Page 42 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Case Report

The Role of Electrosurgery in the Management of Orthodontic

Treatment-Induced Inflammatory Gingival Enlargement:
A Report of Three Cases

Himani Sharma , Jagriti Deka , Srishti Thakur , Amit Kashid 2
1
2
2
1 Department of Periodontology, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, India, Department of Periodontology, School of Dental Sciences,
2
Sharda University, Greater Noida, Uttar Pradesh, India
Abstract

Orthodontic treatment, while beneficial for correcting dental alignment and improving oral health, can sometimes lead to complications
such as inflammatory gingival enlargement (IGE). This condition, characterised by the overgrowth of gingival tissues, can cause
discomfort and aesthetic concerns and impede oral hygiene, potentially leading to further periodontal issues. Electrosurgery has
emerged as an effective treatment modality for managing this condition. This report examines the use of electrosurgery in three cases
of orthodontic treatment-induced IGE, highlighting its efficacy, advantages and outcomes.

Keywords: Electrosurgery, fixed orthodontic therapy, gingival enlargement, periodontal therapy

[4]
IntroductIon patient satisfaction. This report examines the use of
A change in the dimensions of gingival tissue is always electrosurgery in three cases of orthodontic treatment-
induced inflammatory GE (IGE), highlighting its
a pathologic event. Gingival enlargement (GE) is a efficacy, advantages and outcomes.
multifactorial condition caused by various factors
and interactions. Primarily, GE due to orthodontic
[1]
treatment is induced by the presence of fixed orthodontic case HIstory
appliances that can exacerbate plaque accumulation,
leading to gingival inflammation and hyperplasia. Case presentation 1: Adolescent patient with severe GE
Research studies have shown that this condition is A 15-year-old male patient reported to the Department
present in around 49.7% of patients and can significantly of Periodontology, School of Dental Sciences, Sharda
affect patients’ quality of life by causing pain and University, Greater Noida, Uttar Pradesh, India, after
bleeding and hindering effective oral hygiene practices. being referred from the Department of Orthodontics
[2]
Non-surgical treatments like scaling and root planing and Dentofacial Orthopedics with the chief complaint
are useful but often insufficient for managing excessive of inflamed and enlarged gingiva in the upper and lower
growth, making surgical options like gingivectomy front and back teeth region for 1 year after starting the
necessary in such cases. Electrosurgery has emerged
[3]
as an effective treatment modality for managing this Address for correspondence: Dr. Jagriti Deka,
condition for its precision, effective haemostasis, and Department of Periodontology, School of Dental Sciences, Sharda
nearly painless wound healing. Studies and case reports University, Greater Noida 201310, Uttar Pradesh, India.
demonstrate significant improvements in gingival health, E-mail: [email protected]
aesthetics and patient comfort post-intervention thus This is an open access journal, and articles are distributed under the terms of the
making electrosurgery a preferred treatment, which Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows
provides an immediate and lasting result with high others to remix, tweak, and build upon the work non-commercially, as long as
appropriate credit is given and the new creations are licensed under the identical terms.
Access this article online For reprints contact: [email protected]
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Website: How to cite this article: Sharma H, Deka J, Thakur S, Kashid A. The
https://journals.lww.com/mdj role of electrosurgery in the management of orthodontic treatment-
induced inflammatory gingival enlargement: A report of three cases.
Malaysian Dent J 2024;47:68-72.
DOI:
10.4103/MDJ.MDJ_13_24 Received: 24-Aug-2024 Revised: 14-Nov-2024
Accepted: 14-Nov-2024 Published: 30-Dec-2024

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