The aesthetic management of gingival enlargement and hyperpigmentation in maxillary anterior region: a case report

Shafira Kurnia(1),

(1) Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia


Objective: To describe the aesthetic treatment stage of gingival enlargement with gingival hyperpigmentation. Determination of the type of action detail will assist many clinicians in diagnosis and treat gingival enlargement with hyperpigmentation.

Methods: The 17-year-old male patient, coming with his enlarged gums. Patients claimed to have no hypertension, blood disorders, diabetes and hepatitis. After general check-up and early treatment, gingivectomy and gingival depigmentation were performed using scalpel no. 15c. The oral administration administered was 500mg tid amoxicillin and 500mg tid.prn mefenamic acid.

Results: after gingivectomy has performed multiple diastema appears and suggested orthodontia treatment.

Conclusion: The combination of gingivectomy treatment with gingival depigmentation may be performed simultaneously using a scalpel periodontal instrument.

Keywords: Gingival enlargement, Gingival hyperpigmentation, Gingivectomy, Gingival depigmentation

Full Text:



Effiom OA, Adeyemo WL, Soyele OO. Focal reactive lesions of the gingival: an analysis of 314 cases at tertiary health institution in Nigeria. Niger Med J 2011;52: 35-40.

Nartey NO, Mosadomr HA, Al-Cailani M, et al. Localised inflammatory hyperplasia of the oral cavity: clinico pathological study of 164 cases. Saudi Dent J 1994;6: 145-50.

Zarei MR, Chamani G, Amanpoor S. Reactive hyperplasia of the oral cavity in Kerman Province, Iran: A review of 172 cases. Br J Oral Maxillofac Surg 2007;45: 288-92.

Trackman P, Kantarci A. Connective tissue metabolism and gingival overgrowth. Crit Rev Oral Bio Med 2004;15: 165-175.

Carranza FA, Hogan EL. Gingival enlargement. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. 11th ed. Philadelphia: W.B. Saunders Company; 2006. p. 373-390.

Tal H, Oegiesser D, Tal M. Gingival depigmentation by erbium: YAG laser: Clinical observations and patient responses. Journal of Periodontology. 2003;74: 1660-1667.

Tiwana PS, Kok IJ, Stoker DS, et al. Facial distortion secondary to idiopathic gingival hyperplasia: surgical management and oral reconstruction with endosseous implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100: 153-157.

Agrawal N, Agrawal K, Mhaske S. An uncommon presentation of an inflammatory gingival enlargement responding to non-surgical periodontal therapy. Int J Dent Hyg 2011;9: 303-307.

Buddiga V, Ramagoni NK, Mahantesh H. Gingival enlargement - a case series. Ann Essence Dent 2012;1: 73-76.

Atsawasuwan P, Greethong K, Nimmanon V. Treatment of gingival hyperpigmentation for esthetic purposes by Nd: YAG laser: report of 4 cases. J Periodonto 2000;71: 315-321.






  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License. View My Stats