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Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report
INTRODUCTION: Idiopathic gingival hyperplasia is a rare entity (about one in 1,75,000 individuals). It is characterized by a slow progressive benign enlargement, affecting the attached gingiva, marginal gingiva, and interdental papilla. PRESENTATION OF CASE: This case report highlights the managemen...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644798/ https://www.ncbi.nlm.nih.gov/pubmed/33152596 http://dx.doi.org/10.1016/j.ijscr.2020.10.084 |
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author | Shah, Kanchan Khan, Kainat Pandilwar, P.K. K S, Anoop Unnikrishnan Sanap, Mahesh Nikalje, Trupti |
author_facet | Shah, Kanchan Khan, Kainat Pandilwar, P.K. K S, Anoop Unnikrishnan Sanap, Mahesh Nikalje, Trupti |
author_sort | Shah, Kanchan |
collection | PubMed |
description | INTRODUCTION: Idiopathic gingival hyperplasia is a rare entity (about one in 1,75,000 individuals). It is characterized by a slow progressive benign enlargement, affecting the attached gingiva, marginal gingiva, and interdental papilla. PRESENTATION OF CASE: This case report highlights the management of an unusual case of long standing idiopathic gingival hyperplasia involving the right maxillary sinus. DISCUSSION: Management of gingival hyperplasia depends on the severity of the condition. In this case, surgical excision was performed in both the arches, that resulted in the creation of an oroantral communication, which was protected with a prefabricated custom-made acrylic stent. Despite having a visible raw area of epithelialization evident on the 2(nd) post operative day, there were no significant signs of recurrence even at a follow-up of 2 years post surgery. Many authors advocate extraction of involved teeth, in addition to the gingival excision, in the presumption of a permanent cure. CONCLUSION: The patient was satisfied with the resultant esthetic and functional outcome of the treatment. But, the possibility of recurrence cannot be ruled out, so the patient should be kept under close observation. She may also require subsequent surgeries, thus making psychological counseling mandatory. |
format | Online Article Text |
id | pubmed-7644798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-76447982020-11-13 Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report Shah, Kanchan Khan, Kainat Pandilwar, P.K. K S, Anoop Unnikrishnan Sanap, Mahesh Nikalje, Trupti Int J Surg Case Rep Case Report INTRODUCTION: Idiopathic gingival hyperplasia is a rare entity (about one in 1,75,000 individuals). It is characterized by a slow progressive benign enlargement, affecting the attached gingiva, marginal gingiva, and interdental papilla. PRESENTATION OF CASE: This case report highlights the management of an unusual case of long standing idiopathic gingival hyperplasia involving the right maxillary sinus. DISCUSSION: Management of gingival hyperplasia depends on the severity of the condition. In this case, surgical excision was performed in both the arches, that resulted in the creation of an oroantral communication, which was protected with a prefabricated custom-made acrylic stent. Despite having a visible raw area of epithelialization evident on the 2(nd) post operative day, there were no significant signs of recurrence even at a follow-up of 2 years post surgery. Many authors advocate extraction of involved teeth, in addition to the gingival excision, in the presumption of a permanent cure. CONCLUSION: The patient was satisfied with the resultant esthetic and functional outcome of the treatment. But, the possibility of recurrence cannot be ruled out, so the patient should be kept under close observation. She may also require subsequent surgeries, thus making psychological counseling mandatory. Elsevier 2020-10-22 /pmc/articles/PMC7644798/ /pubmed/33152596 http://dx.doi.org/10.1016/j.ijscr.2020.10.084 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Shah, Kanchan Khan, Kainat Pandilwar, P.K. K S, Anoop Unnikrishnan Sanap, Mahesh Nikalje, Trupti Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report |
title | Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report |
title_full | Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report |
title_fullStr | Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report |
title_full_unstemmed | Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report |
title_short | Long standing Idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: A rare case report |
title_sort | long standing idiopathic gingival hyperplasia of oral cavity with invasion of maxillary sinus: a rare case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644798/ https://www.ncbi.nlm.nih.gov/pubmed/33152596 http://dx.doi.org/10.1016/j.ijscr.2020.10.084 |
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