Treatment of Fibrotic Gingival Enlargement an Obstacle During Orthodontic Space Closure: A Case Report
Abstract
Gingival enlargement (GE) can arise due to gingival inflammation, fibrous overgrowth, or a combination of both, leading to challenges such as plaque control issues, difficulty in chewing and speaking, as well as esthetic and psychological concerns. One of the contributing factors to gingival hypertrophy is orthodontic treatment. A 14-year-old female patient visited the Department of Periodontics and Oral Implantology at K.D. Dental College and Hospital with a complaint of GE affecting her front teeth. She was undergoing orthodontic treatment to close spacing in the anterior region. The presence of GE was interfering with space closure. To address the condition, a gingivectomy was performed to excise the excess gingival tissue. The patient continued with her fixed orthodontic treatment, accompanied by monthly periodontal check-ups to manage gingival inflammation. Effective management of hyperplasia in orthodontic patients requires close collaboration between the periodontist and orthodontist to ensure optimal treatment outcomes.
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