Long-term Management of a Gingival Fibromatosis Patient with the Primary Dentition
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Gingival fibromatosis is a rare oral condition that is characterized by proliferative fibrous overgrowth of theattached gingiva, the marginal gingiva, and the interdental papilla, typically presenting in the growth period. A case of a 27-month-old girl with a generalized severe gingival overgrowth is described herein. The patienthad no known systemic disease, but enlarged gingival tissue had gradually covered her teeth. The excess gingivaltissue was removed by conventional gingivectomy, which involved extraction of the retentive primary teethunder general anesthesia when she was 5 years old. Post surgical follow-up at 18 months after the surgerydemonstrated no recurrence. Resectional surgery of the enlarged gingival tissue is the treatment choice for gingival fibromatosis, althoughthere is a high risk of recurrence. More frequent professional follow-ups and oral hygiene instruction might berequired. A delay in the surgical treatment may have significant consequences for the patient, such as primarydentition retention and consequent delay in the eruption of the permanent teeth, difficulties in mastication andphonation, malpositioning of the teeth, and psychological problems. Early surgical treatment should beperformed according to the severity of enlargement.
Abstract
Gingival fibromatosis is a rare oral condition that is characterized by proliferative fibrous overgrowth of theattached gingiva, the marginal gingiva, and the interdental papilla, typically presenting in the growth period. A case of a 27-month-old girl with a generalized severe gingival overgrowth is described herein. The patienthad no known systemic disease, but enlarged gingival tissue had gradually covered her teeth. The excess gingivaltissue was removed by conventional gingivectomy, which involved extraction of the retentive primary teethunder general anesthesia when she was 5 years old. Post surgical follow-up at 18 months after the surgerydemonstrated no recurrence. Resectional surgery of the enlarged gingival tissue is the treatment choice for gingival fibromatosis, althoughthere is a high risk of recurrence. More frequent professional follow-ups and oral hygiene instruction might berequired. A delay in the surgical treatment may have significant consequences for the patient, such as primarydentition retention and consequent delay in the eruption of the permanent teeth, difficulties in mastication andphonation, malpositioning of the teeth, and psychological problems. Early surgical treatment should beperformed according to the severity of enlargement.
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