Severe Gingival Enlargement Associated With Methamphetamine Abuse: A Case Report.

Gingival enlargement (GE) is characterized by the overgrowth of gingival tissues, often exacerbated by dental biofilm and certain medications or substances. This report presents a case of severe GE in a 61-year-old male with generalized stage 4, grade C periodontitis linked to methamphetamine use, which the patient disclosed occurred during a period of homelessness. The treatment involved antibiotic therapy, extractions, gingivectomy, gingivoplasty, and osteoplasty to facilitate future oral rehabilitation. After treatment, the patient reported no pain and improved eating habits, significantly enhancing his quality of life. This case highlights the critical relationship between GE, substance abuse, and advanced periodontal disease, underscoring the need for increased awareness and interdisciplinary approaches in managing such patients.