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

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.

Bibliographic Details

Main Authors:	Cunha,John Lennon Silva, Ramos,Maria Alice Carvalho da Cruz, Regis,Débora Menezes, Sanchéz-Romero,Celeste, Andrade,Maria Eliane de, Bezerra,Bruno Torres, Albuquerque-Júnior,Ricardo Luiz Cavalcanti de
Format:	Digital revista
Language:	English
Published:	Hospital Universitário da Universidade de São Paulo 2020
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602020000100603
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