Generalized hereditary gingival fibromatosis in a child: clinical, histopathological and therapeutic aspects

Authors

DOI:

https://doi.org/10.4322/acr.2020.140

Keywords:

Gingiva, Gingivectomy, Fibromatosis, Gingival, Dentition, Permanent

Abstract

Hereditary gingival fibromatosis (HGF) is a rare genetic condition characterized by slow and progressive gingival enlargement. The gingival overgrowth often delays teeth eruption and may cause serious functional and aesthetic problems. We reported a case of a 10-year-old female child presenting a generalized gingival enlargement covering almost all the maxillary and mandibular teeth and resulted in problems for swallowing, speaking, and poor aesthetics. An incisional biopsy was performed and revealed a hypocellular and hypovascular dense collagenous tissue covered by squamous epithelium exhibiting acanthosis and elongated rete ridges. The diagnosis was HGF. The treatment instituted was an association of gingivectomy with a rigorous program of oral hygiene and follow-up. Herein, we describe a rare non-syndromic case of generalized HGF, including clinical and microscopical features, as well as highlighting the importance of correct diagnosis of this genetic condition.

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Published

2020-01-28

How to Cite

Cunha, J. L. S., Ramos, M. A. C. da C., Regis, D. M., Sanchéz-Romero, C., Andrade, M. E. de, Bezerra, B. T., & Albuquerque-Júnior, R. L. C. de. (2020). Generalized hereditary gingival fibromatosis in a child: clinical, histopathological and therapeutic aspects. Autopsy and Case Reports, 10(1), e2020140. https://doi.org/10.4322/acr.2020.140

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Section

Article / Clinical Case Report