; 7(6): 461-72

Tomar N, Jain G, Sharma A, Wadhawan A, Student P. Inflammatory Gingival Enlargement-A Case Report 2015 1(3):146-48.

Bhatnagar S. Treatment of Gingival Enlargement. In: Gingival Disease - A Professional Approach for Treatment and Prevention. Intech Open 2019. doi:10.5772/intechopen.82664

Jain AR, Archana K, Dhanraj M, Nirosa T. Drug-Induced Gingival Enlargement 2018; 10(7): 1292-96.

Barbe AG, Röhrig G, Hieggelke L, Noack MJ, Derman SHM. Interdisciplinary assessment and management of a patient with a fibrous gingival enlargement of unknown origin: A case report. Clin Case Rep. 2020; 8(1):159-165. doi:10.1002/ccr3.2605

Mukherjee A, Rangaraju Vivekananda M, Ravindra S, Shivaprasad D. Non-Surgical Management of Gingival Enlargement with Vitamin C-A Case Report. International Journal of Research & Review (www.gkpublication.in) 2017; 4(10): 25-28

Guler B, Isler S, Uraz A, Bozkaya S, Cetiner F. The comparison of postoperative wound healing following different gingivectomy techniques: A randomized prospective clinical trial. Ann Med Res 2019; 26(3): 382-8. doi:10.5455/annalsmedres.2018.10.214

Mehmet Özgöz, Taner Arabaci. Chronic Inflammatory Gingival Enlargement and Treatment: A Case Report. Adv Dent & Oral Health 2018; 9(4): 555766. DOI: 10.19080/ADOH.2018.09.555766

Shantipriya Reddy. Gingival Enlargement in Essentials of Clinical Periodontology and Periodontics, New Delhi: Jaypee Brothers Medical Publishers; 2011. 159-174.

Anindita LK, Aris AJ, Arcadia S. Laporan Kasus: Manifestasi Oral Penderita Hipertensi berupa Ginggival Enlargement. STOMATOGNATIC. Jurnal Kedokteran Gigi 2020; 17(2):54-56.

Sadaksharam J, Annapoorni A V. Diagnostic Approaches and Management of Reactive Fibrous Growths of Gingiva-Report of Two Cases. Saudi J Oral Dent Res 2021; 6(11): 506-510. doi:10.36348/sjodr.2021.v06i11.00.

Murdiastuti K, Salma Nurbaiti M. Management of Fibrous Epulis of Anterior Maxillary Teeth: A Case Report of a 1.5-Year-Old Lesion. KnE Medicine 2022; 2(1): 333-342. doi:10.18502/kme.v2i1.10866

Artika, MD. Gingivectomy in Gingival Enlargement Cases Using Conventional Technique: Gingivektomi pada Kasus Gingival Enlargement Menggunakan Teknik Konvensional . Interdental Jurnal Kedokteran Gigi (IJKG) 2022; 18(2): 62–66. DOI: https://doi.org/10.46862/interdental.v18i2.509

Satrio R, Pramudyanaswari, Puspaningdyah. Laporan Kasus: Penatalaksanaan Gingivitis Gravidarum pada Ibu Hamil di RSGM Universitas Jenderal Soedirman. STOMATOGNATIC - Jurnal Kedokteran Gigi 2022; 19(1): 45-48.

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Published

2024-04-21

How to Cite

1.
Amalia M, Ningsih CA, Meydhiono W. MANAGEMENT OF BACTERIAL PLAQUE-INDUCED GINGIVAL ENLARGEMENT: CASE REPORT. interdental [Internet]. 2024 Apr. 21 [cited 2024 Jun. 20];20(1):156-63. Available from: https://e-journal.unmas.ac.id/index.php/interdental/article/view/6947