Submitted: 10 Sep 2018
Accepted: 07 Jul 2015
First published online: 08 Oct 2018
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J Adv Periodontol Implant Dent. 2015;7(2):61-65.
doi: 10.15171/jpid.2015.012
  Abstract View: 35
  PDF Download: 112

Case Report

Idiopathic Gingival Enlargement and its Management: A Case Report

Mohammad- Taghi Chitsazi 1, Adileh Shirmohammadi 2 * , Abouzar Moradi 3, Zahra goharfar 4

1 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
*Corresponding Author; E-mail: Email: shirmohamadia@yahoo.com

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.
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