Clinical Views Showing a Severe Gingival Enlargement in A 14-Year-Old Girl

¹Department of Clinical dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia

²Department of Periodontology, Vananchal Dental College and Hospital, Garhwa, Jharkhand, India

^*Corresponding Author:

Jacob PS
Department of Clinical dentistry, School of Dentistry
International Medical University
Kuala Lumpur, Malaysia
Tel: +60386567228
E-mail: Shaju_Jacob@imu.edu.my

Received Date: April 8, 2015; Accepted Date: April 10, 2015; Published Date: April 15, 2015

Citation: Jacob PS, Nath S (2015) Clinical Views Showing a Severe Gingival Enlargement in A 14-Year-Old Girl. Interdiscip J Microinflammation 3:I104. doi: 10.4172/2381-8727.1000I104

Copyright: © 2015 Jacob PS, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Case Description

A 14-year-old young girl reported to Vananchal Dental College and Hospital with concerns regarding her enlarged gingiva. The gingiva had started increasing in size since last six years. Many of her permanent teeth were erupting behind schedule while many teeth were covered to two third of their surface. No familial history for the condition was revealed. The gingival enlargement resulted in both esthetic and functional problems. Malpositioning of teeth, prolonged retention of primary dentition, delayed eruption, prominent lips, and open lip posture was observed. A diagnosis of hereditary gingival fibromatosis (HGF) was made. HGF is a rare autosomal dominant disease (Figure 1). There appears to be a controversial view on the role of inflammation in the progression of the condition in genetically susceptible individuals. Treatment involves surgical excision with a high rate of occurrence.

Figure 1: Clinical views showing a severe gingival enlargement in a 14-year-old girl. The patient has difficulties closing his lips because of the protrusion of the enlarged tissue. The enlargement covers more than two-thirds of the clinical crowns of many teeth.