Гингивалното разрастване представлява абнормен растеж на меките тъкани, покриващи алвеоларните израстъци на челюстите. Често протича хронично с липса на симптоматика. Възниква в резултат на плак-индуциран или неплак-индуциран процес. В някои случаи се наблюдава генетична предразположеност. Гингивалната хиперплазия може да доведе до дискомфорт, болка, функционални смущения като промяна в говора, затруднено дъвчене, естетически и психологически проблеми. Налице са характерни клинични симптоми като: еритем, едем, загуба на зърнистост на повърхността на гингивата, кървене при сондиране, възпалителен инфилтрат, псевдоджобове. Настоящата статия цели да се направи литературен обзор на различните видове гингивални разраствания и подчертае основните етиопатогенетични фактори и клинични находки, което да подпомогне клиницистите при отдиференцирането им.

Background: Gingival enlargement is a common feature of gingival diseases. The treatment of gingival enlargement is based on the understanding of the etiology and pathology of this condition and can be treated by gingivectomy approach. The use of diode lasers in gingivectomy procedure reduces the level of postoperative hazards and facilitate the healing process after this manipulation. The literature survey reports that this technique shows good results, less postoperative inflammation and less postoperative pain and improved healing result in the surgical sites.Purpose: The aim of this case report is to present the satisfied aesthetic outcome of laser gingivectomy approach and less postoperative pain and inflammation in postsurgical healing period. Material and methods: A laser gingivectomy is performed in young orthodontic treated patient for removing gingival enlargements in the zone of interdental gingival tissues in both jaws -on vestibular sites of maxilla and mandibula.Results: The laser gingivectomy, using diode laser, resulted in fast wound healing, with experience of some postsurgical discomfort and no postoperative bleeding. Conclusion:The performed laser gingivectomy presents satisfactory aesthetic outcome, fast healing process and reduced postoperative discomfort.

To generate highly aesthetic results, as well as the most precise interaction between gums, bones, muscles, and teeth, full-mouth rehabilitation and complete arch reconstruction need the use of very specific lab protocols and techniques. Confirmation of tolerance to changes in the vertical dimension occlusion (VDO) is of paramount importance. A diagnostic wax-up and articulated study castings can give information for the assessment of treatment alternatives. The intermediate interval may be altered in accordance with the patient's circumstances and ability for adaptation. This article aims at providing a literary review of the treatment planning of full-mouth rehabilitation that will assist clinicians in the therapeutic plan. Observing the final result before starting therapy is essential for long-term success. Full-mouth rehabilitation entails the performance of all the procedures necessary to produce an aesthetic, well-functioning and self-maintaining masticatory system.