The role of periodontal plastic surgery in the aesthetic management of localized gingival overgrowth

• Author Details:   
• Pratik A. Chaudhari ^*
• Sumbul Nasir
• Ruchi Gulati
• Madhu S. Ratre

---

The localized gingival overgrowths are often a broad clinical expression of an inflammatory response that occurs against the long-standing irritation and/or chronic trauma in the affected gingival site. These reactive gingival overgrowths have a high inclination for the anterior maxillary region. Management of such a lesion is more challenging in the anterior region due to an unaesthetic outcome after surgical excision. Various surgical procedures have been applied for the management of post-excisional unaesthetic mucogingival complications. The free gingival graft (FGG) procedure is an excellent and predictable surgical approach in the root coverage aesthetic procedures. The aesthetic outcome can be enhanced if the periodontal plastic surgical procedure is combined with excisional procedures at the same visit. The purpose of the present case report is to discuss and management of peripheral ossifying fibroma (POF) by combining immediate excision and an FGG for coverage of gingival defect for the best functional and aesthetic outcome.

Keywords: Aesthetic, Free gingival graft, Periodontal plastic surgery, Peripheral ossifying fibroma, Reactive gingival lesions.