HEREDITARY GINGIVAL FIBROMATOSIS: A CASE REPORT
*Dr. Sapna Nadiger, Dr. Swathi B. S., Dr. Suchetha Aghanashini, Dr. Darshan Basavaraj Mundinamane, Dr. Apoorva Sokke Mallikarjunappa and Dr. Vinodini
Background: Hereditary gingival fibromatosis (HGF) is characterized by, slow progressive overgrowth of the gingiva. The excess gingival tissue can cover part of or the entire crown of a tooth, and can result in diastemas, teeth displacement, retention of primary or permanent teeth, and may also cause masticatory, phonetics and esthetic problems. Case presentation: This present case report addresses the diagnosis, and case management of hereditary form of gingival fibromatosis. A 13-year-old girl was referred from department of orthodontics, who was presented with progressive gingival enlargement which hindered Orthodontic treatment for the correction of malaligned teeth of the lower anteriors. Therefore, this case was managed with conservative periodontal treatment approach. The initial course of treatment included scaling, followed by gingivectomy and gingivoplasty. Since the clinical appearance of the gingival enlargement was found to be more fibrous than inflammatory in nature, microscopic examination of the gingivectomy specimens was carried out which showed dense bundles of collagen fibres in the connective tissue which supported the clinical diagnosis. Similar condition was noted in family members as well. There was no recurrence of the condition 3months later. Conclusion: Hereditary gingival fibromatosis is a rare disorder characterized by the proliferative fibrous overgrowth of the gingival tissue. Surgical excision of excess tissue is the treatment of choice. However, recurrence is a common feature.
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