International Journal of Clinical Case Reports 2017, Vol.7, No.5, 19-22
19
Case Report Open Access
Unilateral Inflammatory Fibro-Epithelial Hyperplasia: A Case Report
Sachin S. Deshmukh
1
, Sandeep G. Patel
1
, Motilal R. Jangid
1
, Abhishek Singh Nayyar
2
, Rownak O. Khandelwal
2
, Archana
Tekale
1
1 Department of Periodontology and Oral Implantology, Saraswati-Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani,
Maharashtra, India
2 Department of Oral Medicine and Radiology, Saraswati-Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani,
Maharashtra, India
Corresponding author email
International Journal of Clinical Case Reports 2017, Vol.7, No.5 doi
Received: 21 Mar., 2017
Accepted: 20 May, 2017
Published: 09 Jun., 2017
Copyright © 2017
Deshmukh et al., This is an open access article published under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Preferred citation for this article:
Deshmukh S.S., Patel S.G., Jangid M.R., Nayyar A.S., Khandelwal R.O., and Tekale A., 2017, Unilateral inflammatory Fibro-Epithelial hyperplasia: a case
report, International Journal of Clinical Case Reports, 7(5): 19-22 (doi
Abstract
Gingival enlargement is one of the common features of gingival disease which can be seen in the form of fibrous and/or,
inflammatory overgrowth or, combination of both. Gingival enlargement is most commonly seen due to the presence of local factors
such as plaque and calculus. These local factors result in the inflammatory hyperplasia of marginal gingiva and interdental papilla
and may be localized or, generalized. Such type of enlargements may lead to difficulty in mastication, altered speech and unesthetic
appearance which may cause psychological problems. The present case report reveals the successful management of a case with
gingival enlargement which was treated with Kirkland flap for the upper anterior and right posterior regions while modified Widman
flap procedure that was performed for lower anterior region to excise the tissue along with the pocket lining.
Keywords
Inflammatory Fibro-Epithelial hyperplasia; Gingival enlargement; Kirkland flap; Modified Widman flap
Background
Gingiva is constantly subjected to internal and external stimuli and therefore, presents with various forms of
diseases that range from developmental, inflammatory and reactive to neoplastic (Effiom et al., 2011). Gingival
enlargement is one of the common features of gingival disease which can be seen in the form of fibrous and/or,
inflammatory overgrowth or, combination of both (Trackman and Kantarci, 2004). The gingival enlargement can
be classified as follows (Wright et al., 2004):
Inflammatory enlargement;
Drug induced gingival enlargement;
Enlargement associated with systemic disease;
Neoplastic enlargement;
False or, pseudo enlargement.
Gingival enlargement is most commonly seen due to the presence of local factors such as plaque and calculus.
These local factors result in the inflammatory hyperplasia of marginal gingiva and interdental papilla and may be
localized or, generalized. Other factor which may overstate such enlargement is the hormonal imbalance seen
during puberty and pregnancy (Seymour, 2006). Gingival enlargements are, also, seen in numerous blood
dyscrasias including thrombocytopenia and leukemia (Blackwell et al., 1989). Such type of enlargements may
lead to difficulty in mastication, altered speech and unesthetic appearance which may cause psychological
problems (Jhadhav et al., 2013).
1 Case Report
A 45 years old male patient reported to the Department with the chief complaint of swelling in the gums of teeth
in the upper and lower front and upper left back regions of jaws since 6 months. Patient, also, complained of
difficulty in chewing food and unesthetic appearance. Patient gave history of unilateral mastication from right side
since last 2-3 years due to a painful carious tooth in lower left back region of jaw. An intra-oral examination
revealed the presence of plaque and calculus and deep pockets with depth > 5mm in upper and lower anterior and
