Article: Volume 46 Number 2 Page 166 - February 2019

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  Dent Update 2019; 46: 166-170

Periodontics/Oral Medicine:  A Case of Florid Pregnancy Gingivitis

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Abstract: The aim of this case is to demonstrate an exaggerated appearance and subsequent management of a florid combination of pregnancy gingivitis and multiple pregnancy epulides. Pregnancy-associated periodontal conditions constitute benign overgrowth that histologically may be indistinguishable from pyogenic granulomata. The literature has described presentation from the first trimester, peaking in the third trimester before an amount of spontaneous resolution post-partum. This paper describes a 26-year-old woman at 33 weeks of gestation who was referred for significant generalized enlarged gingivae with accompanying soreness and discomfort in oral function. Florid gingivitis and epulis represents important periodontal manifestations during pregnancy and can be troublesome in providing meaningful immediate pain relief.

Clinical relevance: The dental clinician should be aware of pregnancy-associated gingivitis/epulis, the aetiology, presentation and be able to provide necessary steps for diagnosis, treatment and referral pathways in the primary care setting. These lesions should always be included in the differential diagnosis of oral mucosal soft tissue masses

Author notes: Lewis Hua, BDS, MFDS RCPSG, PGCert(Med Ed), Dental Core Trainee and Matthew Locke, BDS, PhD, FDS RCS(Rest Den), PGCert(Med Ed), FHEA, Senior Clinical Lecturer/Honorary Consultant in Restorative Dentistry, Cardiff University School of Dentistry, Heath Park, Cardiff CF14 4XY, UK.

Objective: To understand the causes of pregnancy gingivitis/epulis, how to diagnose and potentially treat patients with these conditions.