Abstract
Different aetiologies with various clinical presentations are evident in cases of gingival enlargement. We report a case of 34-year-old male who presented with the chief complaint of gingival overgrowth in upper and lower front teeth region. Patient was systemically healthy and gave no history of common medications known to cause gingival enlargement. He had a history of marijuana consumption for two consecutive years following which gingival swelling increased in severity. Based on clinical and histopathologic findings, provisional diagnosis of combined inflammatory + marijuana induced gingival enlargement was made. Treatment consisted of scaling and root planing followed by sextant wise gingivectomy. Results were stable until three months follow-up. Signs of inflammation were evident when the patient reported after 1.5 years.
Highlights
The increase in size of the gingiva is termed as gingival enlargement or gingival overgrowth
The overgrowth progressively increased in size which was associated with bleeding while brushing and patient had difficulty in mastication. He gave no history of any systemic medications that were known to cause gingival enlargement and was systemically healthy
Patient had the habit of consuming marijuana almost daily for two years in the wake of which the enlargement exacerbated assisted by the frequency of consumption
Summary
The increase in size of the gingiva is termed as gingival enlargement or gingival overgrowth. The overgrowth progressively increased in size which was associated with bleeding while brushing and patient had difficulty in mastication He gave no history of any systemic medications that were known to cause gingival enlargement and was systemically healthy. Patient had the habit of consuming marijuana almost daily for two years in the wake of which the enlargement exacerbated assisted by the frequency of consumption. It had been five to six months since the patient had abstained from marijuana smoking. A provisional diagnosis of combined gingival enlargement (inflammatory + marijuana induced) was made as the evidence was inconclusive to reach a confirmatory diagnosis. Signs of inflammation were seen since the patient had not maintained his oral hygiene and had continued to smoke but with less frequency as before (Figure 6 after scaling)
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