Department of Periodontics, People's Dental Academy, Bhopal, India.
Int J Dent Hyg. 2011 Nov;9(4):303-7. doi: 10.1111/j.1601-5037.2010.00497.x. Epub 2011 Jan 11.
The various clinical manifestations of inflammatory gingival enlargement reported are more or less similar regardless of the underlying aetiological factors. Unusual presentation and unknown aetiology pose a diagnostic challenge for a periodontist.
A 34-year-old Indian woman presented with the complaint of gum swelling that was sessile, lobulated, soft in consistency and bluish red in colour with ulcerated surface in some region, which was covered by the necrotic slough. This type of enlargement was unusual and some underlying systemic pathology was suspected. But a written consultation from her physician confirmed her systemic health, which was based on clinical, radiological and haematological investigations. Histopathological examination confirmed the diagnosis of inflammatory gingival enlargement. Patient was treated with oral hygiene instructions, scaling and root planning.
Within a month of conventional periodontal therapy, gum enlargement reduced markedly and patient was put on oral hygiene maintenance programme.
Periodontal therapy is diagnosis-driven and, to the extent possible, should address all the possible factors that impact development and progression of diseases that may affect periodontal tissue. In plaque-induced periodontal diseases, non-surgical periodontal therapy is still a gold standard among all the therapies available.
无论潜在的病因因素如何，炎症性牙龈肿大的各种临床表现或多或少都相似。不寻常的表现和未知的病因对牙周病医生来说是一个诊断挑战。
一位 34 岁的印度女性因牙龈肿胀就诊，其特点为无蒂、分叶状、质地柔软、呈蓝红色，某些区域有溃疡表面，表面覆盖着坏死的腐肉。这种类型的肿大不常见，怀疑存在一些潜在的系统性疾病。但她的内科医生的书面咨询证实了她的全身健康状况，这是基于临床、影像学和血液学检查得出的。组织病理学检查证实了炎症性牙龈肿大的诊断。患者接受了口腔卫生指导、洁治和根面平整治疗。
在常规牙周治疗一个月内，牙龈肿大明显减轻，患者开始进行口腔卫生维护计划。
牙周治疗是基于诊断的，在可能的情况下，应针对所有可能影响疾病发展和进展的因素进行治疗，这些疾病可能会影响牙周组织。在菌斑引起的牙周疾病中，非手术牙周治疗仍然是所有可用治疗方法中的黄金标准。
