Idiopathic gingival fibromatosis: a case report and literature review
10.12016/j.issn.2096-1456.2020.06.007
- Author:
ZHANG Limu
1
;
LIN Xiaoping
1
Author Information
1. Department of Stomatology, Shengjing Hospital of China Medical University
- Publication Type:Journal Article
- Keywords:
gingival fibromatosis;
idiopathic gingival fibromatosis;
pathological characteristics;
drug gingival hyperplasia;
gingivovectomy;
the external oblique incision
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2020;28(6):377-382
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore the etiology, clinical manifestations, diagnosis, differential diagnosis and treatment of idiopathic gingival fibromatosis, and to provide references for clinical diagnosis and treatment.
Methods :The clinical data and related literatures of a case of idiopathicgingival fibroma that occurred in the oral cavity were retrospectively analyzed.
Results :Total periodontal treatment was performed for the patient, and the gingival morphology was improved after periodontal surgery in the anterior region. Idiopathic gingival fibromatosis is a rare disease characterized by gingival tissue hyperplasia. The etiology and pathogenesis are unknown. The disease can occur in young children. Generally, it occurs after the permanent teeth erupt, and it manifests as extensive gingival hyperplasia, which can affect the entire gingival margin, gingival papilla and attached gingival, and can even reach the membrane-gingival junction. The pathological changes include thickening of the spinous layer of the gingival epithelium, significant increases in the epithelial styloid process, increases in the connective tissue volume, and filling with large collagen fiber bundles and a large number of fibroblasts. The blood vessels are relatively small, and inflammation is not obvious. Clinically, this disease needs to be distinguished from drug-induced gingival hyperplasia and chronic gingivitis with hyperplasia as the main manifestation. At present, the treatment of idiopathic gingival fibromatosis is mainly gingival angioplasty. The disease easily relapses after surgery. The recurrence rate is related to the quality of oral hygiene. After recurrence, it can be treated again.
Conclusion: Idiopathic gingival fibromatosis is relatively rare, and the diagnosis mainly depends on the history of inquiry, clinical manifestations and pathological examination. The treatment is mainly surgical resection, and future research should focus on finding a more effective treatment.
- Full text:特发性牙龈纤维瘤病病例报道及文献回顾.pdf
