Treatment Of Gingival Enlargement With Gingivectomy And Gingivoplasty Using Scalpel Surgical Technique With Gingival Depigmentation: A Case Report

Abstract

Background: Gingival enlargement is a condition of increase in the size of the gingiva and is considered as an extension of idiopathic gingival hyperplasia (fibromatosis) due to inflammation that can be caused by factor local or systemic. Clinically, this gingival enlargement gives an unattractive gingival appearance and can form pockets, so it needs to be corrected with  gingivectomy and gingivoplasty. Gingival hyperpigmentation is a physiological pigmentation genetically, appearing with brown to black pigment on the gingiva and oral mucosa which is an aesthetic problem for patients. Purpose: This case report aims to describe a case of gingival enlargement managed by gingivectomy and gingivoplasty accompanied by gingival depigmentation. Case presentation: A 26-year-old female patient came with complaints of painless enlargement on the gums in the upper and lower front teeth. The enlargement on the gums had been noticed since 5 months ago, as well as brown discoloration on the gums of her upper and lower front teeth which she had noticed ten years ago.Initial treatment was scaling and root planing, after there was no change in the size of the gingiva, the treatment was continued with gingivectomy and gingivoplasty using the scalpel surgery technique, followed by gingival depigmentation. Conclusion: The gingival enlargement not show a decrease after scaling and root planing, gingivectomy can be performed to eliminating the pockets, and gingivoplasty to obtain a good physiological gingival shape. Gingival hyperpigmentation is an aesthetic problem that is a concern for patients and requires surgical intervention to remove pigment, one of which is gingival depigmentation with scalpel surgery.