Keywords
gingivectomy
marijuana
Abstract
Different aetiologies with various clinical presentations are evident in cases of gingival enlargement. We report a case of 34-year-old male who presented with the chief complaint of gingival overgrowth in upper and lower front teeth region. Patient was systemically healthy and gave no history of common medications known to cause gingival enlargement. He had a history of marijuana consumption for two consecutive years following which gingival swelling increased in severity. Based on clinical and histopathologic findings, provisional diagnosis of combined inflammatory + marijuana induced gingival enlargement was made. Treatment consisted of scaling and root planing followed by sextant wise gingivectomy. Results were stable until three months follow-up. Signs of inflammation were evident when the patient reported after 1.5 years.
Keywords: Gingival enlargement; gingivectomy; marijuana.
References
Carranza, F.A., Newman, M.G., Takei, H.H. & Klokkevold PR. Carranza’s Clinical Periodontology. 12th ed. Saunders, Elsevier; 2015.
Rawal SY, Dabbous MKh, Tipton DA. Effect of cannabidiol on human gingival fibroblast extracellular matrix metabolism: MMP production and activity, and production of fibronectin and transforming growth factor β. J Periodont Res. 2012;47:320-9.
Hall W, Solowij N. Adverse effects of cannabis. Lancet. 1998;352:1611-6.
Rawal SY, Tatakis DN, Tipton DA. Periodontal and oral manifestations of marijuana use. J Tennessee Dent Assoc.2012;92:26-31.
Baptista IP: Hereditary gingival fibromatosis: a case report. J Clin Periodontol. 2002;29:871-4.
Ko YCK, Farr JB, Yoon A and Philipone E. Idiopathic Gingival Fibromatosis: Case Report and Review of the Literature. Am J Dermatopathol. 2016;38:e68-e71.
Lai B, Muenzer J, Roberts MW. Idiopathic Gingival Hyperplasia: A case eport with a 17-year follow up. Case Rep Dent. 2011;2011:986237.