Gingivectomy As A Treatment Option For Gingival Enlargement Induced By Orthodontic Treatment: A Case Report

Abstract

Orthodontic therapy includes the use of orthodontic appliances that favour plaque retention further causing inflammation of the underlying periodontium. This inflammation if left untreated further progresses to gingival enlargement. Bulky interdental papillae in gingival enlargement further act as an area of plaque retention thereby preventing the plaque control and thus worsening the periodontal condition of the patient. Diagnosis of such enlargements is carried out with co-relation of clinic radiographic findings and histo-pathological findings. Although with the advancements in technology, a variety of treatment options like laser excision, chemosurgery, cryotherapy, electrosurgery, sclerotherapy is available nowadays but surgical excision still remains the treatment of choice. This case report focusses on treating the gingival hyperplasia with surgical excision along with stringent follow-up and patient education regarding different plaque control practices to be followed during on-going orthodontic therapy in order to reduce chances of recurrence.