Abstract:
Gingival enlargement can be referred to as an increased size of the gingival tissues. It might have originated because of inflammation, induced by certain drugs, linked to generalized illness, malignant, or pseudo enlargement, based on its etiology and pathogenesis. Enlargements may be widespread, papillary, or marginal, depending on the location. It affects the patient\'s masticatory, functional, aesthetic, and psychological health. Diagnosing the condition and its underlying cause through a detailed history is the mainstay for management. Diagnosis is based on a careful clinical examination in relation to the consistency, texture, and color of enlarged gingival tissues. Once diagnosed, the intervention relies on treating the causative factor involved in the condition. Early diagnosis and treatment with the elimination of the etiologic factor along with strict oral hygiene instructions and regular follow-up results in the restoration of aesthetics and function. This article presents a case report of a female patient aged 31 years who presented to the Oral Medicine and Radiology Department with chief complaints of swollen gums, bleeding gums while brushing for one month, and pain and loosening of teeth in the upper left back region of the jaw since 15 days. On thorough clinical examination, oral hygiene instructions were given along with antimicrobials and analgesic medications, and extensive scaling and sub-gingival curettage were done. On the follow-up visit after seven days, there was reduced inflammation due to the removal of local irritants like plaque and calculus and reduced gingival enlargement. The takeaway message from this case is that clinicians should be thoroughly acquainted with the normal and pathologic alterations of the gingival tissues and possible etiologic factors for it. Careful examination, prompt diagnosis, and treatment form the mainstay of management.
摘要:
牙龈增大可以被称为牙龈组织的尺寸增加。它可能源于炎症,由某些药物引起的,与广泛性疾病有关,恶性,或伪放大,根据其病因和发病机制。扩大可能很普遍,乳头状,或边缘,取决于位置。会影响病人的咀嚼,功能,美学,和心理健康。通过详细的历史来诊断病情及其根本原因是管理的支柱。诊断基于与一致性相关的仔细临床检查,纹理,和牙龈组织增大的颜色。一旦确诊,干预依赖于治疗与病情有关的致病因素。早期诊断和治疗,消除病因,严格的口腔卫生指导和定期随访可恢复美学和功能。本文介绍了一名31岁的女性患者的病例报告,该患者被送往口腔医学和放射科,主要抱怨牙龈肿胀,刷牙一个月时牙龈出血,自15天以来,颌骨左上背部区域的疼痛和牙齿松动。在彻底的临床检查中,口腔卫生说明与抗菌药物和镇痛药物一起给出,并进行了广泛的刮治和牙龈下刮治。在七天后的后续访问中,由于清除了斑块和结石等局部刺激物,并减少了牙龈肿大,因此炎症减少。这种情况下的结论是,临床医生应该彻底了解牙龈组织的正常和病理改变以及可能的病因。仔细检查,及时诊断,治疗是管理的主体。