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

Prev    Article P662    Next  Read article

  Dent Update 2019; 46: 662-671

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

CPD:  CPD  0:24   (closed)      Self assess

Feedback:  0 comments, 0 ratings

      

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.

 

Regenerate – A webinar on erosive tooth wear, its causes and how to diagnose patients with this condition

 

Receive 1 hour free CPD from Dental Update when you register with this webinar

Dr Ben Atkins will be presenting a webinar on erosive tooth wear, the causes and how to diagnose patients with this condition. He will introduce the processes of erosive tooth wear, the aesthetic and functional problems it can give the patient.

HAVE YOU REGISTERED YET? Don’t miss our FREE webinar on Erosive Tooth Wear

4th December 2019 @ 7pm