Steffi Triany Arnov, Berliana Indah Rahmasari, Rizqika Rahmawati

CONVENTIONAL GINGIVECTOMY FOR GINGIVAL ENLARGEMENT: A CASE REPORT

Introduction

Conventional gingivectomy for gingival enlargement: a case report. Case report detailing conventional gingivectomy for gingival enlargement in a 35-year-old male. Procedure reduced inflammation, improved oral hygiene, and prevented recurrence.

Abstract

Gingival enlargement can occur due to many factors, ranging from systemically caused plaque to hormonal disorders, due to medications, orthodontic treatments and genetic diseases. This case report aims to describe the management of gingival enlargement using conventional gingivectomy. A 35-year-old male patient came to the hospital with complaints of rounded gums of the upper jaw. The patient reported no pain in his gums. One month after scaling and root planing, the patient underwent a gingivectomy on tooth 12. Evaluation three weeks after the procedure revealed no inflammation, reduction in enlargement, and improved oral hygiene. The determination of etiological factors is crucial in determining the appropriate actions for managing gingival enlargement. Gingivectomy is a procedure to eliminate gingival enlargement and make it easier for patients to maintain oral hygiene. To prevent recurrence in the future, patients need supportive periodontal therapy, which they should undergo regularly DOI : 10.54052/jhds.v5n2.p141-150

Review

This case report, "Conventional Gingivectomy for Gingival Enlargement: A Case Report," addresses a common and clinically significant condition in periodontology. Gingival enlargement, with its multifactorial etiology, often requires surgical intervention to restore proper gingival contour and facilitate oral hygiene. The report's focus on conventional gingivectomy for a localized enlargement is pertinent, showcasing a well-established and essential technique in periodontal therapy. The clear objective to describe the management process makes this report relevant for clinicians seeking practical examples of surgical approaches to this condition. The abstract effectively outlines the clinical scenario and the management strategy. The 35-year-old male patient's presentation with rounded gums in the upper jaw, managed sequentially with scaling and root planing followed by a gingivectomy on tooth 12, demonstrates a logical and standard clinical pathway. The reported positive outcomes—no inflammation, reduction in enlargement, and improved oral hygiene at the three-week evaluation—provide encouraging evidence for the efficacy of this conventional technique. The emphasis on determining etiological factors and the crucial role of supportive periodontal therapy to prevent recurrence highlights a comprehensive approach to patient care, which is a strength of the report's conceptual framework. While this case report offers a valuable demonstration of a conventional surgical procedure and its immediate positive outcomes, the inherent limitations of a single case report restrict its generalizability. To enhance its clinical impact, future presentations could benefit from providing more specific details regarding the identified etiology for *this particular patient*, beyond the general list of causes. Furthermore, in clinical case reporting, the inclusion of photographic evidence (pre-operative, intra-operative, and post-operative) is highly valuable for illustrating the surgical success, which is not mentioned in the abstract. Additionally, a longer follow-up period than three weeks would provide more robust evidence regarding the long-term stability and maintenance of the corrected gingival architecture. Despite these suggestions, the report serves as a useful educational tool for illustrating the successful application of a fundamental periodontal surgical technique.

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