Periodontal management of changes in gingiva during pregnancy: A nonsurgical approach

Abstract

Gingivitis is a major and frequent unwanted effect accompanying pregnancy. Sometimes, pregnancy gingivitis may show a tendency for localized enlargement, which is called "pregnancy granuloma". The local factors such as plaque and calculus are known to be responsible for gingival enlargement during pregnancy. The hormonal factors also play a role in aggravating the enlargement. The management of gingival enlargement includes nonsurgical approach, surgical approach, or both of them for severe cases. This case report illustrates a successful nonsurgical management of a 32-year-old female patient with gingivitis associated to localized gingival enlargement. The lesion was observed during pregnancy and persisted postpartum, a total regression of the gingival enlargement without any surgical procedure was observed. And it highlights therefore the key role of supportive periodontal therapy in maintaining good and stable outcomes over years of follow-up.