Gingival hyperplasia as an emanation of wire and braces: A case report

Deepa D,Shivani Jain,Gouri Bhatia

doi:10.18231/j.ijpi.2020.008

Abstract

Gingival hyperplasia, hypertrophy & gingival overgrowth are all synonymous terms for the abnormal overgrowth of gingival tissues. A male patient aged 19 years presented with chronic inflammatory gingival enlargement in upper & lower arch associated with prolonged orthodontic therapy. Surgical therapy was performed after scaling and root planing to provide a good aesthetic outcome. Two different surgical treatment modalities were performed in this case, one by using scalpel and second by electrosurgery unit which were compared to evaluate the effect on wound healing & tissue handling properties. Even though scalpel remains a gold standard, electrosurgery showed advantageous over the scalpel for treatment of gingival hyperplasia associated with orthodontic patients. Keywords: Aesthetics, Gingival hyperplasia, Electrosurgery, Non surgical, Surgical, Scaling root planing.

Highlights

Gingival hyperplasia or gingival overgrowth is defined as increase in the size of the gingiva & is considered as a feature of diseased gingival tissue
Current case shows that enlargement of gingival tissues was not due to patient negligence in maintaining proper oral hygiene but it was due to the fixed appliances which were acting as retention areas for accumulation of plaque & acting as hindrance in maintaining healthy oral hygiene.[1]
As professional prophylaxis alone cannot resolve the gingival hyperplasia associated with orthodontic appliance completely, various other treatment modalities have been proposed for complete resolution of the condition which includes surgical intervention & pharmacological therapy along with professional oral prophylaxis

Summary

Introduction

Gingival hyperplasia or gingival overgrowth is defined as increase in the size of the gingiva & is considered as a feature of diseased gingival tissue. It can be fibrous or inflammatory, mainly dependent on the etiological factor. The aim of this case report was to evaluate and compare the healing after excision of gingival overgrowth using scalpel blade and electrocautery in orthodontic patient. In lower arch from 33-43, enlarged gingival tissue was excised with the help of electrocautery simultaneously to compare the effect of scalpel blade and electrocautery on healing of soft tissue (Fig. 5-7)

Discussion

Conclusion