Puberty Associated Gingival Enlargement: Clinical Case Report and Periodontal Management

Puberty associated gingival enlargement is one of the gingival diseases categorized as dental plaque induced gingival diseases modified by endocrine system, in the currently accepted periodontal disease classification. Usually, a conventional periodontal therapy comprising of oral prophylaxis, scaling and root planning is sufficient to treat the condition. However, in some cases where there is more amount of fibrotic tissue along with the inflammatory, occurring to surgical means is a key to management success. The purpose of this study is to report a typical presentation of generalized gingival enlargement associated with puberty and highlight the importance of taking an accurate history in achieving a correct diagnosis and improving a best therapeutic approach to restore aesthetic and masticatory functions. In the present case, gingivectomy was the treatment of choice after a non-surgical periodontal management. Patient-reported outcomes were satisfaction and approved esthetic smile.