Page 62 - MDA MIDEC 2024 Programme Book

ORAL PRESENTATION ABSTRACTS

P020 Name of Presenter: Nik Alyana Syakirin Binti Nik Amri, Pusat Pakar Pergigian Seremban
Title of Presentation: The Unpredictable Nature of Localised Gingival Overgrowths: A Case
Series of Two Contrasting Clinical Presentations

Abstract
Nik Alyana Syakirin NA 1,* , Engku Ahmad Muzhaffar EZA 1, Nurul Zatil Amali I 1, Nuzul Izwan O 1, Rasidah A
1, Dewi Mayang Sari K 2, Ajura AJ 3, Hans Prakash S 3
1 Periodontic Unit, Pusat Pakar Pergigian Seremban, Jalan Zaaba, 70100 Seremban, Negeri Sembilan,
Malaysia
2 Dental Public Health Unit, Pusat Pakar Pergigian Seremban, Jalan Zaaba, 70100 Seremban, Negeri
Sembilan, Malaysia
3 Stomatology Unit, Institut Penyelidikan Perubatan, Institut Kesihatan Negara, Setia Alam, 40170 Shah
Alam, Selangor, Malaysia

Introduction: Localised gingival overgrowths are common in clinical practice and pose diagnostic
challenges due to their varied aetiologies, influenced by local or systemic factors. While clinical appearance
may hint at the lesion's nature, it is not always reliable. This case series highlights the need for thorough
evaluation and histopathological investigation of gingival lesions, regardless of their clinical presentation.
Case Report:
Case 1: A 43-year-old Chinese female with generalised periodontitis stage III grade C presented with a
non-tender gingival overgrowth that increased in size for the past three months in the region of teeth
14-17 that causing chewing difficulties. The lesion sized 60x30mm, pedunculated, oedematous-fibrotic
and multinodular extending to the occlusal plane covering the crown of tooth 15. Non-surgical periodontal
therapy (NSPT) was performed before an excisional biopsy, which revealed a pyogenic granuloma. Fifteen
months postoperatively, the site remained healthy with no recurrence. The patient was placed under
supportive periodontal care for ongoing monitoring.
Case 2: A 63-year-old Malay female with generalised periodontitis stage IV grade C presented with a firm,
oval-shaped, sessile gingival overgrowth measuring 15x10mm in the labial region of teeth 22-23. The lesion
matched the surrounding tissue colour and was asymptomatic. After NSPT, a biopsy procedure raised a
full-thickness flap, revealing bone exostoses. The enlarged soft tissue and underlying bone were excised
and sent for histopathological examination (HPE). The HPE indicated that if the lesion was extraosseous,
it was a peripheral odontogenic fibroma; if intraosseous, it suggested sclerosing odontogenic carcinoma
or odontogenic fibroma. The patient was referred to an oral surgeon for close monitoring and further
management. Twelve months postoperatively, the site remained healthy with no signs of recurrence.
Conclusion: These contrasting outcomes highlight that localised gingival overgrowths, even those
appearing benign, should not be underestimated. Early and accurate diagnosis is essential for appropriate
management and can significantly impact patient outcomes.
Key words: Gingival overgrowth, gingival disease, gingival enlargement

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