2019, Number 1-2
Rev Mex Periodontol 2019; 10 (1-2)
Gingivectomy as a treatment for gingival hyperplasia induced by orthodontics. Case report
García HA, Espinosa MJL, García HP
Full text
Language: English
References: 7
Page: 21-23
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ABSTRACT
Gingival hyperplasia (GH) is the result of inflammatory changes induced by bacterial dental plaque, and different types of GH are due to local or systemic factors. On the other hand, periodontal problems in patients with orthodontic treatment have been associated with the retention of bacterial dental plaque which produces gingivitis. And it has been described that the nickel ions present in orthodontic attachments could be the etiological factor of the fibroblast proliferation characteristic of GH. Gingivectomy is a surgical procedure whereby the injured part of the gingival tissue is removed to remove or reduce a periodontal pocket. The objective of this article is the report of a clinical case using the surgical technique called gingivectomy in the treatment for orthodontic-induced gingival hyperplasia. A 22-year-old female patient from the city of Morelia, Michoacán, Mexico and is referred to a particular periodontal consultation to make a diagnosis. Her orthodontist refers her to observe gingival hyperplasia clinically. A complete periodontal examination was performed, no bone damage or drilling depths greater than 2mm were observed. Probing bleeding and gingival tissue were observed covering one third of most dental crowns and inadequate hygiene habits were detected, so He performed the gingivectomy. The results showed that positive changes after 8 days and at 12 months the patient no longer had supra osseous periodontal pockets, occasional bleeding, bad breath and a bad taste in the mouth. Gingivectomy accompanied by gingivoplasty, are effective surgical techniques as long as their limitations are known.REFERENCES