Gingival Fibromatosis: A Report of a Severe Case and Literature Review
DOI:
https://doi.org/10.24191/cos.v13i2.10602Keywords:
Gingiva; Gingivectomy; Fibromatosis, Gingival; Dentition, PermanentAbstract
Hereditary Gingival fibromatosis (HGF) is a rare benign disease characterised by a progressive increase in gingival tissue that can occur as isolation or as part of a syndrome. As aesthetics may be affected in severe cases, the quality of life of patients, especially children, may be compromised. A 10-year-old girl presented with generalised diffuse gingival enlargement affecting the maxillary and mandibular arches, extending on the buccal and lingual/palatal surfaces and covering the incisal/occlusal third of the tooth. A scalpel and diode laser were used to perform a gingivectomy. The histological study and clinical symptoms all supported the diagnosis. Initially, during the mixed dentition stage, frequent periodontal scaling and oral hygiene reinforcement were carried out. The healing process was uneventful, the patient was pleased with her aesthetics and was able to resume her dental hygiene routines. Removable orthodontic appliance treatment was carried out three months following the procedure. To prevent gingival hyperplasia, oral hygiene was emphasized and the teeth were polished once a month.
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