PDF(Pubmed)
Abstract：
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.
摘要：
牙龈炎症和纤维型过度生长，或两者的组合可导致牙龈肿大（GE），这主要对咀嚼功能和美学产生负面影响，有时会引起患者的心理问题。牙龈疾病的典型特征是牙龈过度生长，这可能是由纤维过度生长引起的，牙龈发炎，或两者的组合。它是由环境与宿主或不同刺激之间的相互作用引起的复杂疾病。患者经常有错位的牙齿，这会促进细菌菌斑的积聚，并无意中助长牙龈炎症。固定的正畸设备可以纠正这种错位，但它们也可能促进牙菌斑的积聚和随后的发展。牙龈内陷，和全身性增生性牙龈炎.施用的附着和可辨别的龈上和龈下菌斑数量的增加会导致微生物生长的变化。此外，治疗中使用的力往往会激活牙龈软组织的反应。临床后果，如持续感染，炎性增生,牙龈衰退，附着损失，或牙龈过度生长后可能会出现设备放置。\'菌斑诱导\'和\'非菌斑诱导\'牙龈疾病，如牙龈过度生长，可以区分；然而，更精确的基本病因通常是可辨别的。几个世袭,系统性，或传染病不依赖于斑块诱导。在某些情况下伴随的斑块积聚可能会使临床表现恶化。这里描述的病例是一名21岁的女性患者，患有上颌前GE，并伴有正畸治疗的侧切牙。进行了手术治疗，为患者提供了出色的美学效果。
