Abstract
Some factors to decide the dental treatment plan for gingival hyperplasia by DPH was examined through two handicapped patients with gingival hyperplisia.
The result obtained were as follows:
1. Case 1 was a male,18 years and 8 months old. Gingivectomy was done under general anesthesia after confirmed a good capacity for plaque control at the institution by hyginist. The recurrent ginginal hyperplasia after the operation was not observed. The reasons which gingivectomy was done were the suppression of tongue function and inferior breathing function by gingival hyperplasia. These problems were improved after the operation. And maloclusion was improved by gingivectomy, a significant relationship between a degree of gingival hyperplasia and an improvement degree of malocclusion was observed.
2. Case 2 was a female,23 years old. Gingivectomy was done under general anesthesia after confirmed a good capacity for plaque control at the institution by the nurse. The recurrent gingival hyperplasia after the operation was not observed. The reasons which gingivectomy was done were poor appetite and anemic tendency by continuously slight bleeding hyperplastic gingival with inflamation. These systemic problems were improved after the operation.
3. On the above all, it was suggested that the factor for deciding gingivectomy were not only the ability of plaque control but also the systemic influence of gingival hyperplasia. The prediction of improvement degree of malocclusion by gingivectomy is possible, the improvement of malocclusion was important for a improvement of oral disfunction by gingival hyperplasia.
