Gingival Enlargements

Gingival Enlargements

Gingival enlargement is also termed as gingival overgrowth and is an abnormal increase in size of the gingiva. It can be due to plaque induced inflammation, heredity causes and drug intake.

  1. Antiepileptics used to treat seizures- Phenytoin, valproic acid.
  2. Calcium channel blockers used to treat high blood pressure – Nifedipine, amlodipine, verapamil
  3. Immunosuppresants – Cyclosporine A

Are these gingival enlargements treatable?

Yes. We at Balaji Dental and Craniofacial Hospital assess the type of gingival enlargement. The initial treatment of choice for fibrotic or inflammatory is by non surgical approach (Phase 1 therapy)

  • Scaling
  • Root planing
  • Antiseptic mouthwashes and systemic antibiotics
  • Change in medication

The gingival enlargement is re-assessed after 2 weeks for surgical intervention.

  • Scalpel gingivectomy (excision of gums)
  • Laser gingivectomy
  • Flap surgery
Pre-operative view showing plaque induced gingival enlargement

Pre-operative view showing plaque induced gingival enlargement

Post-operative view showing esthetically pleasing gingival contour

Post-operative view showing esthetically pleasing gingival contour

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