1/6. Cemento-ossifying fibroma: case report and review of the literature.Although the neoplastic nature of intrabony cemento-ossifying fibromas is beyond dispute, controversy exists regarding the soft tissue counterpart. Peripheral cemento-ossifying fibroma has been referred to by a variety of terms depending on whether it is accepted as being a true odontogenic tumor or a reactive gingival overgrowth. The management of a patient with peripheral cemento-ossifying fibroma in the masticatory mucosa of the anterior region of the maxilla is presented. The differential diagnosis of reactive gingival overgrowths with and without calcification is discussed.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
2/6. Severe periodontitis in a 5-year-old girl with hyperimmunoglobulin E syndrome.The hyperimmunoglobulin E syndrome (HIES) is a multisystem disorder that affects the: (1) dentition; (2) skeleton; (3) connective tissues; and (4) immune system. Little is known about periodontal manifestations of the syndrome. The purpose of this report was to describe a 5-year-old girl with suspected autosomal-recessive HIES syndrome who revealed profusely bleeding and painful gingiva and generalized aggressive periodontitis. A polymerase chain reaction (PCR)-based microbiological examination detected porphyromonas gingivalis, Tannerella forsythia, prevotella nigrescens, treponema denticola, eikenella corrodens, and campylobacter rectus in the deep periodontitis lesions. The extraction of all deciduous teeth due to a poor prognosis and risk of systemic infection led to resolution of the oral inflammation. Long-term follow-up is required to determine the periodontal prognosis of the erupting permanent teeth.- - - - - - - - - - ranking = 51.371453142016keywords = connective (Clic here for more details about this article) |
3/6. Periodontal plastic surgery associated with treatment for the removal of gingival overgrowth.BACKGROUND: Excisional biopsies of gingival overgrowths, performed with safety margins, frequently result in mucogingival defects. These defects may produce esthetic problems and increase the chances of dentin hyperesthesia and its possibility of hindering oral hygiene. methods: Two clinical cases are reported in which gingival overgrowths were removed by excisional biopsy, resulting in unsightly defects. The first clinical case presents an invasive approach for the treatment of a recurrent pyogenic granuloma in the anterior maxilla, and the second depicts a complete removal of a peripheral odontogenic fibroma in the posterior maxilla. In both situations, the soft-tissue defects were repaired by periodontal plastic surgery, including a laterally positioned flap and a coronally positioned flap, respectively. RESULTS: Periodontal plastic surgery successfully restored the defects that resulted from biopsies, and no recurrence has been noticed in the 5-year postoperative follow-up period. CONCLUSIONS: The combination of biopsy and periodontal plastic surgery in a one-step procedure seems to be suitable to remove gingival overgrowths in most areas of the mouth, regardless of esthetic significance. Such procedures seem to restore gingival health, encourage healing, and create both esthetics and function in the excised area.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
4/6. Rare instance of gingival enlargement in Klippel-Trenaunay syndrome: a case report.Klippel-Trenaunay syndrome is a rare congenital malformation that may include port-wine stain, soft tissue and bony hypertrophy, and venous malformations and lymphatic abnormalities. Although it usually involves the limbs, it may also rarely involve the head, neck, and orofacial regions. Despite its rarity, Klippel-Trenaunay syndrome should be considered in the differential diagnosis of gingival enlargement. The condition can be easily recognized clinically, but further investigations including imaging studies have to be carried out in order to better understand the nature of the lesion. This report describes a case of gingival enlargement in Klippel-Trenaunay syndrome in a 16-year-old female patient. The diagnosis of the condition was made based on the patient history, clinical and radiographic examination, computed tomography (CT), and angiogram.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
5/6. Combined treatment approach to gingival overgrowth due to drug therapy.A case of severe gingival overgrowth associated with combined drug therapy of cyclosporin A and nifedipine is reported. The frequently increased vascularity of the gingival tissues in such cases often causes problems with bleeding both during and after surgery. Acrylic suckdown splints have been used postoperatively to assist haemostasis; however, these can interfere with function and cause discomfort. This report describes a combined treatment approach using conventional gingivectomy and carbon dioxide laser for the removal of the hypertrophic soft tissue. The benefits of such combined treatment include reduced bleeding during surgery with consequent reduced operating time and rapid post-operative haemostasis, thus eliminating the need for a splint.- - - - - - - - - - ranking = 1keywords = soft (Clic here for more details about this article) |
6/6. Periodontal management of gingival overgrowth in the heart transplant patient: a case report.heart transplant patients take several medications that could affect their periodontal health. gingival overgrowth associated with cyclosporin (immunosuppressant agent) and nifedipine (calcium channel blocker) is well documented. Candidal infections often develop because of immune suppression. This report describes the clinical and histopathological changes in the gingival tissues of a heart transplant patient and their management. The gingival tissues exhibited pronounced enlargement. The gingivae were lobulated, and the surface of the lobulations was pebbly and granular. Biopsies showed lobules of fibrous connective tissue covered by stratified squamous epithelium. The outer surfaces were dotted with numerous smaller papillations. Candidal hyphae were present in the superficial layers of the epithelium. The extensive papillary lesions appear to be related to candidiasis and constitute a condition which is best designated as papillary stomatitis. Hyperplastic gingival tissues were excised, and the patient was placed on periodic maintenance. One-year postoperative follow-up showed minor gingival growth.- - - - - - - - - - ranking = 51.371453142016keywords = connective (Clic here for more details about this article) |