Internal Bevel Gingivectomy Research Articles

A case report of unique unilateral idiopathic gingival enlargement

Gingival enlargement is usually characterized as an increase in the size of the gingiva. Idiopathic gingival enlargement is a rare condition and the etiology usually will be undetermined. The enlargement may be generalized enlargement or it may be confined to either of the jaws. The gingival enlargement is usually treated according to the type of enlargement encountered. In this article, we discussed a rare case report of a 15-year-old young adult with unilateral idiopathic gingival enlargement with unknown etiology and the management of the enlargement with internal bevel gingivectomy. There was no recurrence observed at 2 and 6 months maintenance visits and the healing was better with no discomfort for the patient. Key Words: Gingival enlargement, internal bevel gingivectomy, idiopathic gingival enlargement, hereditary gingival hyperplasia.

SURGICAL INTERVENTION OF IDIOPATHIC GINGIVAL ENLARGEMENT BY LEGDE AND WEDGE TECHNIQUE

Increase in the size of gingiva referred to as “gingival enlargement,” usually overlls the interproximal spaces, ballooning out over the teeth and sometimes even protruding into the oral cavity. It may occur as localized enlargement in relation to a single tooth, a group of teeth, or may be generalized involving the entire dentition. Sometimes, it may appear as diffuse enlargement of gingiva without any specic etiologic factor. It is then considered as idiopathic enlargement. Patient with gingival hyperplasia should be examined to exclude other reasons to determine the idiopathic gingival bromatosis or not. Treatment is not required in all cases of idiopathic gingival hyperplasia. Surgical excision is indicated if mechanical problems exist. In this case report, an idiopathic gingival enlargement was successfully treated using gingivectomy by ledge and wedge procedure. This describes an unusual case of non-syndromic generalized idiopathic gingival bromatosis in a 19-year-old female. Surgical treatment in the form of ledge and wedge procedure with internal bevel gingivectomy was performed .The surgical technique performed yielded functionally as well as esthetically satisfying results and at the same time, it maintains the integrity of periodontium

ATYPICAL PLASMA CELL GINGIVOSTOMATITIS: A RARE CASE REPORT

ATYPICAL PLASMA CELL GINGIVOSTOMATITIS: A RARE CASE REPORT

ALTERED PASSIVE ERUPTION:A CASE REPORT

An esthetic smile is directly related to the alignment and contour of the gingiva. Excessive gingival exposure (gummy smile) may be the reason for an unaesthetic smile. It can be caused by various etiological factors, one such factor is altered passive eruption. We report a case of a 24-year-old female patient who came with the chief complaint of an unaesthetic smile, diagnosed with altered passive eruption along with its surgical management involving an internal bevel gingivectomy and osseous resective procedure.

Rare occurrence of orofacial granulomatosis with deformity in gingiva – unusual case report

Persistent soft tissue enlargement in the orofacial region is often considered a feature of a chronic disease, termed as orofacial granulomatosis (OFG). Systemic diseases like crohn's, inflammatory bowel syndrome present OFG as their oral manifestation, but it may also be seen in the absence of these diseases. To the best of the authors' knowledge and literature search, this is the first case of OFG with gingival deformity related to cigarette smoking. A 25-year-old male patient presented with chief complaint of swelling on his upper lip, increase in the size of gingiva and hypersensitivity in the maxillary anterior teeth region. After thorough history of disease initiation in response to cigarette smoking, clinical examination, histopathological findings, the diagnosis of OFG associated with cigarette smoking was made. Treatment included cessation of cigarette smoking, internal bevel gingivectomy, with proper medication. Single treatment modality may not be effective in such cases. Therefore, early and precise diagnosis with sequential treatment including elimination of etiological agent, anti-inflammatory drugs or even plastic surgeries may be required for improving patient's health, appearance and comfort.

Crown Lengthening Surgery for Enhancing Restorative Treatment in Esthetic Zone

For obtaining adequate retention for restoring cases like subgingival caries or extensive caries that shortens the tooth, short clinical crown, and fractures, it is usually necessary to disclose more tooth structure. Crown lengthening procedure is done to increase the clinical crown length for restorative or esthetic reasons without breaching the biologic width. These procedures are also utilized to improve the appearance and retention of restorations placed within the esthetic zone. We report a case of crown lengthening surgery with an internal bevel gingivectomy which was done in our department without compromising tooth support and esthetics.

Fiatalkori hydantion terápia okozta ínyfibrózis kombinált parodontális sebészi-ortodonciai kezelése - Esetismertetés és irodalmi összefoglalás

A közlemény célja bemutatni egy hidantoin származékkal kezelt 14 éves kislány súlyos ínyhiperpláziás esetét, teljeskörű parodontális és fogszabályozó kezelésének menetét és eredményét, valamint áttekinteni a gyógyszer okozta ínymegnagyobbodások feltételezett patomechanizmusának irodalmát.Az ínymegnagyobbodás gyakori mellékhatása több krónikusan alkalmazott gyógyszernek. Korábban gyakori volt epi-lepsziás gyermekek hidantoin származékok okozta fibrotikus ínymegnagyobbodása, viszont a terápiás protokollok változása következtében az utóbbi években már alig találkozhatunk ilyen fiatal epilepsziás pácienssel. Ezért tartjuk érdemesnek egy hidantoin származékkal kezelt epilepsziás kislány esetének bemutatását, ahol a közel 6 éves komplex parodontális és fogszabályozó kezeléssel sikerült visszaadni a kislány életkedvét, önbecsülését és javítani pszichés állapotát.Esetismertetés: Egy 14 éves epilepsziás leánygyermek 2013-ban jelentkezett súlyos, mind a két állcsontra kiterjedő, homogén, fibrotikus ínymegnagyobbodással. A nagyrohamos epilepszia miatt a gyermek nyolcéves kora óta szedett hidantoin származékokat. A jelentős ínyduzzanat korlátozta a fogak előtörését, jelentős fonációs zavart okozott, valamint lelkileg is megterhelte a kis pácienst. Helyi érzéstelenítésben a maxilla frontális szextánsában, apicálisan elcsúsztatott lebenytechnikával laterálisan, illetve a mandibulán belső fordított gingivectómiával több lépésben távolítottuk el a fibrotikus ínytömeget. Mivel a megnagyobbodott íny jelentős mértékben zavarta a fogak előtörését, és a gyermeknek Angle II típusú szkeletális ortodonciai rendellenessége volt, a sebészi fázist követően a két felső caninus buccalis ektópiás pozícióját bimaxilláris direktbond készülékkel korrigáltuk, és közel hároméves fogszabályozó kezelést követően, az akkor már 19. életévébe lépő fiatal fogászati-parodontális státusa, okklúziója teljesen rendeződött.

Management of Cyclosporin-A Induced Gingival Overgrowth through External and Internal Bevel Gingivectomy

Management of Cyclosporin-A Induced Gingival Overgrowth through External and Internal Bevel Gingivectomy

Crown lengthening surgery: A periodontal makeup for anterior esthetic restoration

With the increasing popularity of esthetic dentistry, an understanding of the therapeutic modalities brought about by an interdisciplinary approach has developed. As a result, crown lengthening procedures have become an integral component of the esthetic armamentarium and are utilized with increasing frequency to enhance the appearance and retention of restorations placed within the esthetic zone. The present case is managed with an internal bevel gingivectomy together with bone recontouring without compromising tooth support and esthetics.

Altered passive eruption treated with external and internal bevel gingivectomy

In recent times, dentists, as well as patients, have developed greater awareness about the impact of teeth and gingiva in the attractiveness of smile. Short clinical crowns are considered unaesthetic and bring patients' to the dentist to rectify their gummy smile. Common causes of short clinical crowns include: Caries, attrition, gingival enlargement, or tooth fracture and uncommonly: Altered passive eruption. Many techniques are available to correct the problem of gummy smile due to altered passive eruption. However, there has to be a sound knowledge about the classification and treatment options of altered passive eruption so as to treat patients' accurately. Careful consideration of biologic width and the dentogingival junction is needed to adequately diagnose the true etiology and plan an effective treatment. In the current case report, the altered passive eruption was treated by two different modalities with due consideration of the biologic width and available amount of keratinized gingiva.

Prevalence of human papilloma virus in marginal periodontium and its association with periodontitis: A cross sectional study.

Context:Bacterial pathogens in dental plaque are necessary for the development of periodontitis but this etiology alone does not explain all its clinicopathologic features. Researchers have proven the role of certain viruses like herpes virus in periodontal disease which implies that other viral agents like human papilloma virus may also be involved.Aims:This cross-sectional study was conducted to determine the proportion of patients with human papilloma virus (HPV-16) in marginal periodontium by analyzing DNA from the gingival tissue sample and to understand its association with periodontitis.Settings and Design:102 systemically healthy patients between the age group of 15 and 70 years reporting to the Department of Periodontology who required surgical intervention (flap surgery for patients with periodontitis and crown lengthening for healthy patients) with internal bevel gingivectomy were selected.Materials and Methods:After scaling and root planning, gingival tissue was collected during the respective surgical procedure. DNA was isolated and amplified using specific primers for HPV-16 by polymerase chain reaction (PCR). The amplified products were checked by agarose gel electrophoresis.Results:No HPV DNA was detected in the 102 samples analyzed.Conclusion:Marginal periodontium does not contain HPV in this study population and hence there was no association between HPV and periodontitis.

An unusual case of idiopathic gingival fibromatosis

Idiopathic gingival fibromatosisis, a condition of undetermined cause can develop as an isolated disorder, but mostly it is associated with some syndrome. It usually begins at the time of eruption of permanent teeth but can develop with the eruption of deciduous dentition and rarely present at birth. This case report describes an unusual case of non-syndromic generalized idiopathic gingival fibromatosis in a 15-year-old male present since birth. Surgical treatment in the form of ledge and wedge procedure with internal bevel gingivectomy was performed. No recurrence of enlargement was seen after 2 years of follow-up.

Hereditary Gingival Fibromatosis with Distinctive Facies

Hereditary gingival enlargement also known as gingivitis or familial elephantiasis is a rare type of gingival enlargement. It appears as an isolated autosomal dominant disorder or maybe associated with other conditions. Oral manifestations may vary from minimal involvement of only tuberosity area and the buccal gingiva around the lower molars to a generalized enlargement inhibiting eruption of the teeth. This paper discusses the case of a 13-year-old female patient with distinctive facial characteristics who presented to the department with a chief complaint of swollen gums since 1 year. She had severe diffuse gingival enlargement of the maxilla and mandible. Diagnosis was made based upon clinical examination and family history. Quadrant wise internal bevel gingivectomy procedure was done for the patient to restore her functional and esthetic needs.

Unusual Gingival Enlargement with Aggressive Periodontitis: A Case Report

This article describes the surgical management of a young, female patient with severe gingival enlargement of unknown etiology. Gingival enlargement frequently occurs as gingival hyperplasia, representing a reaction to a known stimulus or agent and, histopathologically, implies an increase in both extracellular matrix and cell numbers. The enlargement may range from mild, in which gingival architecture is minimally affected, to severe, in which the gingiva becomes bulbous and covers the clinical crowns of teeth. A number of local and systemic factors, such as plaque, hormonal changes, drug ingestion, and heredity, can cause or influence gingival enlargement. Mild to moderate increase in gingival bulk is relatively common, but massive gingival enlargement with associated bone resorption is rare. This case involved a 19-year-old female patient who presented with generalized severe gingival enlargement with aggressive periodontitis, a condition of some five to six months in duration. Based on a thorough clinical and radiographic examination, laboratory tests, and oral hygiene instructions, an internal bevel gingivectomy was performed to remove excess gingival tissue and areas of bone loss were debrided properly. There was no recurrence eight months following the last surgery. Although we were not able to identify the exact cause of the gingival enlargement, amelioration of the unusual very soft, friable, enlarged gingivae and the severe periodontal attachment loss was observed. Before initiating any periodontal management of a case of severe gingival enlargement with aggressive periodontitis, it is recommended to perform a complete extraoral and intraoral examination with radiographs, take a family and medical history, and determine if any medications may be responsible for the gingival enlargement. Additional testing and analysis, as described in this case, may be necessary.

Aesthetics Enhancement – Crown lengthening Procedure with Internal Bevel Gingivectomy – a Case Report

Periodontal surgery is generally perceived as excisional in nature with pocket elimination being the treatment goal. The appearance of anterior teeth has a significant psychological and emotional impact on the patient owing to their prominent position within the dentition. A common esthetic problem is excessive gingival display or aGummy Smile �. This problem can be resolved by simply removing the gingiva, via precisely planned incisions which often produces satisfactory esthetic results. The successful integration of esthetics and function is a result of the meticulous development of clearly defined anatomic parameter and their subsequent incorporation into the final result. This clinical report describes an internal bevel gingivectomy procedure for reduction of excessive gingival display.