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Hereditary gingival fibromatosis: a case report
1Departamento de Medicina Dentária e Cirurgia Maxilo-facial, Faculdade de Medicina, Universidade de Coimbra, Portugal. jrib@mail.telepac.pt
Journal of Clinical Periodontology
|November 9, 2002
Summary
Hereditary gingival fibromatosis (HGF) causes severe gingival overgrowth. Surgical removal is effective, but recurrence is common in this rare disorder.
Area of Science:
- Oral pathology
- Periodontology
- Genetics
Background:
- Hereditary gingival fibromatosis (HGF) is a rare genetic disorder.
- Characterized by excessive gingival overgrowth, HGF can be isolated or part of a syndrome.
- Differential diagnosis includes drug-induced and idiopathic gingival overgrowth.
Observation:
- A 38-year-old female presented with severe, generalized gingival overgrowth affecting both arches.
- The overgrowth obscured nearly all teeth, necessitating intervention.
- Clinical assessment considered HGF, drug-induced hyperplasia, and idiopathic fibromatosis.
Findings:
- Surgical gingivectomy under general anesthesia successfully removed excess gingival tissue.
- The patient experienced significant aesthetic improvement post-surgery.
- A slight recurrence of gingival overgrowth was noted at the 20-month follow-up.
Implications:
- Gingivectomy is the primary treatment for HGF, offering aesthetic and functional benefits.
- The high likelihood of recurrence necessitates long-term monitoring and potential retreatment.
- Understanding HGF's genetic basis is crucial for improved diagnostic and therapeutic strategies.