Licensed under creative commons attribution cc by management of puberty associated gingival enlargement in an adolescent female a case report with a followup of 1 year dr. Pdf idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Gingival enlargement ge is not a disease itself but rather encompasses a lot of definitions describing an abnormal gingival swelling at any age. Historical article eponyms related to genetic disorders. Gingival enlargement in a case of variant jones syndrome. Gingival overgrowth may vary from isolated mild enlargement of interdental papilla or a uniform enlargement which may affect either one or both jaws. Smile designing by surgical lip repositioning with gingival. A customized decision tree is designed, which will help clinicians to keep a broad view when formulating a differential diagnosis of localized isolated, discrete, regional or generalized gingival enlargement and arrive at a particular diagnosis is an easy and systematic manner. Deffinition gingival enlargement refers to excessive growth of the gums, and may also be known as gingival hyperplasia or hypertrophy. Usually it presents as a thickened, triangular flap of gingiva that is aggravated by con. Due to the unaesthetic appearance of the overgrown gingiva, treatment becomes inevitable. Idiopathic cases are less frequent reported than the ones associated with hereditary factors, including syndromes and nonsyndromic conditions, inflammatory diseases. Recurrent gingival enlargement, chronic periodontitis, dense fibrocollagenous tissue. Gingival enlargement, chronic myeloid leukemia, zimmermannlaband syndrome, nifedipine introduction gingival enlargement ge is defined as an abnormal overgrowth of gingival tissues.
Cyclosporin is an immunosuppressant which has been reported to cause gingival enlargement in 2580% of patients. Surgical therapy was carried out to provide a good. Praneeta kamble abstract idiopathic gingival enlargement is a rare condition characterized by massive enlargement of the gingival tissue that causes aesthetic and functional problems. Recognition and treatment of amlodipine norvasc induced gingival hyperplasia d. Gingival enlargement is most common in acute monocytic leukemic m5 which is about 66. In severe cases, the excess tissue may cover the crowns of the teeth, thus causing functional, esthetic, and periodontal problems, such as bone loss and bleeding, due to the presence of pseudopockets. Gingival enlargement atau pembesaran gusi ini tampak berupa petechiae dan bergranul serta mudah. Gingival was bluish in colour with presence of ecchymosis in the floor of the mouth figure 2. The incidence occurred in 31% of the patients taking diltiazem and 21% in the verapamiltreated group.
A case of a 19yearold male presenting with maxillary and mandibular chronic inflammatory gingival enlargement associated with prolonged orthodontic therapy is reported here. Unilateral fibrotic enlargement of gingiva with unknown. According to medical history, the patient had received a kidney transplantation 2 years earlier 20. In most cases, the enlargement results because of local irritations. The inflammatory gingival enlargement is the most common type of gingival enlargement and its treatment involves the removal of local factors, that is, plaque and calculus. Calcium channel blockerinduced gingival enlargement. A clinicopathological study of 1187 cases paris tamiolakis 1, eirini chatzopoulou 2, fiorina frakouli 3, konstantinos i. The space, or potential space, that is created from the tip of the free gingiva to the attachment of the gingiva. On palpation, gingiva was soft and oedematous without stippling and was tender on palpation. Calcium channel blockersamlodipine is less frequent 3.
Radang di atas perubahan gingiva akibat radang di atas perubahan gingiva akibat. Congenital gingival hyperplasia in a neonate with foetal valproate syndrome. Gingival enlargement as an adverse effects of drugs has been found to be long associated with the use of anticonvulsants. Idiopathic gingival enlargement igf is a rare condition which is characterized by slowly, progressive, nonhemorrhagic fibrotic enlargement of the gingiva. The causative factors may range from inflammation due to local factors to conditioned. Hassan f, tawfig n, gobara b 2015 gingival overgrowth in subjects under immunosuppressive regimens based on tacrolimus or. Gingival overgrowth enlargement, hyperplasia is benign painless condition, characterized by massive enlargement of the interdental papillae, which can range from mild to. Case report untypical amlodipineinduced gingival hyperplasia. His oral hygiene was poor with presence of local factors. Gingival enlargement pada pasien penyakit wegeners granulomatosis berbentuk buah strawberry f.
Jmscr vol journal of medical science and clinical research. Gingival enlargements are quite common and may be either inflammatory, non inflammatory or a combination of both. Sharpe, in current topics in developmental biology, 2015. A case of gingival enlargement in acute myeloid leukemia. The most common is chronic inflammatory gingival enlargement, when the gingivae are soft and discolored. Chronic inflammatory gingival enlargement associated with.
Primary tuberculous gingival enlargement a rare clinical entity. Gingival enlargement or overgrowth is a common disease of gingiva. Clipping is a handy way to collect important slides you want to go back to later. Doc case report ginggival enlargment maiyani lestari.
It is a common clinical condition usually seen in acute and chronic gingival inflammation. Localized gingival enlargements e320 journal section. Pdf idiopathic gingival enlargement and its management. Eponyms related to genetic disorders associated with gingival enlargment eponyms related to genetic disorders associated with gingival enlargement remarks anderson fabry disease 2,3 also known as fabry disease, angiokeratoma corporis diffusum and alphagalactosidase a defi. It is the preferred term for gingival hyperplasia or gingival hypertrophy 2. Abstract gingival enlargement can be caused by a variety of etiological factors like inflammation, drugs, and systemic diseases or can be presented as a part of a syndrome. Once the local factors are removed, the inflammation starts subsiding and gradually, the size of the gingiva comes to its normal state. At present, around 20 or more drugs are linked to gingival enlargement 4. Introduction gingival enlargement is a common feature of gingival disease and may be caused by fibrous overgrowth or gingival inflammation or a combination of two.
Other forms of gingival enlargement also exist such as genetic, drug induced etc. This graphic shows the relationship of the gingivae to the tooth and the alveolar bone. Gingival enlargement or gingival overgrowth is the increase in the size of gingiva. Management of periodontal disease in patients using. The prevalence of gingival enlargement is more common in chronic than acute leukemic, its about 36% occur in acute leukemic and 10% occur in chronic leukemic. Nonsurgical periodontal management of severe generalized.
The causative factors may range from inflammation due to local factors to conditioned enlargement and neoplastic enlargements. The new york state dental journal march 2015 21 abstract successful nonsurgical management of severe postorthodontic gingival enlargement and erythema in a 24yearold male is presented. Periodontal management of cyclosporin ainduced gingival. They can be categorized based on their etiopathogenesis, location, size, extent, etc. Recognition and treatment of amlodipine norvasc induced. It can also be inherited as in hereditary gingival fibromatosis. The gingival tissue is composed of both epithelial and mesenchymal cells, and msclike cells have been cultured from gingival tissue fournier et al. Biolase dental lasers global leadership in dentistry. The subepithelial connective tissue is harvested from the palate using a trapdoor technique, being.
Signs and symptoms related to gingival enlargement are seen within 24 mo of initiation of drug intake. The prevalence of gingival enlargement was higher in the diltiazem 31% than verapamiltreated patients 21%, however, in the. Prevalence and clinical aspects of druginduced gingival. Inflammatory gingival enlargement a case report international journal of oral health dentistry, july september, 2015.
Amit patel, iain chapple, in principles and practice of esthetic dentistry, 2015. Unusual clinical presentation of generalised gingival. The patient received an intensive causerelated periodontal therapy, consisting of oral hygiene instruction, scaling and root. Gingival enlargement pembesaran gingiva pertumbuhan gingiva yang berlebihan yang disebabkan oleh pertambahan besar size selsel yang dikandungnya hipertrofi, atau pertambahan selselnya hiperplasia. There are several causes of gingival enlargement and they can be grouped into four.
Aug 03, 2018 gingival enlargement or overgrowth is a common disease of gingiva. These drugs that produce gingival enlargement as a side effect are classified into 3 divisions. Gingival gum enlargement, also known as gingival hyperplasia or hypertrophy, is an abnormal overgrowth of gingival tissues. Generalised fibrotic gingival enlargement in a psoriatic. Gingival enlargement is one of the frequent features of gingival diseases. Gingival enlargement is the increase in size of the gingiva which is a common feature of gingival disease.
She complained of esthetics, discomfort, and difficulties of plaque control. However due to their varied presentations, the diagnosis of these entities becomes challenging for the clinician. The 1187 localized gingival enlargements represented 6. Gingival enlargement is a condition that commonly develops during orthodontic treatment.
Gingival enlargement is a clinical condition which has been widely studied and is directly associated with specific local or systemic conditions. Amlodipine induced gingival overgrowth, unusual defect and. Based on the existing knowledge and clinical experience, a differential. Further, indepth studies are needed to establish the link between drugs and gingival enlargement for prevention and improved treatment. There are many anticonvulsants, immunosuppressants and calcium channel blockers that may lead to gingival enlargement in varied presentations table 1 and figure 7. Gingival enlargement or gingival overgrowth is the preferred term for all medicationrelated gingival lesions which. This is caused by tissue edema and infective cellular infiltration caused by prolonged exposure to bacterial plaque, and is treated with conventional periodontal treatment, such as scaling and root planing. Diffuse gingival enlargement with stromal calcifications. Thada, smitha rani and vineetha, r and pai, keerthilatha m 2015 generalised fibrotic gingival enlargement in a psoriatic patient. Now customize the name of a clipboard to store your clips. Generalized gingival enlargement associated with aggressive. There are several causes of gingival enlargement and they can be grouped into four categories.
Amlodipine induced gingival overgrowth and its nonsurgical. Thus the effective management of gingival enlargement needs a thorough diagnosis and then its disparate management. There are several medications now available that cause gingival overgrowth. Gingival overgrowth in subjects under immunosuppressive. Various treatment modalities have been tried till date for the treatment of egd which includes orthognathic surgeries for correcting jaw deformity, performing. Gingival enlargement is a common clinical condition, usually associated with specific systemic conditions and variety of local factors. South african dental journal case reports diffuse gingival enlargement with stromal calcifications occurring in a background of amelogenesis imperfecta an oral medicine case book. The gingiva line the external surface of the periodontium fig.
This entity usually develops in the residual distal or lingual portion of the operculum, overlying a partially erupted mandibular molar. As the ge is not merely due to increase in number or size of cells but due to inflammatory component as well, the term gingival overgrowth or. Proses inflamasi bermula dari papilpapil interdental dan meluas ke gingiva sampai ke jaringan periodontal. The gingiva intimately associated with the bone is referred to as the attached gingiva, while the gingiva that forms a cuff around the tooth is designated as the free gingiva. Brunet l, miranda j, farre m, berini l, mendieta c 1996 gingival enlargement. Gingival enlargement, also synonymous with the terms gingival hyperplasia or hypertrophy, is defined as an abnormal overgrowth of gingival tissues. Gingival enlargement pada pasien penyakit sarcoidosis gingiva cenderung membesar secara merata dan berwarna kemerahan khera.
Severe alveolar bone loss and gingival hyperplasia as initial manifestation of burkitt cell type acute lymphoblastic leukemia. Pdf gingival enlargement is one of the frequent features of gingival diseases. Contents definition etiology classification clinical picture treatment questions 1262014 2 3. Jan 27, 2016 gingival fibromatosis is a rare and heterogeneous group of disorders that develop as slowly progressive, local or diffuse enlargements within marginal and attached gingiva or interdental papilla. Inflammatory gingival enlargement of labial anterior gingiva during orthodontic treatment.
They commonly present as bulbous interdental gingival, diffuse swelling of gingival. Individualized treatment plan for gingival enlargement. An increasing number of medications are associated with gingival enlargement. Gingival enlargement is related to multiple factors like inflammatory, systemic, hormonal, genetic, on the usage of drugs and other idiopathic factors. The enlargement of the gingival tissue may also occur due to many other reasons, which include drug intake associated, conditioned. Gingival overgrowth is a serious side effect that accompanies the use of. Management of puberty associated gingival enlargement in an. The case report shows a new approach to managing puberty gingivitis, which commonly shows inflammatory enlargement that does not completely regress after puberty is over.
1322 155 417 108 209 592 113 220 1381 1330 1643 1001 934 1627 880 719 1063 730 44 1251 1235 697 1828 1421