Clinical Presentation and Surgical Management of Idiopathic Gingival Fibromatosis: A Case Report

Idiopathic gingival fibromatosis (IGF) is a rare benign condition characterized by a progressive fibrous enlargement of the gingival tissues in the absence of systemic, pharmacological, or hereditary causes. This case report describes an 11-year-old male presenting with generalized gingival overgrowth causing functional and aesthetic impairment. Clinical examination revealed firm, pale pink, non-hemorrhagic gingival enlargement covering a significant portion of the dental crowns, with pseudo-pocket formation but no evidence of attachment loss. The patient had no relevant medical history, drug intake, or familial background suggestive of hereditary involvement. Histopathological analysis demonstrated dense collagen bundles with elongated rete ridges and minimal inflammatory infiltrate, confirming the diagnosis of IGF. Following initial periodontal therapy to improve oral hygiene, surgical excision of the excess gingival tissue was performed. Postoperative healing was uneventful, and satisfactory functional and aesthetic outcomes were achieved. No recurrence was observed during the follow-up period of several months. Early diagnosis and appropriate surgical management combined with strict maintenance are essential to prevent recurrence and restore oral function in patients with IGF.