Multidisciplinary Treatment of Periodontia--Orthodontia to Improve Aesthetics: A Case Report
Abstract
Background: Overgrowth of the gingiva during orthodontic treatment is a very common condition characterized by gingival enlargement which is seen in pseudo-pocket formation with or without attachment loss. Gingival enlargement involving the anterior region can affect the quality of one’s life related to aesthetics and function.
Objective: This case report describes the correction of gingival enlargement in orthodontic treatment with gingivectomy.
Case Report: A 21-year-old patient presented to the periodontics clinic of RSGM Prof Soedomo UGM on the referral of an orthodontic clinic with a complaint of gingival enlargement in the anterior region of the lower jaw which interfered with the movement of orthodontic’s wire corrections. Gingival enlargement was treated by gingivectomy using scalpel.
Results: Two weeks’ control showed that the gingival enlargement was corrected and orthodontic treatment could be continued.
Conclusion: Gingivectomy is a procedure that aims to treat gingival enlargement during orthodontic treatment with a fixed orthodontic appliance. In assisting the smooth running of orthodontic treatment, gingivectomy can also reduce the rate of periodontal disease and improve aesthetics.
Keywords: gingivectomy, gingival enlargement, fixed orthodontic appliance
References
[1] Andriani I. Treatment of gingival enlargement by gingivectomy. Mutiara Medika. 2009;9(1):69-73.
[2] Gorbunkova A, Pagni G, Brizhak A, Farronato G, Rasperini G. Impact of orthodontic treatment on periodontal tissues: A narrative review of multidisciplinary literature. International Journal of Dentistry. 2016; Vol 2016: 1-9.
[3] Kloehn JS, Pfeifer JS. The effect of orthodontic treatment on the periodontium. Angle Orthodontist. 1974;44(2):127–134.
[4] Kavitha J. Generalized gingival enlargement - A case report. International Journal of Scientific Research. 2019;7(10): 128-130.
[5] Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza’s clinical periodontology. 13th ed. Philadelphia: Elsevier; 2019.
[6] Pinto AS, Alves LS, Zenker JE, Zanatta FB, Maltz M. Gingival enlargement in orthodontic patients: Effect of treatment duration. American Journal of Orthodontics and Dentofacial Orthopedics. 2017;152(4):477-482.
[7] Surlin P, Rauten A-M, Pirici D, Oprea B, Mogoanta L, Camen A. Collagen IV and MMP-9 expression in hypertrophic gingiva during orthodontic treatment. Romanian Journal of Morphology and Embryology. 2012;53(1):161–165.
[8] Trackman PC, Kantarci A. Connective tissue metabolism and gingival overgrowth. Critical Reviews in Oral Biology and Medicine. 2004;15(3):165-175.
[9] Zanatta FB, Ardenghi TM, Antoniazzi RP, Pinto TMP, Rösing CK. Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL) of subjects under fixed orthodontic treatment: A cross-sectional study. BMC Oral Health. 2012;12(53): 1-9.