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Hereditary Gingival Fibromatosis | ||
| Journal of baghdad college of dentistry | ||
| Article 1, Volume 22, Issue 3, 2010, Pages 83-86 | ||
| Authors | ||
| Abdulalkarim A. A. Al- Muhammadawi; Saif S. Saliem | ||
| Abstract | ||
| ABSTRACTBackground: Hereditary gingival fibromatosis is a benign, idiopathic condition affecting both arches. Is characterizedby a slowly progressive, benign enlargement of the keratinized oral gingival tissues results from an increase in theconnective tissue elements of the submucosa and can vary in severity, Gingival enlargements may be eitherinflammatory, non inflammatory or a combination of both. Hereditary gingival fibromatosis (HGF), is usuallytransmitted as an autosomal dominant traitMaterial and Methods: Four patients (3males and 1 female), with age range between 20-45years old and with nohistory of systemic disease(s) or medications intake were referred to the Department of Periodontics College ofDentistry at the University of Baghdad.Results: After 6 months, three of the patients showed signs of improvements, while the forth male patient return withfailure of treatment and the condition is even worse.Histological findings showed few fibroblasts with stellate shape and the epithelial rete ridges were bayonet-shaped,overlying dense fibrous connective tissue.Conclusion: The only treatment of choice in this our condition was gingivectomy to satisfy the patients’ esthetics.Idiopathic gingival fibromatosis may be congenital or hereditary. Though the genetic mechanism is not wellunderstood, the success of treatment was relative since another gingivectomy procedures needed for reshaping thegingival and no explanation could be found for the failure for the forth case. Histological findings are similar to thatseen with phenytoin-induced gingival enlargementKey words: hereditary gingival fibromatosis, gingivectomy, gingival hyperplasia, hereditary gingival hyperplasia.(J Bagh Coll Dentistry 2010;22(3):83-86) | ||
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