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PERIO - Periodontal Practice Today
PERIO - Periodontal Practice Today 4 (2007), No. 4     19. Dec. 2007
PERIO - Periodontal Practice Today 4 (2007), No. 4  (19.12.2007)

Page 295-299

An intriguing case of gingival enlargement associated with generalised aggressive periodontitis
Mahajan, Ajay / Dixit, Jaya / Verma, Umesh
Background: Generalised aggressive periodontitis (gAP) is one of the severest forms of periodontitis, which if not diagnosed early may result in major loss of periodontal tissues and early loss of teeth. Gingival enlargement is an easily identifiable condition characterised by excessive display of gingiva causing aesthetic and functional problems. Gingival enlargement is rarely seen in association with gAP. A case of 15-year-old female is reported who presented with a generalised gingival overgrowth along with increased spacing and mobility in her teeth. At the first instance the case looked like a case of gingival enlargement but on detailed study of her history and clinical and laboratory findings it was diagnosed primarily as a case of gAP with pubertal gingival enlargement, later being just a superimposed condition.
Methods: Treatment plan included conventional gingivectomy, extraction of teeth with hopeless prognosis, elimination of infecting microorganisms using a combination of surgical access and antimicrobial therapy with a long-term maintenance phase therapy.
Results: After one year marked improvement in the patient's condition was noticed.
Conclusion: Associated conditions like gingival enlargement may complicate the diagnosis of gAP; therefore, diagnosis should always be based on detailed study of the patient's history, clinical, radiographic and microbiological findings.

Keywords: antimicrobial therapy, clinical findings, generalised aggressive periodontitis, gingival enlargement, periodontitis, pubertal gingival enlargement