Idiopathic gingival enlargement and its management - PubMed (original) (raw)
Case Reports
Idiopathic gingival enlargement and its management
Arvind K Shetty et al. J Indian Soc Periodontol. 2010 Oct.
Abstract
Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Both genetically and pharmacologically induced forms of gingival enlargement exist. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a 13-year-old female. The patient presented with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal / occlusal third of the tooth resulting in difficulty in speech and mastication since last three years. Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence. Biopsy report confirmed the diagnosis of gingival hyperplasia. Gingivectomy was carried out in all four quadrants by using four different methods.
Keywords: Gingival enlargement; gingival fibromatosis; gingivectomy.
Conflict of interest statement
Conflict of Interest: None
Figures
Figure 1
Pre-operative
Figure 2
OPG
Figure 3
First quadrant - Ledge and Wedge technique
Figure 4
Second quadrant - External bevel gingivectomy
Figure 5
Third quadrant - Electrocautery
Figure 6
Fourth quadrant - Diode laser
Figure 7
Postoperative
Similar articles
- Hereditary Gingival Fibromatosis: A Report of a Rare Case in Siblings and Its Management Using Diode Laser.
Dureja D, Sharma H, Agarwal M, Srivastava S, Tandon P. Dureja D, et al. Contemp Clin Dent. 2020 Jul-Sep;11(3):290-293. doi: 10.4103/ccd.ccd_133_19. Epub 2020 Nov 26. Contemp Clin Dent. 2020. PMID: 33776359 Free PMC article. - A case report of idiopathic gingival fibromatosis: diagnosis and treatment.
Santosham K, Suresh R, Malathi N. Santosham K, et al. J Int Acad Periodontol. 2009 Oct;11(4):258-63. J Int Acad Periodontol. 2009. PMID: 19886401 - Treatment of gingival fibromatosis associated with Zimmermann-Laband syndrome.
Holzhausen M, Ribeiro FS, Gonçalves D, Corrêa FO, Spolidorio LC, Orrico SR. Holzhausen M, et al. J Periodontol. 2005 Sep;76(9):1559-62. doi: 10.1902/jop.2005.76.9.1559. J Periodontol. 2005. PMID: 16171447 - Management of idiopathic gingival fibromatosis: report of a case and literature review.
Ramnarayan BK, Sowmya K, Rema J. Ramnarayan BK, et al. Pediatr Dent. 2011 Sep-Oct;33(5):431-6. Pediatr Dent. 2011. PMID: 22104713 Review. - Hereditary gingival fibromatosis: review of the literature and a case report.
Bittencourt LP, Campos V, Moliterno LF, Ribeiro DP, Sampaio RK. Bittencourt LP, et al. Quintessence Int. 2000 Jun;31(6):415-8. Quintessence Int. 2000. PMID: 11203959 Review.
Cited by
- Recurrent multicentric peripheral ossifying fibroma-like lesion in a child: a case report.
Lima MD, Teixeira RG, Bonecker M, de Camargo Moraes P, Mantesso A. Lima MD, et al. BMC Res Notes. 2014 Sep 25;7:673. doi: 10.1186/1756-0500-7-673. BMC Res Notes. 2014. PMID: 25252856 Free PMC article. - Idiopathic Gingival Enlargement: A Case Report.
Shraddha Kashinath M, Kumar Kendole R. Shraddha Kashinath M, et al. Cureus. 2024 Jul 23;16(7):e65195. doi: 10.7759/cureus.65195. eCollection 2024 Jul. Cureus. 2024. PMID: 39176356 Free PMC article. - Ipsilateral idiopathic gingival enlargement and it's management using conventional gingivectomy and diode laser: A recurrent case after 15 years.
Devi PK, Kumar GP, Bai YD, Ammaji AD. Devi PK, et al. J Indian Soc Periodontol. 2013 May;17(3):387-90. doi: 10.4103/0972-124X.115649. J Indian Soc Periodontol. 2013. PMID: 24049343 Free PMC article. - Idiopathic gingival fibromatosis with massive gingival overgrowth: A rare case report.
Sharma S, Shahi AK, Prajapati VK, Singh B. Sharma S, et al. J Indian Soc Periodontol. 2020 Jul-Aug;24(4):379-382. doi: 10.4103/jisp.jisp_426_19. Epub 2020 Jun 2. J Indian Soc Periodontol. 2020. PMID: 32831513 Free PMC article. - Idiopathic Gingival Enlargement Causing Social Stigma.
Kothari D. Kothari D. Contemp Clin Dent. 2021 Jan-Mar;12(1):63-66. doi: 10.4103/ccd.ccd_181_20. Epub 2021 Mar 20. Contemp Clin Dent. 2021. PMID: 33967540 Free PMC article.
References
- Pappachan B, Narayan JV, Nayak A. Idiopathic gingival fibromatosis: A neglected case. Indian J Radiol Imaging. 2002;12:335–8.
- Ramer M, Marrone J, Stahl B, Burakoff R. Hereditary gingival fibromatosis: Identification, treatment, control. J Am Dent Assoc. 1996;127:493–5. - PubMed
- Gorlin RJ, Cohen MM, Levin LS. New York: Oxford University Press; 1999. Syndromes of the head and neck.
- Cortelli JR. Evidence of genetic heterogenecity for hereditary gingival fibromatosis. J Dent Res. 2000;79:1758–64. - PubMed