Clocheret K, Dekeyser C, Carels C, Willems G
Katholieke Universiteit Leuven, Leuven, Belgium.
J Orthod. 2003 Mar;30(1):13-9. doi: 10.1093/ortho/30.1.13.
There are many reasons for gingival hyperplasia. Mostly, proper oral hygiene is sufficient to achieve normal healthy gingiva. In some situations, however, gingival hyperplasia is drug-induced or can be a manifestation of a genetic disorder. In the latter, it may exist as an isolated abnormality or as part of a syndrome. If orthodontic treatment is needed in patients with gingival hyperplasia, both orthodontic and periodontal aspects need to be considered. Extreme hereditary gingival fibromatosis was periodontally treated, by removal of all gingival excess using flaps and gingivectomies. After a follow-up period, the orthodontic treatment started with fixed appliances. Monthly periodontal check-ups (scaling and polishing) were scheduled to control the gingival inflammation. After the orthodontic treatment, permanent retention was applied, once more followed by a complete gingivectomy in both maxilla and mandible. One of the most important keys to successful treatment of hyperplasia patients is the cooperation between the periodontist and the orthodontist.
牙龈增生的原因有很多。大多数情况下，保持适当的口腔卫生足以使牙龈保持正常健康状态。然而，在某些情况下，牙龈增生是药物引起的，或者可能是遗传疾病的一种表现。在后一种情况下，它可能作为一种孤立的异常情况存在，也可能是综合征的一部分。如果牙龈增生患者需要进行正畸治疗，正畸和牙周两方面都需要考虑。对于极端遗传性牙龈纤维瘤病，通过使用瓣和牙龈切除术切除所有多余牙龈进行牙周治疗。随访一段时间后，开始使用固定矫治器进行正畸治疗。安排每月进行牙周检查（洗牙和抛光）以控制牙龈炎症。正畸治疗后，进行永久性保持，之后再次对上颌和下颌进行彻底的牙龈切除术。成功治疗增生患者最重要的关键之一是牙周医生和正畸医生之间的合作。
