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Published in French in Tropical Dental Journal Volume 35 - June 2012 pages 31-41
Article Open access
Authors : M. Bellamine, L. Ousehal, J. Kissa - Morocco
L’hyperplasie gingivale est une condition pathologique qui se développe fréquemment lors du traitement orthodontique. Les dispositifs orthodontiques sont irritants et la plaque de rétention est un facteur additif d’altération de l’hygiène orale. Ces deux paramètres impliquent la nécessité d’un contrôle adéquat de l’inflammation gingivale.
Ce cas met en exergue les données cliniques d’un jeune patient de 13 ans qui a développé une hyperplasie gingivale traitée par lambeau déplacé apicalement, Cette technique chirurgicale a généré des conditions morphologiques de la gencive permettant un meilleur contrôle de la plaque et la poursuite du traitement orthodontique. Une collaboration étroite entre l’orthodontiste et le parodontiste est cruciale dans ce contexte en vue d’issues cliniques finales optimales.
Gingival hyperplasia is a relatively frequent pathologic condition during orthodontic treatment. Oral hygiene can be easily altered in such cases because of additive and irritative effects of orthodontics appliances. So, adequate control of the gingival inflammation is required.
The present case reports on a 13-year-old boy who developed, during orthodontic treatment, a gingival hypertrophy that was successfully treated with periodontal surgery consisting on an apically positioned flap procedure. For this purpose, multidisciplinary approach involving orthodontist and periodontist was crucial in the perspective of optimal clinical issues.
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