Presentation of Multifactorial Gingival enlargement

Abstract

One of the common symptoms of gingival disorders is gingival hypertrophy. However, the doctor finds it difficult to diagnose these entities because of their diverse manifestations. Gingival enlargements can be classified based on etiopathogenesis, location, size, and extension. Multi-factorial gingival enlargement diagnosis is challenging though treatment principles follow the same established guidelines. A 34-year-old female patient complained of being unable to eat and appeared with enlarged gingiva, bleeding gums, deep pockets, and movable teeth. The periodontal inflammation was not proportional to the extent of local irritants. Routine scaling and periodontal remedy failed to bring any enhancement. The systemic condition of the patient was compromised. Histopathology reports of the biopsy established the Opinion of actinomycosis. Although conservative measures were taken, the bone loss was too great and worsened by systemic and socioeconomic factors. The patient underwent rehabilitation with complete dentures.