Gingival Hyperplasia, Impact on Smile Aesthetics: Clinical Case Report.

Abstract

Karine Gomes da Silva, Anna Karla Sampaio da Rocha, Ana Beatriz Costa da Silva, Lucas Lima de Sousa, Vinicius Correa Dalbom, Alyne Vasconcelos de Oliveira, Ana Luiza Becker, Roberta Furtado Carvalho

Introduction: Gingival hyperplasia is common in patients with fixed orthodontic appliances who have poor oral hygiene. This gingival enlargement is characterized by slow, continuous and sometimes asymptomatic development. Clinically, gingival hyperplasia appears as an irregular and swollen contour, requiring a surgical approach to provide a regular contour to the gingival margin, restoring aesthetics and function to the periodontal tissue. The classification of hyperplasia’s is defined according to the causal factor, in this case in question it is a hyperplasia caused by orthodontic trauma associated with poor hygiene.

Objective: The objective of this work is to report a clinical case of a patient with gingival hyperplasia, with aesthetic complaints and treated surgically by surgical excision.

Case report: Female patient, 22 years old, was using orthodontic braces and during clinical examination, gingival tissue increase and extension with the periodontal probe were found, in addition to the presence of biofilm on the brackets and gingival margin. Treatment of choice was genioplasty in which surgical excision of the swollen gums was performed, respecting the biological space of 3mm and without any complications. Postoperative recommendations were made and a satisfactory postoperative period was achieved, achieving the expected results.

Conclusion: In addition to surgery, the patient must maintain adequate oral hygiene to avoid recurrences of gingival hyperplasia.

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