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Gingival fibromatosis: a case report
C Ercoli1, M Bartolino1, L Montesani1
1Paediatric Dentistry, University of Rome "Tor Vergata", Rome, Italy.
European Journal of Paediatric Dentistry
|September 30, 2015
Summary
Gingival fibromatosis, a condition causing excessive gum growth, can be genetic or acquired. This case study highlights a conservative approach for a pediatric patient, delaying surgical intervention.
Area of Science:
- Dentistry
- Pediatric Dentistry
- Oral Medicine
Background:
- Gingival fibromatosis involves significant gingival enlargement, potentially covering teeth.
- Causes include genetic factors (isolated or syndromic) and acquired origins (e.g., drug-induced).
- Idiopathic gingival fibromatosis is also recognized, with surgical removal often being the primary treatment, though recurrence is common.
Observation:
- A 9-year-old male presented with diagnosed Primary Gingival Fibromatosis.
- The patient was observed at the Clinic of Pediatric Dentistry, Tor Vergata Polyclinic of Rome.
Findings:
- The diagnosis of Primary Gingival Fibromatosis was established.
- The chosen therapeutic strategy was conservative management, deferring gingivectomy until after the patient's developmental phase.
Implications:
- This case suggests a watchful waiting approach may be suitable for pediatric gingival fibromatosis.
- Postponing surgical intervention could potentially reduce recurrence rates and improve long-term outcomes.
- Further research into conservative management strategies for pediatric gingival fibromatosis is warranted.
