Management of Chronic Inflammatory Gingival Enlargement associated with Orthodontic Therapy - A Case Report

Many adults who seek routine restorative dentistry have problems with malposition of the teeth, which not only compromise their ability to clean and maintain their dentitions but also help to maintain the health of periodontium. Recently a greater focus on dentofacial esthetics in the adult population is seen with an increasing demand for orthodontic treatment in appearance-conscious adults. Sometimes during orthodontic treatment, fixed appliances that bond the teeth surface could cause problem towards periodontal tissues making it difficult to control the plaque especially in the marginal region that could cause inflammation and gingival enlargement. Gingival enlargement due to the local irritation of the plaque can be treated with plaque control, scaling, root planing until surgical intervention. Treatment with surgical intervention for gingival enlargement is to eliminate the gingival pocket so the patient can easily clean the teeth thereby slowing down the disease progression and retain the normal gingival status again. The present case report presents management of chronic gingival enlargement associated with orthodontic therapy. Key words: Gingival Overgrowth, Gingivectomy, Orthodontic Treatment.