Resumo

HAIDAR, Ruvin  e  MUNEERA. A Case Report on Electrocautery Gingivectomy for Gingival Enlargement with Nitrous Oxide Sedation to Enhance Patient Comfort. S. Afr. dent. j. [online]. 2025, vol.80, n.10, pp.555-558. ISSN 0375-1562.  https://doi.org/10.17159/sadj.v80i10.21340.

BACKGROUND: Gingival enlargement characterised by the overgrowth of gingival tissue, can be caused by various factors, including medications, systemic conditions, or poor oral hygiene. Surgical intervention, such as gingivectomy, is required when conservative treatments fail. Electrocautery has become a popular method due to its precision and ability to minimise bleeding. Nitrous oxide sedation can enhance patient comfort, especially in anxious individuals. This report presents a case of gingival enlargement managed with electrocautery gingivectomy under nitrous oxide sedation, resulting in effective treatment and a positive patient experience CASE PRESENTATION: A 35-year-old Female non-smoker and non-alcoholic with generalised gingival overgrowth due to idiopathic causes sought treatment for aesthetic and functional concerns. The patient, who had a history of dental anxiety, was treated with electrocautery gingivectomy under nitrous oxide sedation. The procedure was successful, with minimal postoperative discomfort and no complications CONCLUSION: Electrocautery gingivectomy combined with nitrous oxide sedation is an effective and well-tolerated treatment for gingival enlargement. This approach improves both the clinical outcomes and patient experience, making it a viable option for those requiring surgical intervention for gingival overgrowth

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