Gingival enlargement unveiling crohn's disease - A report of a rarefied case

This article highlights a peculiar case of Crohn's disease (CD) with the primary presenting symptom as localized gingival overgrowth in the anterior region of maxilla. The patient underwent surgical treatment with external bevel gingivectomy procedure. Follow-up after 6 months revealed no recur...

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Bibliographic Details
Published in:Journal of Indian Society of Periodontology 2017-07, Vol.21 (4), p.326-328
Main Authors: Malathi, Krishnamurthi, Muthukumaraswamy, Arunachalam, Rajula, MariaAntony, Arjun, Singh
Format: Article
Language:English
Subjects:
Biopsy
Case Report
Case studies
Chronic granulomatous disease
Colonoscopy
Crohn's disease
Dentistry
Diagnosis
Endoscopy
Family medical history
Gingiva
gingival overgrowth
gingivectomy
Hospitals
Inflammatory bowel disease
Intestine
Maxilla
Patients
Risk factors
Sarcoidosis
Tuberculosis
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Summary:This article highlights a peculiar case of Crohn's disease (CD) with the primary presenting symptom as localized gingival overgrowth in the anterior region of maxilla. The patient underwent surgical treatment with external bevel gingivectomy procedure. Follow-up after 6 months revealed no recurrence. A final diagnosis of CD was made, after following histopathological evaluation of the gingival biopsy and other special investigations. It is thus crucial to associate the localized granulomatous gingival overgrowth to systemic signs of CD. Intraoral occurrence preceding intestinal involvement is very rare in CD with an incidence of about 8%-9% of patients. Therefore, precise diagnosis, treatment planning, and timely management are vital to the overall health and welfare of patients.
ISSN:0972-124X
0975-1580
DOI:10.4103/jisp.jisp_417_14