The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 8 , ISSUE 4 ( May, 2007 ) > List of Articles

RESEARCH ARTICLE

Clinical Management of an Unusual Case of Gingival Enlargement

S. Sumanth, K. Mahalinga Bhat, G. Subraya Bhat

Citation Information : Sumanth S, Bhat KM, Bhat GS. Clinical Management of an Unusual Case of Gingival Enlargement. J Contemp Dent Pract 2007; 8 (4):88-94.

DOI: 10.5005/jcdp-8-4-88

License: CC BY-NC 3.0

Published Online: 01-05-2007

Copyright Statement:  Copyright © 2007; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The purpose of this article is to report a case of conditioned gingival enlargement managed by nonsurgical periodontal therapy.

Background

Hormones are specific regulatory molecules that modulate a host of body functions. Hormonal effects reflect physiologic and pathologic changes in almost all tissues of the body with the periodontium being no exception. Physiologic changes like puberty, the menstrual cycle, and pregnancy cause hormonal variations that may cause inflammation of the gingiva. Oral contraceptives that contain estrogen and/or progesterone are associated with gingival enlargement.

Report

A 28-year-old female presented with a complaint of swelling of the gingiva with spontaneous bleeding in the maxillary anterior region for a period of one year. The health history documented the use of contraceptives for one year, and a clinical examination revealed the existence of poor oral hygiene and englarged painful gingival tissues that bled when touched.

Summary

This case reaffirms the fact plaque control is the most important procedure in any periodontal therapy. Another factor contributing to the excellent response to therapy is patient compliance. The patient followed home care instructions well and was effective in personal oral hygiene measures.

Citation

Sumanth S, Bhat KM, Bhat GS. Clinical Management of an Unusual Case of Gingival Enlargement. J Contemp Dent Pract 2007 May;(8)4:088-094.


PDF Share
  1. Experimental gingivitis in man. J Periodontol 1965;36:177-187.
  2. Sex steroid hormones and cell dynamics in the periodontium. Crit Rev Oral Biol Med 1994;5:27-53.
  3. Development of classification system for periodontal diseases and conditions. Ann Periodontol 1999;4:1-6.
  4. Influence of hormonal contraceptives on the gingiva of women. J Periodont Res 1967;2:1-6.
  5. The .pill. as an etiologic agent in hypertrophic gingivitis. Oral Surg Oral Med Oral Pathol 1967;24:333-334.
  6. The effects of hormonal contraceptives on the human periodontium. J Periodontol 1974;9:18-22.
  7. Hormonal factors in periodontal disease. Dent Update 2000;27:380-383.
  8. Effects of hormonal contraceptives on the periodontium in a population of rural Sri-Lankan women. J Clin Periodontol 2000;27:753-757.
  9. Influence of sex hormones on the periodontium. J Clin Periodontol 2003;30:671-681.
  10. Androgen insufficiency and oral contraceptives: A Pathophysiologic mechanism. AACE 2005:728.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.