Diagnosis and treatment of a hereditary gingival fibromatosis case.

Chin J Dent Res

Department of Peridontology, Peking University School, Beijing, People's Republic of China.

Published: April 2012

AI Article Synopsis

  • Hereditary gingival fibromatosis (HGF) is a rare condition causing significant gum overgrowth, affecting aesthetics and function, as seen in a reported case of a 28-year-old woman with a family history of similar symptoms.
  • The standard treatment involves surgical removal, with gingivectomy being the most common, and the study compared two incision techniques, finding external bevel incisions to be superior for shaping the gums when adequate attached gingiva is present.
  • After 26 months of follow-up post-surgery, the patient experienced no recurrence of the condition and was pleased with her cosmetic outcome.

Article Abstract

Hereditary gingival fibromatosis (HGF) is a rare condition characterised by severe gingival hyperplasia, which could result in serious aesthetic and emotional problems and functional impairment. Here the present authors report a case of a 28-year-old female patient with generalised severe gingival enlargement covering almost all of the teeth and diagnosed as HGF. Her family history was of significance, since her father and 3-year-old daughter suffered from the same symptoms. Many studies have agreed that surgical removal should be used in the treatment of HGF, and gingivectomy is the most common method. This study tried both external and internal bevel incisions. The results suggest that the former is better for shaping gingival contour, if the attached gingiva is adequate. Correct physiological contour of the marginal gingiva, good oral hygiene and periodic recall can decrease recurrence risk. Post-surgical follow-up after 26 months demonstrated no recurrence and the patient was satisfied with her appearance.

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