Thakare Shivani S, Shirbhate Unnati, Bajaj Pavan, Wankhede Anand
Department of Dentistry, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Department of Periodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Cureus. 2024 Jul 2;16(7):e63709. doi: 10.7759/cureus.63709. eCollection 2024 Jul.
Gingival inflammation and fibrous type of overgrowth, or a combination of both can lead to gingival enlargement (GE), and this negatively affects mainly masticatory function and esthetics, and sometimes causes psychological issues in patients. A typical characteristic of gingival diseases is gingival overgrowth, which can be brought on by fibrous overgrowth, gingival inflammation, or a combination of the two. It is a complex ailment arising from interactions between the environment and the host or different stimuli. Patients frequently have misaligned teeth, which encourages the buildup of bacterial plaque and unintentionally fuels gingival inflammation. Fixed orthodontic equipment can rectify this misalignment but they may also promote plaque buildup and the ensuing development of GE, gingival invaginations, and generalized hyperplastic gingivitis. The attachment of application and the rise in the amount of discernible supra- and subgingival plaque cause changes in microbial growth. Moreover, the force used in the treatment tends to activate the gingival soft tissue response. Clinical consequences such as persistent infection, inflammatory hyperplasia, gingival recession, attachment loss, or gingival overgrowth may arise after the device is placed. 'Plaque-induced' and 'non-plaque-induced' gingival disorders, such as gingival overgrowth, can be distinguished; however, a more precise fundamental etiology is frequently discernible. Several hereditary, systemic, or infectious diseases do not depend on plaque induction. Accompanying plaque accumulation in certain circumstances may make the clinical appearance worse. The case described here is of a 21-year-old female patient presenting with anterior maxillary GE associated with lateral incisors with orthodontic therapy. Surgical therapy was carried out to provide an excellent esthetic outcome for the patient.
牙龈炎症和纤维性增生，或两者结合，均可导致牙龈肿大（GE），这主要对咀嚼功能和美观产生负面影响，有时还会给患者带来心理问题。牙龈疾病的一个典型特征是牙龈增生，其可由纤维性增生、牙龈炎症或两者共同引起。它是一种由环境与宿主相互作用或不同刺激引发的复杂疾病。患者常伴有牙齿排列不齐，这会促使牙菌斑积聚，无意间加剧牙龈炎症。固定正畸器械虽可矫正牙齿排列不齐，但也可能促进牙菌斑积聚以及随之而来的牙龈肿大、牙龈内陷和广泛性增生性牙龈炎的发展。矫治器的附着以及龈上和龈下可见牙菌斑数量的增加会导致微生物生长发生变化。此外，治疗中使用的力量往往会激活牙龈软组织反应。放置矫治器后可能会出现诸如持续感染、炎性增生、牙龈退缩、附着丧失或牙龈增生等临床后果。可以区分“菌斑诱导型”和“非菌斑诱导型”牙龈疾病，如牙龈增生；然而，通常可以发现更确切的根本病因。一些遗传性、全身性或感染性疾病并不依赖菌斑诱导。在某些情况下，伴随的菌斑积聚可能会使临床表现更糟。此处描述的病例是一名21岁女性患者，因正畸治疗出现上颌前牙区与侧切牙相关的牙龈肿大。为该患者实施了手术治疗，以获得极佳的美观效果。
