Kothari Divya
Professor and Head, Department of Periodontics, Pacific Dental College and Research Centre, Udaipur, Rajasthan, India.
Contemp Clin Dent. 2021 Jan-Mar;12(1):63-66. doi: 10.4103/ccd.ccd_181_20. Epub 2021 Mar 20.
Gingival enlargement can be multifactorial; it can be due to nutritional deficiency or can be because of several drugs. Poor oral hygiene may further worsen the gingival hyperplasia, because of which the patient may have difficulty in chewing the food, and the speech may get affected. It may end up in psychosocial stigma for the patient as the patient is even neglected by friends or relatives due to poor oral hygiene and horrifying look of gingival overgrowth. Here, we report a case of gingival enlargement in a 22-year-old married female. The enlargement was massive, such that the teeth were barely visible in the anterior mandible. Based on history and histological findings, the case was diagnosed as idiopathic gingival enlargement. Conventional gingivectomy was planned. The patient was kept on the maintenance phase, and no recurrence was recorded. During the whole treatment phase, there was a notable change in the behavior of the patient. Surgical correction and subsequent maintenance of good oral hygiene may improve the disease condition, which in turn helps the patient in not only improving the aesthetics but also results in better social acceptance.
牙龈肿大可能是多因素导致的；它可能是由于营养缺乏，也可能是由多种药物引起。口腔卫生不良可能会使牙龈增生进一步恶化，患者可能因此咀嚼食物困难，说话也可能受到影响。由于口腔卫生差和牙龈过度生长的可怕外观，患者甚至可能被朋友或亲戚忽视，最终可能导致心理社会耻辱感。在此，我们报告一例22岁已婚女性牙龈肿大的病例。肿大非常严重，以至于下颌前部的牙齿几乎看不见。根据病史和组织学检查结果，该病例被诊断为特发性牙龈肿大。计划进行传统牙龈切除术。患者处于维持阶段，未记录到复发情况。在整个治疗阶段，患者的行为有显著变化。手术矫正以及随后保持良好的口腔卫生可能会改善病情，这不仅有助于患者改善美观，还能使其更好地被社会接受。
