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An uncommon presentation of an inflammatory gingival enlargement – responding to non‐surgical periodontal therapy
Author(s) -
Agrawal N,
Agrawal K,
Mhaske S
Publication year - 2011
Publication title -
international journal of dental hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 38
eISSN - 1601-5037
pISSN - 1601-5029
DOI - 10.1111/j.1601-5037.2010.00497.x
Subject(s) - medicine , gingival enlargement , periodontist , oral hygiene , etiology , dentistry , physical examination , presentation (obstetrics) , periodontology , gingival and periodontal pocket , pathology , surgery , periodontitis
To cite this article:
Int J Dent Hygiene9 , 2011; 303–307 DOI: 10.1111/j.1601‐5037.2010.00497.x
Agrawal N, Agrawal K, Mhaske S. An uncommon presentation of an inflammatory gingival enlargement – responding to non‐surgical periodontal therapy. Abstract: Background: The various clinical manifestations of inflammatory gingival enlargement reported are more or less similar regardless of the underlying aetiological factors. Unusual presentation and unknown aetiology pose a diagnostic challenge for a periodontist. Methods: A 34‐year‐old Indian woman presented with the complaint of gum swelling that was sessile, lobulated, soft in consistency and bluish red in colour with ulcerated surface in some region, which was covered by the necrotic slough. This type of enlargement was unusual and some underlying systemic pathology was suspected. But a written consultation from her physician confirmed her systemic health, which was based on clinical, radiological and haematological investigations. Histopathological examination confirmed the diagnosis of inflammatory gingival enlargement. Patient was treated with oral hygiene instructions, scaling and root planning. Result: Within a month of conventional periodontal therapy, gum enlargement reduced markedly and patient was put on oral hygiene maintenance programme. Conclusion: Periodontal therapy is diagnosis‐driven and, to the extent possible, should address all the possible factors that impact development and progression of diseases that may affect periodontal tissue. In plaque‐induced periodontal diseases, non‐surgical periodontal therapy is still a gold standard among all the therapies available.