Gingivectomy using scalpel as a management of gingival enlargement in patient under orthodontic treatment
Department of Oral and Dentistry, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.
Case Study
World Journal of Advanced Research and Reviews, 2023, 18(03), 1509–1517
Article DOI: 10.30574/wjarr.2023.18.3.1243
Publication history:
Received on 15 May 2023; revised on 24 June 2023; accepted on 26 June 2023
Abstract:
Gingival enlargement is a common condition in patients using fixed orthodontic appliances. In some patients, the use of fixed orthodontic appliances may trigger the condition. Gingival enlargement which can compromise oral hygiene and cause gingivitis and affect aesthetic function. One of the treatment for gingival enlargement or gingival overgrowth is gingivectomy. The purpose of this treatment is to remove the gingival tissue to enhance visibility and accessibility for self cleaning by cutting the gingival tissue by removing the lateral wall of the pocket which aims to eliminate pockets and gingival inflammation thus obtaining physiologically, functionally and aesthetically good gingiva. A 18 years old female patient presents gingival that overgrowth in the upper and lower anterior region since 6 months ago. No history of shrinkage, and no pain. The patient has a history of using fixed orthodontic appliances for 2 years since 2019 until now. At the time of the intra oral examination, the maxillary and mandibula gingiva also appears to cover part of the tooth surface although it did not appear to be swollen, but it caused the teeth to appear shorter. From panoramic radiography, there is no bone loss. The patient has no history of systemic disease. Gingivectomy has performed with conventional techniques using a scalpel.
Keywords:
Gingivectomy; Gingival enlargement; Conventional techniques; Scalpel; Fixed orthodontic appliance
Full text article in PDF:
Copyright information:
Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0