Idiopathic gingival fibromatosis: A rare case report.
Journal name: Journal of Indian Society of Periodontology
Original article title: Idiopathic gingival fibromatosis with massive gingival overgrowth: A rare case report
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Swati Sharma, Ajoy Kumar Shahi, Virendra Kumar Prajapati, Bishnupati Singh
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Idiopathic gingival fibromatosis with massive gingival overgrowth: A rare case report
Year: 2020 | Doi: 10.4103/jisp.jisp_426
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Idiopathic gingival fibromatosis (IGF) is a rare and benign condition characterized by nonsyndromic gingival overgrowth of undetermined cause. With an incidence of approximately one case per 750,000 individuals, IGF can occur in both genders and typically affects the masticatory mucosa, often around the age of 3 years when permanent teeth begin to erupt. This case report details the significant gingival enlargement experienced by a 12-year-old girl with IGF, treated through a multidisciplinary approach that combined surgical and prosthetic intervention, enhancing both function and aesthetics while addressing the psychological impact of her condition.
Understanding Idiopathic Gingival Fibromatosis
IGF can manifest as either an inherited condition or arise as an isolated condition due to various factors including genetic predisposition. In this case, the patient had no familial history or associated clinical findings indicating a syndromic condition. The gingival overgrowth was extensive and progressive, leading to difficulties with eating and speech as well as significant social withdrawal due to aesthetic concerns. Histopathological analysis supported the diagnosis of IGF by revealing characteristic connective tissue proliferation without malignancy. The treatment involved the excision of the enlarged gingiva through electrocautery, gingivectomy, and subsequent prosthetic rehabilitation, which significantly improved the patient’s oral function and self-esteem.
Conclusion
The case underscores the importance of a multidisciplinary approach to managing idiopathic gingival fibromatosis, particularly in children. Surgical intervention not only addressed the functional difficulties caused by severe gingival enlargement but also improved the aesthetic profile of the patient, contributing positively to her psychological well-being. With careful follow-up and the use of a removable partial denture to maintain oral function and possibly prevent recurrence, the patient has shown significant improvement in quality of life, indicating the efficacy of combined surgical and prosthetic strategies in treating severe cases of IGF.
FAQ section (important questions/answers):
What is idiopathic gingival fibromatosis (IGF)?
Idiopathic gingival fibromatosis (IGF) is a rare condition characterized by benign, nonhemorrhagic, and progressive gingival overgrowth of unknown cause, affecting both genders. It typically begins during childhood with the eruption of permanent teeth.
How did the 12-year-old girl present with IGF?
The 12-year-old girl exhibited massive gingival enlargement, difficulty with eating and speech, and had stopped attending school due to distress over her appearance. The growth had progressed significantly since she was 3 years old.
What treatment was provided for the patient's gingival overgrowth?
A multidisciplinary approach was utilized, involving surgical excision of the enlarged gingiva through gingivectomy and then prosthetic rehabilitation to improve aesthetics and function, which significantly enhanced the patient's quality of life.
What were the histological findings in the case?
Histological analysis showed stratified squamous epithelium with rete pegs overlying fibrous connective tissue stroma, confirming the diagnosis of idiopathic gingival fibromatosis and indicating a proliferation of fibrocollagenous tissue without malignancy.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Idiopathic gingival fibromatosis: A rare case report.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
Table is relevant to the organization of information, particularly in medical literature, where data is presented clearly for analysis. It allows for easy comprehension of patient demographics, treatment protocols, and outcomes in studies, which aids in clinical decision-making and research evaluations. Tables facilitate comparison of treatment efficacy and patient responses over time.
2) Drug:
Drugs are substances used in the treatment, prevention, or diagnosis of diseases. In the context of gingival overgrowth, certain medications, such as phenytoin and nifedipine, are known to induce gingival hyperplasia. Understanding the role of drugs in oral health is crucial for dental professionals to prevent and manage related conditions effectively.
3) Observation:
Observation is a critical step in clinical practice, as it includes monitoring the patient's condition and response to treatment. In the case study, observation allowed healthcare providers to evaluate the gingival enlargement's progression, assess surgery outcomes, and tailor follow-up care, ensuring that interventions align with the patient's evolving needs.
4) Arrow:
In scientific literature, arrows often indicate specific areas of interest in diagrams or histopathological images. They draw attention to important features such as cell types or tissue changes observed under a microscope, aiding in the understanding of the pathological process involved in conditions like idiopathic gingival fibromatosis by visually guiding the reader's focus.
5) Disfigurement:
Disfigurement refers to a significant alteration of appearance due to medical conditions or trauma. In the referenced case, massive gingival enlargement caused notable facial disfigurement impacting the child’s social interactions and self-esteem. Aesthetic considerations are critical in treatment planning, as improving appearance can greatly enhance the patient's quality of life.
6) Inflammation:
Inflammation is the body's response to injury or infection, playing a role in numerous pathological conditions, including periodontal diseases. It can contribute to gingival overgrowth by exacerbating tissue changes. Understanding its implications helps in addressing the underlying causes of conditions like idiopathic gingival fibromatosis, ensuring comprehensive patient care.
7) Discussion:
Discussion sections in medical reports analyze findings, compare them with existing literature, and highlight implications for practice. It provides context for case studies, allowing clinicians to consider variations in disease presentation, treatment methods, and patient outcomes, which enhances understanding and encourages shared learning within the medical community.
8) Swallowing:
Swallowing is a vital function that can be compromised by oral health issues like gingival enlargement. Difficulty in swallowing can lead to nutritional deficiencies and impact overall health. Addressing swallowing difficulties through treatment not only improves physical health but also quality of life and psychological well-being for affected patients.
9) Mutation:
Mutations refer to changes in DNA that may lead to various genetic disorders, sometimes influencing conditions like idiopathic gingival fibromatosis. Recent studies explore genetic factors in unexplained tissue overgrowth, emphasizing the importance of genetic research in understanding the etiology of diseases and personalizing treatment approaches.
10) Bleeding:
Bleeding in the context of gingival conditions may occur due to inflammation or trauma, complicating treatment. Managing bleeding is essential during surgical interventions like gingivectomy. Understanding bleeding risks helps dental professionals establish effective strategies to minimize complications and ensure patient safety during treatment, ultimately improving healing outcomes.
11) Epilepsy:
Epilepsy is a neurological disorder characterized by recurrent seizures that may be associated with conditions like hereditary gingival fibromatosis. Understanding the potential comorbidities enables holistic patient care where considerations for medication interactions and side effects on oral health can improve overall management strategies for individuals with chronic conditions.
12) Quality:
Quality pertains to the standard of care provided to patients, impacting their overall health and well-being. In this context, enhancing the quality of life for a child with gingival overgrowth includes improving functional capabilities and self-esteem through aesthetic interventions. Emphasis on quality underlines the importance of patient-centered treatment approaches.
13) Nostril:
Nostrils are the external openings of the nose crucial for breathing. In the referenced case, gingival overgrowth caused changes to the mouth's external appearance and partially obstructed the nostrils. Such anatomical changes can affect airflow, emphasizing the need for comprehensive examinations and treatments that consider both functional and aesthetic outcomes.
14) Disease:
Disease refers to a pathological condition that disrupts normal bodily functions. Understanding diseases like idiopathic gingival fibromatosis is essential for diagnosis, treatment planning, and patient education. This includes recognizing potential complications and the psychosocial impacts of chronic conditions, facilitating thoughtful approaches to enhance patient quality of life.
15) Science (Scientific):
Science underpins the study of health and diseases, providing methodologies for investigating conditions like gingival overgrowth. Scientific inquiry leads to advancements in understanding disease mechanisms, treatment protocols, and patient care practices, fostering a proactive approach to research that directly benefits clinical outcomes and healthcare advancements.
16) Family:
Family plays a crucial role in healthcare, particularly in pediatric cases. In the referenced report, understanding the patient's family dynamics highlighted potential genetic predispositions or psychosocial impacts of gingival fibromatosis. Engaging family members in the treatment process fosters support and compliance, essential for improved patient outcomes.
17) India:
India's diverse population presents unique challenges and opportunities in healthcare provision, especially in dental health management. Cultural, social, and economic factors influence patient behavior and access to care. Acknowledging these aspects is vital in designing relevant health interventions like those for idiopathic gingival fibromatosis affecting children in the region.
18) Visit:
A visit refers to a consultation with a healthcare provider, wherein patient assessment and treatment planning occur. Regular visits facilitate ongoing monitoring of conditions like gingival enlargement, enabling timely interventions and adjustments to treatment plans based on the patient’s evolving needs, thereby enhancing overall outcomes and satisfaction.
19) Food:
Food is fundamental for nutrition, and difficulties in eating can arise from oral health issues. In the context of massive gingival enlargement, compromised chewing abilities negatively impact the child’s dietary intake and overall health. Addressing these issues during treatment planning helps restore normal eating functions and nutritional balance.
20) Pain:
Pain is a critical patient experience that must be managed effectively in healthcare. In oral conditions like gingival fibromatosis, pain may arise from surgical procedures or the condition itself. Addressing pain through appropriate management strategies is crucial for enhancing the overall patient experience and ensuring adherence to treatment plans.
21) Life:
Life quality encompasses physical, emotional, and social well-being. In treating conditions like gingival enlargement, improving life quality means providing interventions that restore normal function and appearance, which in turn boosts self-esteem, facilitates social interactions, and enriches the overall satisfaction of patients in their daily activities.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Idiopathic gingival fibromatosis: A rare case report.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Surgical intervention, Oral Examination, Provisional Diagnosis, Multidisciplinary approach, Chief complaint, Computed tomography scan, Histopathological analysis, Psychological benefit, Oral pathologist, Gingival enlargement, Connective tissue stroma, Anesthetic complication.