Massive pregnancy gingival enlargement: A rare case
A 23-year-old female patient reported to the Department of Periodontics, with a localized massive gingival overgrowth on the upper left front region In relation to 21, 22 and 23 with protruding lips [Figures –]. There was no history of drug intake and hereditary reasons. Patient was 8 months pregnant and revealed that her gums used to bleed on brushing since 3 months of pregnancy, but the enlargement came to the present size at this time, the patient reported that she felt difficulty in chewing, speech and closing of the lips, her esthetics was also compromised because of the enlargement. The gingival swelling was so massive that it was evident extraorally. On intraoral examination, the size of the lesion was about 3.5 cm × 2 cm in dimension and pedunculated. The tumor was bright red in color, soft that bled on slightest provocation. Subgingival calculus and plaque was present. Patient was unable to maintain oral hygiene in this area, because of gingival enlargement. Oral prophylaxis was performed after routine hematological investigation. Instructions regarding maintenance of oral hygiene were given and advised to return post-partum. She reported to the department 1 month after the delivery of the baby. The dimension of the tumor was same as before delivery. Minimum bone loss was observed on radiograph The gingival overgrowth was excised with the help of 15 no. b.p blade and electrocautery, the bleeding was controlled by the help of the ball tip of the electrocautery [Figures and ]. Periodontal dressing was Applied(coe-pack) in the involved region []. The excised lesion [] was sent for histopathological examination, which revealed epithelial proliferation and underlying capillary proliferation along with marked inflammatory cell infiltration seen []. The healing was uneventful and no relapse was seen on follow up [].