Stress-Induced Necrotizing Gingivitis Resolved Aesthetically with Laser-Assisted Gingivoplasty

Abstract

Necrotizing periodontal diseases have a complex etiology. They are non-communicable and run a destructive course in a short period of time. The diagnosis is predominantly based on clinical features. The typical findings are punched-out interdental areas, linear gingival erythema, and a propensity to bleed spontaneously. The predisposing factors often include psychological stress, immunosuppression, malnutrition, smoking, and most importantly poor oral hygiene. If left untreated the necrotizing lesions spread apically into the entire gingival complex and even into bones. Conventionally, necrotizing gingivitis is managed with sequential one-weekly appointments culminating in surgical gingivoplasty. This is a case report about the comprehensive treatment of a 24-year-old male patient presenting with necrotizing gingivitis due to extreme stress and malnutrition. Keeping in mind the key benefits of laser in periodontal wound healing a laser-assisted gingivoplasty was carried out to get the best possible aesthetics.