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VOLUME 11 , ISSUE 3 ( May, 2010 ) > List of Articles


Unusual Gingival Enlargement with Aggressive Periodontitis: A Case Report

Shivlal L. Vishnoi, Mangesh B. Phadnaik

Citation Information : Vishnoi SL, Phadnaik MB. Unusual Gingival Enlargement with Aggressive Periodontitis: A Case Report. J Contemp Dent Pract 2010; 11 (3):49-55.

DOI: 10.5005/jcdp-11-3-49

License: CC BY-NC 3.0

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2010; The Author(s).



This article describes the surgical management of a young, female patient with severe gingival enlargement of unknown etiology.


Gingival enlargement frequently occurs as gingival hyperplasia, representing a reaction to a known stimulus or agent and, histopathologically, implies an increase in both extracellular matrix and cell numbers. The enlargement may range from mild, in which gingival architecture is minimally affected, to severe, in which the gingiva becomes bulbous and covers the clinical crowns of teeth. A number of local and systemic factors, such as plaque, hormonal changes, drug ingestion, and heredity, can cause or influence gingival enlargement. Mild to moderate increase in gingival bulk is relatively common, but massive gingival enlargement with associated bone resorption is rare.

Case Description

This case involved a 19-yearold female patient who presented with generalized severe gingival enlargement with aggressive periodontitis, a condition of some five to six months in duration.


Based on a thorough clinical and radiographic examination, laboratory tests, and oral hygiene instructions, an internal bevel gingivectomy was performed to remove excess gingival tissue and areas of bone loss were debrided properly. There was no recurrence eight months following the last surgery.


Although we were not able to identify the exact cause of the gingival enlargement, amelioration of the unusual very soft, friable, enlarged gingivae and the severe periodontal attachment loss was observed.

Clinical Significance

Before initiating any periodontal management of a case of severe gingival enlargement with aggressive periodontitis, it is recommended to perform a complete extraoral and intraoral examination with radiographs, take a family and medical history, and determine if any medications may be responsible for the gingival enlargement. Additional testing and analysis, as described in this case, may be necessary.


Vishnoi SL, Phadnaik MB. Unusual Gingival Enlargement with Aggressive Periodontitis: A Case Report. J Contemp Dent Pract [Internet]. 2010 May; 11(3):049-055. Available from: view/volume11-issue3-vishnoi.

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  1. Initial observation that cyclosporin-A induces gingival enlargement in man. J Clin Periodontol. 1983; 10(3):237-46.
  2. Gingival hyperplasia associated with nifedipine therapy. Oral Surg Oral Med Oral Pathol. 1984; 57(6):620-2.
  3. Gingival inflammation and female sex hormones. A clinical investigation of pregnant women and experimental studies in dogs. J Periodont Res Suppl. 1970; 5(Suppl.):1-18.
  4. Malignant gingival and skin “infiltrates” in adult leukemia. Oral Surg Oral Med Oral Pathol 1983; 55(6):572-9.
  5. Scurvy presenting with oral symptoms. A case report. Br Dent J. 1979; 146(10):313-4.
  6. Clinicopathological conference. Case 20, part 2. Idiopathic gingival fibromatosis. J Oral Surg. 1977; 35(11):907-8.
  7. Destructive membranous periodontal disease (Ligneous periodontitis). J Periodontol. 1999; 70(8):919-25.
  8. Ligneous periodontitis and Ehlers-Danlos syndrome. J Periodontol. 2006; 77(1):123-8.
  9. Syndromes of the head and neck. 2nd ed. New York: McGraw Hill; 1976. p. 329-36.
  10. Unusual gingival enlargement with rapidly progressive periodontitis. Report of a case. J Periodontol. 1993; 64(10):1008-12.
  11. Massive gingival enlargement and alveolar bone loss: report of two cases. J Periodontol. 1995; 66(9):811-6.
  12. Implantation of Bacteroides gingivalis in nonhuman primates initiates progression of periodontitis. Science. 1988; 239(4835):55-7.
  13. , Listgarten MA. Bacteroides gingivalis, Bacteroides intermedius and Actinobacillus actinomycetemcomitans in human periodontal diseases. J Clin Periodontol. 1988; 15(2): 85-93.
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