Functional and Esthetic Correction of Severe Localized Pregnancy-Induced Gingival Enlargement associated with Capillary Hemangioma

Gingival enlargement is a clinical condition that has been directly associated with specific local or systemic conditions. Pregnancy has been considered an attributing factor which increases the susceptibility to gingival enlargement. It is also considered as a risk factor for periodontitis because of its ability to allow proliferation of specific microorganisms and affect host immunological response. This paper presents a rare case report of capillary hemangioma on attached gingiva of anterior maxilla in an adult female which initiated when she was in her 10th week of gestation. After parturition, gingival enlargement further progressed and caused functional and aesthetic problem. Enlargement did not resolve even after non-surgical therapy; therefore, surgical excision of the entire enlargement was preformed. Histopathological examination revealed capillary hemangioma. No evidence of malignancy was seen. No recurrence was seen even after 2 years of follow-up.