Hypertrophic gingivitis as a consequence of oversized crowns – Case report

Introduction: Hypertrophic gingivitis is a form of chronic gingivitis common among patients with prosthetic restorations, especially when these are oversized. This condition leads to reduced pink aesthetics, pain, and bad breath, which often drive patients to seek professional help.
Objective: The purpose of this study is to determine if replacing old crowns with new ones can alter the condition of the gingiva and to assess if the state of gingiva in hypertrophic gingivitis is completely reversible.
Materials and Methods: The materials for this case study come from private practice, focusing on a 38-year-old female non-smoker without allergies or chronic diseases. Research methods include comparing gingival and periodontal indices before and after replacing inappropriate prosthetic restorations.
Results: Replacing the old, poorly fitted crowns resulted in significant improvement in the gingival health of the patient.

Keywords: Oversized crowns, Hypertrophic Gingivitis, Periodontitis