Sumanth S, Bhat K Mahalinga, Bhat G Subraya
Department of Periodontics, Manipal College of Dental Sciences, Manipal, Karnataka, India.
J Contemp Dent Pract. 2007 May 1;8(4):88-94.
The purpose of this article is to report a case of conditioned gingival enlargement managed by non-surgical periodontal therapy.
Hormones are specific regulatory molecules that modulate a host of body functions. Hormonal effects reflect physiologic and pathologic changes in almost all tissues of the body with the periodontium being no exception. Physiologic changes like puberty, the menstrual cycle, and pregnancy cause hormonal variations that may cause inflammation of the gingiva. Oral contraceptives that contain estrogen and/or progesterone are associated with gingival enlargement.
A 28-year-old female presented with a complaint of swelling of the gingiva with spontaneous bleeding in the maxillary anterior region for a period of one year. The health history documented the use of contraceptives for one year, and a clinical examination revealed the existence of poor oral hygiene and enlarged painful gingival tissues that bled when touched.
This case reaffirms the fact plaque control is the most important procedure in any periodontal therapy. Another factor contributing to the excellent response to therapy is patient compliance. The patient followed home care instructions well and was effective in personal oral hygiene measures.
本文旨在报告一例通过非手术牙周治疗控制的条件性牙龈增生病例。
激素是调节一系列身体功能的特定调节分子。激素效应反映了身体几乎所有组织的生理和病理变化，牙周组织也不例外。青春期、月经周期和怀孕等生理变化会导致激素变化，进而可能引发牙龈炎症。含有雌激素和/或孕激素的口服避孕药与牙龈增生有关。
一名28岁女性主诉上颌前部牙龈肿胀伴自发性出血一年。健康史记录显示其服用避孕药一年，临床检查发现口腔卫生差，牙龈组织肿大且疼痛，触诊时出血。
该病例再次证实了在任何牙周治疗中，菌斑控制都是最重要的步骤这一事实。对治疗反应良好的另一个因素是患者的依从性。该患者很好地遵循了家庭护理指导，个人口腔卫生措施有效。
