Management Of Puberty Induced Gingival Enlargement A Case Report

Abstract

Introduction: Puberty-associated gingival enlargement is a periodontal condition characterized by an exaggerated inflammatory response of the gingival tissues to local irritants under the influence of hormonal changes. Clinically, it presents with features similar to chronic inflammatory gingival disease and is often associated with plaque accumulation. In most cases, conventional periodontal therapy such as oral hygiene instructions, scaling, and root planing is effective in controlling the condition. However, when fibrotic enlargement persists despite initial therapy, surgical intervention may be necessary to restore normal gingival architecture and function. Case Presentation: A 15-year-old female patient reported with gingival enlargement in the palatal region, with the chief complaint of difficulty in eating for approximately one year. Clinical examination revealed an overgrowth of gingival tissue on the palatal aspect. To eliminate the excess tissue and restore normal gingival form, gingivectomy was carried out using a conventional scalpel technique. Conclusion: Puberty-associated gingival enlargement requires appropriate management of local inflammatory factors along with consideration of hormonal influences. When non-surgical therapy alone does not resolve the enlargement, scalpel gingivectomy remains an effective and predictable surgical approach for eliminating excess gingival tissue and improving both function and aesthetics.