UNILATERAL GINGIVAL ENLARGEMENT - A CASE REPORT

A 14 year old female patient suffered from unusual unilateral gingival enlargement on left side along with localized aggressive periodontitis. The enlarged gingiva covered more than 2/3 of the crown surfaces. Marked inflammatory edematous tissue with predominance of lymphocytes was observed histologically. The diagnosis of unusual nonspecific gingival enlargement along with localized aggressive periodontitis was made, based on clinical andhistological features. Surgical excision and conventional periodontal therapy reduced the size of enlargement. This enlargement was considered due to exaggerated gingival responseto local irritation from plaque and calculus, leading to overgrowth of periodontopathic bacteria and alveolar bone loss.