Mohammad- Taghi Chitsazi
1, Adileh Shirmohammadi
2*, Abouzar Moradi
3, Zahra goharfar
41 Associate Professor, Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
2 Professors, Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
3 Assistant Professor, Department of Periodontics, Faculty of Dentistry, Alborz University of Medical Sciences, Iran
4 Assistant Professor, Department of Periodontics, Faculty of Dentistry, Urmia University of Medical Sciences, Iran
Abstract
Idiopathic or hereditary gingival fibromatosis (HGF) is a relatively rare disease characterized by the enlargement of the
gingiva, resulting in functional, esthetics and psychological disturbances. The degree of gingival overgrowth can be defined
as: grade 0: no sign of gingival enlargement; grade I: enlargement confined to interdental papilla; grade II: enlargement
involves papilla and marginal gingiva; and grade III: enlargement covers three quarters or more of the crown. This case
report describes the case of a 16-year-old girl suffering from HGF with chief complaint of gingival swelling. Intraoral examination
exhibited diffuse and grade III gingival enlargement in both jaws and also in both surfaces of buccal and lingual/palatal.
Treatment included surgery (internal and external gingivectomy) in six sessions, and prescription of antibiotics
and 0.2% chlorhexidine mouthwash. Moreover, gingivoplasty was performed in the esthetic zone of maxilla after performing
all the surgeries in the mouth. The patient was under regular follow-up visits. The treatment outcomes after six months
were satisfactory and no symptoms of recurrence were observed.