Gingival fibromatosis with congenital hypertrichosis

| Posted in: Science Health Sciences

Journal name: Journal of Indian Society of Periodontology
Original article title: Gingival fibromatosis with congenital hypertrichosis
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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Author:

Sameer Saxena, Gouri Bhatia, Karthik Munagala Krishna, Shalabh Mehrotra


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Gingival fibromatosis with congenital hypertrichosis

Year: 2020 | Doi: 10.4103/jisp.jisp_26

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Idiopathic gingival fibromatosis (IGF) is a rare condition characterized by a slowly progressive proliferation of fibrous tissue in the gums, which leads to functional and aesthetic concerns. It can also be associated with conditions such as hypertrichosis and epilepsy, either as an isolated disorder or as part of a syndrome. This report presents a case of a 16-year-old female who exhibited severe generalized gingival fibromatosis accompanied by hypertrichosis. Surgical intervention was performed through conventional gingivectomies under local anesthesia, resulting in significant postoperative improvements in the patient's appearance and oral hygiene.

Treatment Methodology

The treatment strategy for the patient involved quadrant-wise gingivectomy, which was executed carefully under local anesthesia. The procedure included marking bleeding points by pocket depth measurement and excising excess gingival tissue. Post-surgical follow-up indicated uneventful healing with no recurrence of the condition over 18 months. Additionally, the patient received advice for orthodontic treatment and laser therapy for hypertrichosis, enhancing her overall esthetic appearance. Histopathological examination of the excised tissue revealed a stratified squamous epithelium along with dense fibrous connective tissue, indicative of the fibromatosis diagnosis.

Conclusion

Hereditary gingival fibromatosis with hypertrichosis represents a complex and rare combination of conditions that can significantly impact a patient's quality of life due to functional and aesthetic issues. Successful management necessitates surgical intervention for tissue removal along with diligent postoperative care and oral hygiene reinforcement. The positive outcome in this case emphasizes the importance of tailored treatment strategies and ongoing monitoring, leading to effective long-term management of the condition and improved patient satisfaction.

FAQ section (important questions/answers):

What is idiopathic gingival fibromatosis and its association?

Idiopathic gingival fibromatosis (IGF) is a rare, slowly progressive fibrous lesion of the gums. It is often associated with conditions like hypertrichosis and epilepsy, either as an isolated disorder or part of a syndrome.

What treatment options are available for IGF?

The primary treatment for idiopathic gingival fibromatosis is surgical removal through gingivectomy. This procedure helps to reshape the gums, improve oral hygiene, and enhance aesthetics, typically performed under local anesthesia.

What were the main symptoms observed in the reported case?

In the reported case, the patient exhibited generalized gingival enlargement affecting all teeth, causing difficulties in eating and speaking, along with hypertrichosis characterized by excessive hair growth on the body.

How did the patient respond to the gingivectomy treatment?

Post-treatment, the patient experienced uneventful healing and marked improvement in appearance and oral hygiene, with no signs of recurrence observed during an 18-month follow-up.

What role does genetics play in idiopathic gingival fibromatosis?

While the exact genetic basis of idiopathic gingival fibromatosis is unclear, an autosomal-dominant mode of inheritance has been reported, suggesting that genetic factors may contribute to the condition.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Gingival fibromatosis with congenital hypertrichosis”. 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) Hair:
Hair refers to the fine, thread-like structures that grow from our skin, with a role in protecting the body and regulating temperature. In the context of idiopathic gingival fibromatosis, excessive hair growth or hypertrichosis, which coexists with gingival overgrowth, affects the patient's aesthetic and psychological well-being.

2) Table:
In the medical context, 'table' may refer to the occlusal table of teeth, which is the flat surface where upper and lower teeth meet when chewing. The condition of gingival fibromatosis often impacts the occlusal surfaces of some teeth, resulting in functional challenges for the patient.

3) Relative:
'Relative' can refer to the familial aspects often associated with idiopathic gingival fibromatosis, such as hereditary modes of inheritance. The condition may appear in family members due to genetic predispositions, reflecting the significance of understanding family health history when diagnosing the disease.

4) Disease:
'Disease' signifies the pathological state affecting functional stability and well-being. Idiopathic gingival fibromatosis is classified as a rare disease, presenting with gingival overgrowth and often associated with other conditions, posing challenges in aesthetics and function, thus highlighting its clinical importance.

5) Hygiene (Hygienic):
'Hygiene' refers to practices promoting health and cleanliness, particularly in oral health. For patients suffering from gingival fibromatosis, maintaining proper oral hygiene is crucial to minimize plaque accumulation, prevent further inflammation, and reduce the risk of recurrence after treatment, which is often emphasized in patient care.

6) Visit:
'Visit' is a term used to describe scheduled appointments with healthcare providers. Regular follow-up visits are essential in managing cases of gingival fibromatosis to monitor healing, assess recurrence, and reinforce oral hygiene practices, ensuring that the patient's health and aesthetic concerns are adequately addressed.

7) Bleeding:
'Bleeding' refers to the loss of blood, which can occur due to various medical conditions or trauma. In gingival fibromatosis, the gingiva may not bleed on probing; however, effective surgical interventions focus on minimizing bleeding during procedures while ensuring optimal healing and recovery.

8) Epilepsy:
'Epilepsy' is a neurological disorder characterized by recurrent seizures. It is mentioned in connection with idiopathic gingival fibromatosis as one of the conditions that may co-occur. Understanding such associations is essential for comprehensive care, given the potential impact on a patient's overall health and treatment options.

9) Blood:
'Blood' is the vital fluid circulating within the cardiovascular system. In dental contexts, blood tests may be performed to rule out systemic conditions. The presence of blood vessels in the histopathological examination of gingival fibromatosis may also indicate the tissue's vascularity and inflammatory response.

10) Hand:
'Hand' refers to the extremity used for various functions including eating and personal care. In the context of hypertrichosis, the examination may reveal excessive hair growth on the hands, which can cause psychological discomfort in patients due to aesthetic concerns, impacting social interactions.

11) Accumulation (Accumulating, Accumulate):
'Accumulation' indicates a gradual build-up of substances. In idiopathic gingival fibromatosis, there is often an accumulation of collagen within the gingival tissue, resulting in the overgrowth that characterizes the condition. This pathological accumulation contributes to difficulties in oral hygiene and aesthetics.

12) Inflammation:
'Inflammation' is the body's response to injury or infection, characterized by redness, swelling, and pain. In the case of gingival diseases, chronic inflammation can lead to tissue changes and overgrowth, highlighting the importance of understanding inflammatory processes in managing periodontal conditions.

13) Discussion:
'Discussion' refers to the exchange of ideas and information on a topic. In medical literature, the discussion section analyzes findings, comparing them with existing literature. For gingival fibromatosis cases, discussing associations with other conditions aids understanding and provides insights into effective management strategies.

14) Antibiotic (Antibacterial):
'Antibiotic' refers to a class of drugs used to treat bacterial infections. In post-surgical care of gingival fibromatosis, antibiotics may be prescribed to prevent infections and ensure healing. Understanding antibiotic usage is essential for managing postoperative complications and supporting recovery effectively.

15) Incision:
'Incision' refers to a surgical cut made in the tissue. In treating gingival fibromatosis, a precise incision is performed to remove hyperplastic gingival tissue. Mastery of incision techniques is crucial for achieving desirable outcomes while minimizing trauma and promoting quick recovery.

16) Surface:
'Surface' pertains to the outer layer of tissues, in this case, the gingiva. The integrity of the gingival surface is critical in patients with fibromatosis as it directly affects function and aesthetics, making its management a focus of dental care and treatment.

17) Nature:
'Nature' refers to the inherent characteristics of a condition. The nature of idiopathic gingival fibromatosis is progressive and non-inflammatory, influencing how it develops and necessitating specific treatment approaches that focus on surgical removal to relieve complications.

18) Sign:
'Sign' refers to an observable indicator of a condition. In a clinical setting, signs of gingival fibromatosis include generalized gingival overgrowth. Recognizing these signs early is vital for diagnosis and planning appropriate surgical and therapeutic interventions.

19) Drug:
'Drug' signifies any substance used for medical treatment. In gingival fibromatosis, it refers to medications that may be used to manage associated symptoms. While there may be no direct drugs for the condition itself, understanding their role is integral to comprehensive care strategies.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Gingival fibromatosis with congenital hypertrichosis’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Surgical intervention, Genetic basis, Informed consent, Functional disturbance, Orthodontic treatment, Psychological Difficulties, Oral hygiene measures, Gingival overgrowth, Hypertrichosis.

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