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  • Assignment 2 Kindly Answer The 4 Questions at The End After Carefully Reading The Case

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    يارا حسين
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    Here are my responses to the questions: Q1. Drug-induced gingival overgrowth. The patient developed gingival enlargement during orthodontic treatment without any other known cause or predisposing factors. Q2. The patient has localized mild marginal erythema, localized rolled margins, swollen papillae, bleeding on probing, probing depths ranging from 2 to 5 mm. This suggests shallow to moderate periodontal pockets. Q3. Treatment plan would involve phase I periodontal therapy including scaling and root planing to reduce inflammation and plaque/calculus. Re-evaluation after therapy and consideration of gingivectomy/gingivoplasty if overgrowth persists to improve aesthetics and access for oral

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    Assignment 2

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    Here are my responses to the questions: Q1. Drug-induced gingival overgrowth. The patient developed gingival enlargement during orthodontic treatment without any other known cause or predisposing factors. Q2. The patient has localized mild marginal erythema, localized rolled margins, swollen papillae, bleeding on probing, probing depths ranging from 2 to 5 mm. This suggests shallow to moderate periodontal pockets. Q3. Treatment plan would involve phase I periodontal therapy including scaling and root planing to reduce inflammation and plaque/calculus. Re-evaluation after therapy and consideration of gingivectomy/gingivoplasty if overgrowth persists to improve aesthetics and access for oral

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    © All Rights Reserved
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    28 views5 pages

    Assignment 2 Kindly Answer The 4 Questions at The End After Carefully Reading The Case

    Uploaded by

    يارا حسين
    Here are my responses to the questions: Q1. Drug-induced gingival overgrowth. The patient developed gingival enlargement during orthodontic treatment without any other known cause or predisposing factors. Q2. The patient has localized mild marginal erythema, localized rolled margins, swollen papillae, bleeding on probing, probing depths ranging from 2 to 5 mm. This suggests shallow to moderate periodontal pockets. Q3. Treatment plan would involve phase I periodontal therapy including scaling and root planing to reduce inflammation and plaque/calculus. Re-evaluation after therapy and consideration of gingivectomy/gingivoplasty if overgrowth persists to improve aesthetics and access for oral

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 5

    Department of maxillofacial surgery and periodontology

    Assignment 2

    Kindly answer the 4 questions at the end after


    carefully reading the case.

    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).

    Figure 1: Clinical presentation after


    removal of orthodontic appliances:
    smile frontal and side views.
    Figure 2: frontal occlusal views
    before orthodontic presentation
    (top) and during the orthodontic
    treatment (bottom).

    Figure 3: Clinical presentation 2


    months after removal of orthodontic
    appliances: intraoral frontal view in
    occlusion.

    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?

    Q2. What is the type of the pockets that the patient


    has?

    Q3. What Treatment Plan (briefly) you suggest for the


    case?

    Q4. Name the treatment or procedure that you see in


    the following Figure.

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