medigraphic.com
ISSN 1729-519X (Print)

2020, Number 5

<< Back Next >>

Revista Habanera de Ciencias Médicas 2020; 19 (5)

Non-surgical treatment of gingival enlargement associated with puberty. Clinical case report

Palomino GU, Castro-Rodríguez Y

Language: Spanish
References: 18
Page: 1-10
PDF size: 658.78 Kb.


ABSTRACT

Introduction: Gingival enlargement is usually treated with gingivectomy as an alternative to surgery; however, non-surgical mechanical treatment is another option especially in cases of gingivitis associated with puberty as a result of hormonal changes.
Objective: To describe the non-surgical treatment of a 12-year-old patient with gingival enlargement associated with puberty and gingival lesions induced by dental biofilm.
Case presentation: The patient presented a localized mild gingival enlargement that relapsed to the first phase of treatment after one month. Three months after physiotherapy sessions with removal of calcified biofilm, a reduction in the percentage of oral hygiene index to “good” was obtained; therefore, surgical treatment was not required. Four years later, there was a complete reduction in gingival enlargement and periodontal pockets.
Conclusions: Mechanical periodontal therapy is an effective alternative to reduce gingival inflammation induced by hormones during puberty not requiring surgical intervention to treat gingival enlargement. Other alternatives such as gingivectomies are performed; however, they require more complex, expensive procedures and they can also increase patient morbidity. In that sense, the uniqueness of the non-surgical mechanical treatment is chosen as a feasible option.


REFERENCES

  1. Albandar JM, Tinoco EM. Global epidemiology of periodontal diseases in children and young persons. Periodontol 2000 [Internet]. [Citado 08/09/2019]. 2002;29:153-76. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1034/j.1600-0757.2002.290108.x?sid=nlm%3Apubmed

  2. Botero J, Kuchenbecker C, Duque A, Jaramillo A, Contreras A. Periodontal disease in children and adolescents of Latin America. Periodontol 2000. [Internet]. [Citado 12/09/2019]. 2015;67(1):34-57. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/prd.12072?sid=nlm%3Apubmed

  3. Amran AG, Alhajj MN, Al-Rafik NA. Evaluation of gingival health status among 6- and 12-years-old children in dhamar city, Yemen: A Cross-sectional Study. J Contemp Dent Pract [Internet]. [Citado 05/09/2019]. 2016;17(6):440-4. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27484595

  4. Al-Haddad KA, Ibrahim YT, Al-Haddad AM, Al-Hebshi NN. Assessment of gingival health status among 5- and 12-year-old children in Yemen: A cross-sectional study. ISRN Dent [Internet]. 2013 [Citado 02/10/2019]. 2013:352621. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3710601/

  5. Murakami S, Mealey BL, Mariotti A, Chapple ILC. Dental plaque-induced gingival conditions. J Periodontol [Internet]. [Citado 02/10/2019]. 2018;89 Suppl 1:S17-S27. Disponible en: Disponible en: https://aap.onlinelibrary.wiley.com/doi/full/10.1002/JPER.17-0095

  6. Rathore S, Khuller N, Dev YP, Singh P, Basavaraj P, Gera K. Effects of scaling and root planing on gingival status during menstrual cycle- a cross-sectional analytical study. J Clin Diagn Res [Internet]. [Citado 02/10/2019]. 2015;9(10):ZC35-9. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4625332/

  7. Jafri Z, Bhardwaj A, Sawai M, Sultan N. Influence of female sex hormones on periodontium: A case series. J Nat Sci Biol Med [Internet]. [Citado 02/10/2019]. 2015; 6(Suppl 1): S146-S149. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630749/

  8. Siddharth T. Puberty induced gingival enlargement. Biomed J Sci Tech Res [Internet]. [Citado 02/10/2019]. 2017;1(1). Disponible en: Disponible en: https://biomedres.us/pdfs/BJSTR.MS.ID.000126.pdf

  9. Sutcliffe P. A longitudinal study of gingivitis and puberty. J Periodontal Res [Internet]. [Citado 02/10/2019]. 1972;7:52-8. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1600-0765.1972.tb00631.x?sid=nlm%3Apubmed

  10. Bimstein E, Matsson L. Growth and development considerations in the diagnosis of gingivitis and periodontitis in children. Pediatric Dent [Internet]. [Citado 12/09/2019]. 1999;21:186-91. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/?term=Growth+and+development+considerations+in+the+diagnosis+of+gingivitis+and+periodontitis+in+children

  11. Kornman KS, Loesche WJ. Effects of estradiol and progesterone on Bacteroides melaninogenicus and Bacteroides gingivalis. Infect Immun [Internet]. [Citado 02/10/2019]. 1982;35:256-63. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC351023/

  12. De Los Ángeles HM, Godoy CC, Herane PC. Enfermedad periodontal y embarazo. Revisión de la literatura. Rev Med Clin Las Condes [Internet]. [Citado 12/02/2020]. 2014;25(6):936-43. https://www.sciencedirect.com/science/article/pii/S0716864014706418

  13. Kinane DF, Podmore M, Murray MC, Hodge PJ, Ebersole J. Etiopathogenesis of periodontitis in children and adolescents. Periodontol 2000 [Internet]. [Citado 10/11/2019]. 2001;26:54-91. Disponible en: Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1034/j.1600-0757.2001.2260104.x?sid=nlm%3Apubmed

  14. Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol [Internet]. [Citado 10/11/2019]. 2018;89 Suppl 1:S74-S84. Disponible en: Disponible en: https://aap.onlinelibrary.wiley.com/doi/full/10.1002/JPER.17-0719

  15. Soriano AR, Caceres LA. Resolución del agrandamiento gingival mediante terapia periodontal no quirúrgica: reporte de caso. Rev Odontol Mex [Internet]. [Citado 10/11/2019]. 2016; 20(4): 253-258. Disponible en: Disponible en: http://www.scielo.org.mx/scielo.php?pid=S1870-199X2016000400253&script=sci_abstract

  16. Dholakia P, Patil US, Agrawal C, Chokshi R, Patel D, Nayak R. Management of puberty associated gingival enlargement in the aesthetic zone in an adolescent female- a case report. Int J Oral Health Med Res [Internet]. [Citado 10/11/2019]. 2016;2(5):96-98. Disponible en: Disponible en: http://www.ijohmr.com/upload/Management%20of%20Puberty%20Associated%20Gingival%20Enlargement%20in%20the%20Aesthetic%20Zone%20in%20an%20Adolescent%20Female.pdf

  17. Zapata CF, García ARG, Martinez AF, Muños QG. Agrandamiento gingival crónico en paciente pediátrico: Reporte de un caso. Revi Tame [Internet]. [Citado 10/11/2019]. 2013;2(5):154-158. Disponible en: Disponible en: http://www.uan.edu.mx/d/a/publicaciones/revista_tame/numero_5/Tam135-06.pdf

  18. Rahim O. Puberty associated gingival enlargement: Clinical case report and periodontal management. 23rd International Conference on Dentistry and Dental Materials. 2018 Julio 19-20; Roma, Italia. 2018. Disponible en: https://www.longdom.org/proceedings/puberty-associated-gingival-enlargement-clinical-case-report-and-periodontal-management-42728.html




2020     |     www.medigraphic.com