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Successful Management Of Gingival Enlargement By Gingivectomy: A Case Report Nike Omaya Nusaiba; Aprilia Yuanita Anwaristi
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): Vol 5. No. 2 JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.1092

Abstract

Gingival enlargement is a pathological condition characterized by an increase in the size and volume of gingival tissue, which may impair oral function, esthetics, and oral hygiene maintenance. The management of this condition depends on the underlying etiology and severity of gingival tissue enlargement. This case report aimed to describe the successful management of gingival enlargement using gingivectomy in the mandibular anterior region. A 28-year-old male patient presented with a chief complaint of gingival enlargement involving teeth 41 and 42 that had persisted for approximately one year without pain. Clinical examination revealed localized gingival enlargement accompanied by periodontal pocket depths of up to 5 mm. Initial periodontal therapy consisting of scaling and root planing was performed, followed by conventional gingivectomy and gingivoplasty to restore physiological gingival contours.
Gingival Curettage As An Adjunctive Non-Surgical Approach In Localized Chronic Periodontitis Of Tooth 43: A Case Report Hanifah Ajeng Pangesti; Aprilia Yuanita Anwaristi
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): Vol 5. No. 2 JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.1093

Abstract

Periodontitis is a chronic inflammatory disease that causes destruction of tooth-supporting tissues due to interactions between subgingival biofilm and the host immune response. This case report aimed to evaluate the effectiveness of gingival curettage as an adjunctive therapy in localized chronic periodontitis. A patient presented with complaints of swollen gingiva and bleeding during tooth brushing. Clinical examination revealed erythematous gingiva on tooth 43 with periodontal pocket depths of 3 mm mesiolabially, 2 mm midfacially, and 4 mm distolabially, along with an Oral Hygiene Index score of 3.3. Initial periodontal therapy consisting of scaling and root planing was performed, followed by gingival curettage due to persistent inflammation and positive bleeding on probing. Three weeks after treatment, periodontal healing was observed, characterized by negative bleeding on probing and reduced periodontal pocket depths to 2 mm at all examined sites. Gingival curettage can be considered an effective adjunctive treatment to eliminate inflammatory tissue, improve periodontal conditions, and enhance tooth prognosis when supported by optimal oral hygiene maintenance.