Gingivectomy using scalpel as a management of gingival enlargement in patient under orthodontic treatment

Abstract

Gingival enlargement is a common condition in patients using fixed orthodontic appliances. In some patients, the use of fixed orthodontic appliances may trigger the condition. Gingival enlargement which can compromise oral hygiene and cause gingivitis and affect aesthetic function. One of the treatment for gingival enlargement or gingival overgrowth is gingivectomy. The purpose of this treatment is to remove the gingival tissue to enhance visibility and accessibility for self cleaning by cutting the gingival tissue by removing the lateral wall of the pocket which aims to eliminate pockets and gingival inflammation thus obtaining physiologically, functionally and aesthetically good gingiva. A 18 years old female patient presents gingival that overgrowth in the upper and lower anterior region since 6 months ago. No history of shrinkage, and no pain. The patient has a history of using fixed orthodontic appliances for 2 years since 2019 until now. At the time of the intra oral examination, the maxillary and mandibula gingiva also appears to cover part of the tooth surface although it did not appear to be swollen, but it caused the teeth to appear shorter. From panoramic radiography, there is no bone loss. The patient has no history of systemic disease. Gingivectomy has performed with conventional techniques using a scalpel.