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Localized juvenile spongiotic gingival hyperplasia: a case report
Jingmei Yang1, Xin Zeng2, Yafei Wu1
1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Summary
Localized juvenile spongiotic gingival hyperplasia (LJSGH) is a rare condition with unclear causes. This case report offers insights into its diagnosis and treatment for healthcare providers.
Area of Science:
- Oral Pathology
- Dermatology
- Pediatric Dentistry
Background:
- Localized juvenile spongiotic gingival hyperplasia (LJSGH) presents unique pathological features but atypical clinical signs.
- The etiology, pathogenesis, and optimal treatment for LJSGH remain largely unknown.
- This condition has not been previously reported in China, highlighting a gap in regional medical literature.
Purpose of the Study:
- To report a case of LJSGH in a teenage patient.
- To review the existing literature on LJSGH regarding its clinical, pathological, and treatment aspects.
- To provide a diagnostic and therapeutic reference for LJSGH cases.
Main Methods:
- Case presentation of a teenage patient diagnosed with LJSGH.
- Comprehensive literature review of LJSGH focusing on clinical presentation, histopathology, and management strategies.
- Analysis of diagnostic criteria and treatment outcomes from reported cases.
Main Results:
- The case highlights the challenges in clinically diagnosing LJSGH due to its atypical presentation.
- Pathological examination is crucial for definitive diagnosis.
- Recurrence after treatment is possible, and evidence-based treatment guidelines are lacking.
Conclusions:
- LJSGH requires a high index of suspicion and relies heavily on histopathological confirmation.
- Further research is needed to elucidate the pathogenesis and establish effective treatment protocols.
- This case report serves as a valuable reference for clinicians managing LJSGH, particularly in regions where it is infrequently reported.

