Chronic Inflammatory Gingival Enlargement Managed by Scaling and Root Planing with Curettage: A Case Report

Abstract

Gingival enlargement (GE) is defined as an increase in the size of the gingiva. It is also known as gingival
overgrowth. A wide variety of etiological factors play an important role in the development of GE. GE may
be acute or chronic. However chronic inflammatory GE is most commonly found. Prolonged exposure
of dental plaque is the most common etiological factor of chronic GE. A 23-year-old girl came to the
Department of Periodontics, with a chief complaint of swelling of gums in lower front teeth regions. On
clinical examination, there was grade II GE in 33 to 43 regions along with the presence of calculus in the
lingual side, and poor oral hygiene too. It was planned for phase I therapy followed by phase II therapy.
So scaling and root planing was performed and after 4 weeks curettage was done under infiltration local
anesthesia. The subject was instructed to maintain oral hygiene. After 2 months, it was found complete
resolution of GE. She was very satisfied with the result.