Gingival fibromatosis which represents a fibrous hyperplasia of the gingival tissue is relatively uncommon benign oral condition.
Characteristically, the firm enlarged gingival tissue often obscure the anatomic crowns of the teeth.
They may deform palatal contours and subsequently crowd the tongue with a resultant interferance in speech and mastication as well as inability to maintain normal lip closure.
Numerous examples not accompanied by ingestion of dilantin sodium, hypertrichosis, hereditary factors, cherubism, or ectodermal dysplasia have been generally labeled "idiopathic".
Although it has been stated that the treatment of choice is surgical removal of the enlarged tissues, there is a tendency for the condition to recur within a few years.
The patient, 21-year-old female, was admitted to department of dentistry, Dong San Hospital, Keimyung University with the chief complaint of mastication difficulty and cosmetic problem-elephantiasis gingivae. She showed severe fibrous enlargement
of
maxillary and mandibular attached and nonattached gingivae. The gingival tissues generally were firm and dense, and the teeth were covered with dense, fibrous tissues, and this tissues may interfere with eruption.
There was an operation history of excision of excessive gingival enlargement at five year old. She was diagnosed empty sella syndrom with partial hypopituitarism at endocrine tests.
We got the good results in esthetics and functions by extraction of all teeth and surgical excision of the hyperplastic gingival tissue followed by complete dentures.
|