CLINICAL MANAGEMENT OF FIBROUS GINGIVAL HYPERPLASIA: A CASE REPORT
Keywords:
This study aimed to evaluate and document a comprehensive treatment protocol for moderate fibrous hyperplastic gingivitis in a systemically healthy patient. The objective was to determine the efficacy of a combined conservative-surgical approach in a subject with no history of medication-induced gingival overgrowth or underlying systemic pathologies.Abstract
The therapeutic management of the fibrous variant of hyperplastic gingivitis continues to be a formidable challenge in clinical periodontology. The pathogenesis of this condition is primarily driven by suboptimal oral hygiene, characterized by the persistent accumulation of microbial biofilms and mineralized dental deposits. These factors induce chronic irritation of the marginal gingiva, leading to reactive tissue proliferation. In cases where the inflammatory process becomes protracted, the gingival architecture undergoes irreversible fibrous degeneration and remodeling. Consequently, the mere elimination of local etiological factors (plaque and calculus) is frequently insufficient to restore the physiological contour of the periodontium, necessitating advanced surgical intervention to achieve functional and esthetic rehabilitation.
References
1. Wolf H. F. Color Atlas of Dental Hygiene: Periodontology / H. F. Wolf, T. M. Hassell. Thieme Verlagsgruppe, 2006. 352 p. ISBN 9783131417619.
2. Agrawal A. A. Gingival enlargements: Differential diagnosis and review of literature // World J Clin Cases. 2015. Vol. 3, № 9. P. 779–788. DOI:10.12998/wjcc.v3.i9.779.
3. Khirurgicheskaya stomatologiya : natsional'noe rukovodstvo / pod red. A. A. Kulakova. Moskva : GEOTAR-Media, 2021. 408 s. ISBN 978-5-9704-6001-6.
4. Maboudi A. Gingivectomy with Diode Laser Versus the Conventional Scalpel Surgery and Nonsurgical Periodontal Therapy in Treatment of Orthodontic Treatment-Induced Gingival Enlargement: A Systematic Review / A. Maboudi, R. Fekrazad, A. Shiva et al. // Mary Ann Liebert Inc. 2023. Vol. 41, № 9. P. 449–459. DOI: 10.1089/photob.2023.0060.
5. Beaumont J. Gingival overgrowth: Part 1: aetiology and clinical diagnosis / J. Beaumont et al. // British dental journal. 2017. Vol. 222, № 2. P. 85–91. DOI:10.1038/sj.bdj.2017.71.
6. Chesterman J. Gingival overgrowth: Part 2: management strategies / J. Chesterman et al. // British dental journal. 2017. Vol. 222, № 3. P. 159–165. DOI:10.1038/sj.bdj.2017.111.
