Assignment 2 Kindly Answer The 4 Questions at The End After Carefully Reading The Case
Assignment 2 Kindly Answer The 4 Questions at The End After Carefully Reading The Case
Assignment 2
CASE STORY
A 16-year-old Caucasian male presented with a chief complaint of: “My gums are puffy
and bleed on flossing.”
After 2 years of orthodontic therapy, treatment had been discontinued 2 months before due
to nonresolvable gingival enlargement (Figure 1). The patient had been informed of his
gingival overgrowth, and oral hygiene instructions had been reinforced.
The patient had no significant gingival inflammation and/or enlargement before the start of
orthodontic treatment.
He stated that the gingival enlargement developed gradually during orthodontic treatment
(Figures 2 and 3).
Medical History
The patient reported no significant medical problems and no known allergies. He did not
have a family history of gingival overgrowth or a history of chronic or current medication.
Dental History
The patient reported that orthodontic treatment began 2 years ago to align his teeth.
Slowly during this time, his gums became “puffy,” and despite his best efforts at oral
hygiene no improvement had been achieved. Therefore, 2 months ago, the orthodontic
brackets were removed and the patient was referred to the Department of Periodontology
for consultation and appropriate treatment. The patient was currently wearing a retainer.
He denied a history of tooth extraction, restorations, or endodontic treatment. The
anatomic crown of upper right central was previously chipped due to trauma.
Extraoral and Intraoral Examinations
• There were no significant findings. The patient had no masses or swelling, and the
temporomandibular joint was within normal limits.
• With the exception of the gingiva, the soft tissues of the mouth appeared normal.
• A periodontal examination revealed localized mild marginal erythema, localized rolled
margins, swollen papillae, bleeding on probing, no recession or mobility, probing depths
ranging from 2 to 5 mm, and keratinized gingiva ranging from 3 to 8 mm (Figures 3 and 4).
• The hard tissue examination found no active decay and no dental restorations.
Occlusion
Class I angle occlusion was present after orthodontic treatment.
Radiographic Examination
The full-mouth set of radiographs demonstrated crestal bone levels to be within normal
limits (Figure 5 shows the patient’s anterior periapical X-rays).
Figure 5: Periapical radiographs depicting interproximal bone levels.
Q1. What Diagnosis you suggest for the case?