牙龈肿大(GE)可由牙龈炎症引起,纤维过度生长,或者这两个因素的结合。各种病因对GE有贡献,包括低级创伤,医源性原因,药物诱导的作用,全身性疾病,斑块积累,荷尔蒙的影响,维生素缺乏,遗传倾向,和特发性原因。临床实践中的有效治疗取决于准确诊断根本原因。其中,斑块诱导的炎症是最常见的,由斑块和结石的积累驱动。保持口腔卫生的一个挑战是正畸治疗,会影响言语,咀嚼,美学,和心理健康。在这个案例报告中,一名21岁女性患者出现了与正畸矫治器使用相关的GE.为了解决这个问题,在局部麻醉下使用牙龈切除术和牙龈成形术手术切除多余的牙龈组织,切除的组织被送去进行组织病理学检查。手术后,应用牙周敷料(GCCoePack™)以保护组织并帮助愈合。该病例强调牙龈组织增大,覆盖了近一半的牙冠,导致斑块积累和美学问题。手术后,实现了一个适当的牙龈轮廓消除了上的口袋,增强了美观的外观。患者显示出积极的结果,没有剩余的超口袋,导致自然的牙龈轮廓,改进的美学,和减少斑块保留。在这种情况下,手术牙龈切除术和牙龈成形术被证明是成功的干预措施。
Gingival enlargement (GE) can result from gingival inflammation, fibrous overgrowth, or a combination of both factors. Various etiological factors contribute to GE, including low-grade trauma, iatrogenic causes, drug-induced effects, systemic diseases, plaque accumulation, hormonal influences, vitamin deficiencies, genetic predispositions, and idiopathic reasons. Effective treatment in clinical practice hinges on accurately diagnosing the underlying cause. Among these, plaque-induced inflammation is the most common, driven by the accumulation of plaque and calculus. One challenge in maintaining oral hygiene is orthodontic treatment, which can impact speech, chewing, aesthetics, and psychological well-being. In this
case report, a 21-year-old female patient developed GE associated with orthodontic appliance use. To address this, excess gingival tissue was surgically removed under local anesthesia using gingivectomy and
gingivoplasty procedures, and the excised tissue was sent for histopathological examination. Following the surgery, a periodontal dressing (GC Coe Pack™) was applied to protect the tissue and aid in healing. The
case underscores that enlarged gingival tissue, covering nearly half of the dental crowns, led to plaque accumulation and aesthetic concerns. Post-procedure, achieving a proper gingival contour eliminated suprabony pockets and enhanced the aesthetic appearance. The patient showed positive outcomes with no remaining suprabony pockets, resulting in a natural gingival contour, improved aesthetics, and reduced plaque retention. Surgical gingivectomy and
gingivoplasty proved to be successful interventions in this
case.