Inflammatory Gingival Enlargements

The gingival enlargement can be acute which is very painful or they can be chronic which may be painless.

Salient features

  • Acute enlargements may be localised or generalised, very painful, deep red in colour, soft friable with shiny surface.
  • Chronic type may be localised or generalised, often painless and slowly progressive.

Treatment

Pharmacological

  1. Tab Ciprofloxacin 500 mg 2 times a day for 3-5 days
  2. Tab Nimesulide 100 mg 2 times a day for 3-5 days
  3. Rinsing with 0.2% Chlorhexidine twice daily

Refer to a periodontist for surgical management and drainage of pus

Patient education

  • Proper brushing twice daily with super soft tooth brush

References

  1. Ramford and Ash. Periodontology and Periodontics. In: Modern theory and practice. 1st Indian edition AITBS Publishers 1996, pp 145.
  2. Shafer, Hine, Levy. In: A textbook of oral pathology. 4th edition, Saunders, pp 782.