Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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Year : 2017  |  Volume : 21  |  Issue : 4  |  Page : 326-328

Gingival enlargement unveiling crohn's disease – A report of a rarefied case

1 Department of Periodontics, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India
2 Department of Periodontics, SRM Kattankulathur Dental College, Kanchipuram, India

Correspondence Address:
MariaAntony PremBlaisie Rajula
Department of Periodontics, SRM Kattankulathur Dental College, Potheri, Kanchipuram, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jisp.jisp_417_14

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This article highlights a peculiar case of Crohn's disease (CD) with the primary presenting symptom as localized gingival overgrowth in the anterior region of maxilla. The patient underwent surgical treatment with external bevel gingivectomy procedure. Follow-up after 6 months revealed no recurrence. A final diagnosis of CD was made, after following histopathological evaluation of the gingival biopsy and other special investigations. It is thus crucial to associate the localized granulomatous gingival overgrowth to systemic signs of CD. Intraoral occurrence preceding intestinal involvement is very rare in CD with an incidence of about 8%–9% of patients. Therefore, precise diagnosis, treatment planning, and timely management are vital to the overall health and welfare of patients.

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