“Non-Surgical Management of Plasma Cell Gingivitis: A Mystifying Clinical Entity”-Case Report
Author : Rajni Prajapati, Ellora Madan, Atika Ismail and Anurag Thakuria
Abstract :
Introduction: Plasma cell gingivitis (PCG) is a diagnostic dilemma for clinicians. It is also referred to as atypical gingivostomatitis, idiopathic gingivostomatitis, allergic gingivostomatitis, and plasma cell gingivostomatitis which are characterized by bright fiery red gingiva with spontaneous bleeding on slight provocation.
Case Description: A 29-year-old male patient reported to the department with a chief complaint of dirty teeth and bleeding gums for 11 months. Patient did not have any systemic bleeding disorders or allergic history. Clinical examination revealed plaque accumulation, diffuse, erythematous lesion of the gingiva. The lesion was limited to attached gingiva. Hence, a provisional diagnosis of plasma cell gingivitis was made. Complete scaling and root planing were performed and patient was instructed to apply 0.1% kenacort on the affected area thrice daily for 1 month and was followed up for 15 days, 21days and 1month.
Discussion: The present case was managed with a nonsurgical periodontal therapy, scaling, and root planing for the removal of the plaque followed by Phase IV for a re-evaluation of plaque and calculus and also reinforce oral hygiene practice which is very important for patients with such conditions. Definite treatment regimen involved the use of topical application of 0.1% kenacort that helped in the complete remission of redness and swelling.
Conclusion: The removal of the etiologic factor with meticulous plaque control and patient cooperation are important. The use of 0.1% kenacort shows effective results in the elimination of this gingivitis. However, long term follow up must be evaluated to study success rate.
Keywords :
Allergic gingivostomatitis, atypical gingivostomatitis, plasma cell gingivitis
