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Gingival overgrowth: Part 2: management strategies
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Gingival overgrowth: Part 2: management strategies
Gingival overgrowth: Part 2: management strategies
Journal Article

Gingival overgrowth: Part 2: management strategies

2017
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Overview
Key Points Suggests that gingival overgrowth management requires a structured approach including preventative, non-surgical cause-related therapy and in some cases surgical interventions. Highlights that failure of cause-related treatment to eliminate aesthetic, functional and speech related complications of gingival overgrowth is likely to indicate surgical intervention. Demonstrates that surgical techniques may include a gingivectomy or apically repositioned flap. Suggests that a variety of techniques may be used to perform a gingivectomy including scalpel, electrosurgery and laser methods. The effective and predictable management of gingival overgrowth requires correct diagnosis and consideration of aetiological factors, as discussed in Part 1 ( BDJ 2017; 222: 85–91 ). Initial management should involve cause-related therapy, which may resolve or reduce the lesion. If functional, aesthetic and maintenance complications persist following this phase; further treatment may be required in the form of surgery. This paper discusses management strategies, including management of aetiological factors and surgical techniques.