{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:18:56Z","timestamp":1787847536506,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Gingival enlargement can be multifactorial; it can be due to nutritional deficiency or can be because of several drugs. Poor oral hygiene may further worsen the gingival hyperplasia, because of which the patient may have difficulty in chewing the food, and the speech may get affected. It may end up in psychosocial stigma for the patient as the patient is even neglected by friends or relatives due to poor oral hygiene and horrifying look of gingival overgrowth. Here, we report a case of gingival enlargement in a 22-year-old married female. The enlargement was massive, such that the teeth were barely visible in the anterior mandible. Based on history and histological findings, the case was diagnosed as idiopathic gingival enlargement. Conventional gingivectomy was planned. The patient was kept on the maintenance phase, and no recurrence was recorded. During the whole treatment phase, there was a notable change in the behavior of the patient. Surgical correction and subsequent maintenance of good oral hygiene may improve the disease condition, which in turn helps the patient in not only improving the aesthetics but also results in better social acceptance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ccd.ccd_181_20","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T23:04:46Z","timestamp":1616195086000},"page":"63-66","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Idiopathic Gingival Enlargement Causing Social Stigma"],"prefix":"10.4103","volume":"12","author":[{"given":"Divya","family":"Kothari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240901","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4103\/jisp.jisp_26_19","article-title":"Gingival fibromatosis with congenital hypertrichosis","volume":"24","author":"Saxena","year":"2020","journal-title":"J Indian Soc Periodontol"},{"key":"R2-12-20240901","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1002\/ccr3.2605","article-title":"Interdisciplinary assessment and management of a patient with a fibrous gingival enlargement of unknown origin: A case report","volume":"8","author":"Barbe","year":"2020","journal-title":"Clin Case Rep"},{"key":"R3-12-20240901","doi-asserted-by":"crossref","first-page":"537","DOI":"10.4172\/2161-1122.1000537","article-title":"Individualized treatment plan for gingival enlargement: A case series","volume":"9","author":"Aspalli","year":"2019","journal-title":"Dentistry"},{"key":"R4-12-20240901","doi-asserted-by":"crossref","first-page":"146","DOI":"10.4103\/2231-0754.164395","article-title":"Idiopathic gingival enlargement and its management","volume":"7","author":"Kumar","year":"2015","journal-title":"J Int Clin Dent Res Org"},{"key":"R5-12-20240901","doi-asserted-by":"crossref","first-page":"263","DOI":"10.4103\/0972-124X.76935","article-title":"Idiopathic gingival enlargement and its management","volume":"14","author":"Shetty","year":"2010","journal-title":"J Indian Soc Periodontol"},{"key":"R6-12-20240901","first-page":"291","article-title":"Idiopathic gingival fibromatosis associated with generalized aggressive periodontitis: A case report","volume":"75","author":"Chaturvedi","year":"2009","journal-title":"J Can Dent Assoc"},{"key":"R7-12-20240901","first-page":"40","article-title":"Gingival enlargement caused by Vitamin C deficiency (Scurvy) in a boy","volume":"85","author":"Kakade","year":"2018","journal-title":"J Dent Child (Chic"},{"key":"R8-12-20240901","doi-asserted-by":"crossref","first-page":"499","DOI":"10.4103\/1735-3327.170546","article-title":"Cyclosporine A: Novel concepts in its role in drug-induced gingival overgrowth","volume":"12","author":"Ponnaiyan","year":"2015","journal-title":"Dent Res J (Isfahan"},{"key":"R9-12-20240901","doi-asserted-by":"crossref","first-page":"779","DOI":"10.12998\/wjcc.v3.i9.779","article-title":"Gingival enlargements: Differential diagnosis and review of literature","volume":"3","author":"Agrawal","year":"2015","journal-title":"World J Clin Cases"},{"key":"R10-12-20240901","doi-asserted-by":"crossref","first-page":"505","DOI":"10.4103\/0976-237X.169845","article-title":"Efficacy of chlorhexidine and green tea mouthwashes in the management of dental plaque-induced gingivitis: A comparative clinical study","volume":"6","author":"Priya","year":"2015","journal-title":"Contemp Clin Dent"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_181_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:21:26Z","timestamp":1787844086000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_181_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_181_20","relation":{},"ISSN":["0976-237X"],"issn-type":[{"value":"0976-237X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}