Article: Volume 46 Number 7 Page 662 - July/August 2019

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  Dent Update 2019; 46: 662-671

Periodontics:  The Multifactorial Aetiology of Gingival Overgrowth: a Case Report Illustrating Diagnosis and Management

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Abstract: Gingival overgrowth is the enlargement of gingival tissues and has various underlying aetiological factors. This case report highlights the multifactorial aetiology of gingival overgrowth for a patient who was prescribed an immunosuppressive strategy following renal transplantation, had poor levels of oral hygiene and a diet deficient in fruit and vegetables. The report highlights the importance of a detailed assessment to identify all underlying factors and demonstrates how a referral to the specialist services for gingival overgrowth led to a diagnosis of vitamin C deficiency. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution without any surgical intervention.

Clinical relevance: This case report highlights the importance of a detailed assessment to diagnose all relevant underlying aetiological factors involved in the development of gingival overgrowth. It also illustrates how both patient engagement and a conservative cause-related therapy can achieve a satisfactory resolution of gingival overgrowth without any surgical intervention.

Author notes: Rachael Y Jablonski, BDS MFDS RCSEd, Academic Clinical Fellow and Specialty Registrar in Restorative Dentistry, Leeds Dental Institute (email: rachaeljablonski@gmail.com), Bethany Rushworth, MChD/BChD, BSc, MFDS RCSPG, Dental Core Trainee in Oral and Maxillofacial Surgery, Leeds Teaching Hospitals and Kathryn A Durey, BDS, MFDS RCSEd, MSc ClinDent(Rest), FDS(Rest Dent) RCSEd, Consultant in Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK.

Objective: To increase awareness of the wide range of underlying aetiological factors, such as scurvy as a result of patients with restrictive diets or undergoing renal dialysis, that may be involved in the development of gingival overgrowth.

GSK