Eval of 20 cases of localized gingival overgrowth recurrence

| Posted in: Science Health Sciences

Journal name: Journal of Indian Society of Periodontology
Original article title: Evaluation of clinico-pathological reports and recurrence of 20 cases of localized gingival overgrowths
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Girish Parshuram Bhutada, Mitul Kumar Mishra, Salam Tarique Ansari, Anand Narayanrao Wankhede, Geetika Sanjiv Soni


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Evaluation of clinico-pathological reports and recurrence of 20 cases of localized gingival overgrowths

Year: 2017 | Doi: 10.4103/jisp.jisp_414

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

The study aimed to evaluate the clinical and histopathological characteristics of localized hyperplastic gingival growths, specifically focusing on their recurrence post-surgical treatment. A cohort of 20 patients with localized hyperplastic gingival outgrowths underwent a systematic evaluation, which included a comprehensive review of demographic factors such as age and sex, as well as clinical characteristics like lesion location, size, and duration. After four weeks of initial therapy involving subgingival scaling, the lesions were excised using conventional flap surgery, and histopathological analysis was conducted to classify the excised tissues.

Summary of Key Findings: Prevalence of Pyogenic Granuloma

The most significant finding of the study was the predominance of pyogenic granuloma, which accounted for 55% of the cases assessed. The other lesions identified included peripheral fibroma, peripheral giant cell granuloma, and calcifying fibroblastic fibroma, representing 25%, 15%, and 5% of the cases, respectively. It was observed that none of the patients experienced recurrence of the pyogenic granuloma after surgical excision. The follow-up comprised three and six months post-surgery; however, due to a high drop-out rate, adequate recurrence data was only obtained from seven patients, all of whom showed no signs of recurrence.

Conclusion

In conclusion, the study highlights the importance of surgical excision as a definitive treatment for localized hyperplastic gingival growths, specifically emphasizing the successful management of pyogenic granuloma. Despite the limitations stemming from a small sample size and follow-up challenges, the findings suggest that surgical intervention can lead to satisfactory outcomes without recurrence in the studied cases. Further research with larger populations and longer follow-up periods is warranted to strengthen these findings and provide comprehensive insights into the management of such gingival lesions.

FAQ section (important questions/answers):

What was the purpose of the study on gingival growths?

The study aimed to assess the clinico-histopathological characteristics and recurrence of localized hyperplastic gingival growths after surgical treatment in twenty patients.

What types of localized gingival lesions were identified in the study?

The lesions identified included pyogenic granuloma (55%), peripheral fibroma (25%), peripheral giant cell granuloma (15%), and calcifying fibroblastic fibroma (5%).

What surgical technique was employed for treating the gingival outgrowths?

Conventional flap surgery was performed after four weeks of initial therapy involving subgingival scaling to reduce inflammation before excising the growths.

How was the recurrence of gingival growths monitored in patients?

Patients were recalled after three and six months post-surgery to check for any recurrence of the gingival growths.

What were the main findings regarding recurrence after surgery?

No recurrence was observed in any of the seven patients who returned for follow-up after six months.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Eval of 20 cases of localized gingival overgrowth recurrence”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
Tables in research provide structured summaries of data related to the study's findings and demographics. They help visualize the key characteristics of the study sample, such as the distribution of lesions by type, sex, age, and other significant factors. This enables easy comparison and analysis of results in a concise format.

2) Study (Studying):
The study referenced documents the clinical and histopathological assessment of localized hyperplastic gingival growths. It focuses on evaluating the nature, surgical management, and recurrence of these lesions, contributing to the body of knowledge in dental pathology and helping refine treatment approaches for similar cases in dental practice.

3) Blood:
Blood investigations, such as a complete hemogram, are critical in this study to rule out systemic conditions that could contribute to gingival hyperplasia. Such pre-surgical evaluations ensure patient safety and the suitability for surgical procedures, highlighting the importance of overall health in managing localized oral lesions effectively.

4) Drug:
The study prescribed amoxicillin prophylactically to prevent infection post-surgery. This emphasizes the importance of pharmacological measures in surgical management of gingival lesions, as proper drug administration can significantly reduce the risk of complications and enhance healing, thus improving surgical outcomes for patients undergoing such procedures.

5) Inflammation:
Inflammation is a key pathophysiological factor in gingival hyperplastic growths. The study highlights that localized hyperplastic lesions primarily arise from inflammatory responses, necessitating initial therapy to reduce inflammation before surgical intervention. Understanding this connection aids in effective treatment planning and enhances the chances of complete recovery following surgery.

6) Discussion:
The discussion section evaluates the study’s findings in the context of existing literature. It addresses the demographic patterns, types of lesions observed, and recurrence rates, critically analyzing how these results contribute to the broader knowledge of dental health. This helps in validating findings and suggesting future research directions.

7) Developing:
Developing localized hyperplastic gingival growths is described as a response to irritants. The term underscores the ongoing physiological processes within the gingival tissue that leads to the formation of lesions. Understanding the mechanisms behind this development aids clinicians in diagnosis and treatment of similar oral health conditions.

8) Irritation:
Irritation is noted as a precursor to localized hyperplastic gingival growths, stemming from factors such as plaque accumulation and trauma. The study outlines the role of irritation in triggering these lesions, emphasizing the need for preventive care. This understanding helps in managing oral health effectively and reducing pathological growths.

9) Swelling:
Swelling is commonly reported by patients with gingival outgrowths and represents a key clinical symptom of localized hyperplastic growths. The study focuses on the assessment of swelling sizes and their implications for treatment. Understanding swelling patterns assists in better diagnosing and managing these lesions during patient evaluations.

10) Bleeding:
Bleeding from the gums is another significant complaint associated with gingival lesions. The study documents this symptom, pointing towards underlying inflammation or irritation. Recognizing bleeding symptoms is crucial for clinicians to gauge the severity of gingival conditions and to implement timely interventions for proper patient care.

11) Relative:
The term relative is used in the context of evaluating factors such as age, sex, and lesion type distribution, reflecting how these variables interact in the patient population. Understanding these relationships helps clinicians develop targeted treatment strategies and enhances the overall effectiveness of care delivered to patients.

12) Pregnant:
Pregnant women were excluded from the study to eliminate potential confounding factors related to hormonal changes affecting gingival health. This highlights the importance of carefully selecting study populations to ensure clear insights and findings, allowing for more focused analysis on the surgical outcomes of the remaining patients.

13) Epilepsy:
Patients with epilepsy were excluded from the study. This precaution serves to prevent potential complications during surgical procedures or adverse reactions to medications, ensuring that the results are not skewed by patients who may have unique health considerations that complicate gingival health and treatment outcomes.

14) Disease:
The study considers existing systemic diseases that could influence the development of gingival lesions. Recognizing the impact of diseases like diabetes or hypertension on oral health emphasizes the need for comprehensive health evaluations before treatment, ensuring that clinicians can provide safe and effective care tailored to individual patient conditions.

15) Hygiene (Hygienic):
Poor oral hygiene emerged as a common observation among patients with localized hyperplastic gingival growths. The study underscores the connection between inadequate hygiene and the occurrence of these lesions, highlighting the importance of educating patients about proper dental care as a preventive measure to mitigate future growths.

16) Nature:
The nature of the lesions is assessed through both clinical observation and histopathological analysis in the study. Understanding the morphological characteristics of these growths informs diagnosis and treatment, providing a basis for clinicians to differentiate between various types of localized gingival overgrowths and administer proper care.

17) Pur:
Poor oral hygiene practices were frequently noted in patients presenting with localized gingival lesions. This observation ties into the inflammatory processes leading to hyperplastic growths. The study emphasizes the need for better oral health practices and education to prevent the occurrence of such undesirable lesions in the future.

18) Male:
The study found a higher prevalence of pyogenic granuloma among males, reflecting gender differences in disease manifestation. Such data is vital for understanding the demographics of oral health issues, allowing dental professionals to tailor preventive and therapeutic measures more effectively for different patient populations.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Eval of 20 cases of localized gingival overgrowth recurrence’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Surgical treatment, Oral hygiene, Surgical excision, Mean age, Nonsteroidal anti-inflammatory drug, Histopathological analysis, Blood investigation, Pyogenic granuloma, Initial therapy, Stratified squamous epithelium, Pedunculated lesions, Sessile lesions, Peripheral giant cell granuloma, Follow-up appointment, Dystrophic calcification, Chronic inflammatory cell infiltrate.

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