However, fixed orthodontic appliances are not without their complications.
Among these, gingival enlargement — a clinical condition characterized by an excessive overgrowth of gingival tissues — represents a significant challenge during treatment, often leading to impaired esthetics, increased plaque retention, and compromised periodontal health.
Orthodontic-induced gingival enlargement occurs as a complex interplay between mechanical irritation from brackets and wires, suboptimal oral hygiene, and inflammatory periodontal responses.
This overgrowth may obscure dental anatomy, facilitate biofilm accumulation, and contribute to patient discomfort.
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While initial management focuses on meticulous plaque control and professional periodontal debridement, persistent or advanced cases may necessitate surgical intervention.
Gingivectomy — the surgical excision of excessive gingival tissue — remains one of the most effective and predictable operative techniques to restore physiological gingival contour in cases of orthodontic-associated enlargement.
This procedure enhances periodontal accessibility for hygiene, eliminates suprabony pockets, improves esthetics, and supports the continuation of orthodontic treatment with reduced soft-tissue complications.
Whether performed via conventional scalpel technique or adjunctive modalities, gingivectomy allows periodontal surgeons to achieve a harmonious balance between functional periodontal health and orthodontic objectives.
This introduction lays the foundation for a deeper exploration of indications, surgical technique considerations, clinical outcomes, and long-term management implications as demonstrated in the referenced Cureus article.
📄 Click to read the full article and download the complete PDF for detailed clinical insights and case data.
