RESUMEN
Introduction: Hereditary gingival fibromatosis is a rare disorder with a genetic component that may appear during tooth replacement. This condition can cause functional and aesthetic problems such as malocclusions, diastemas, pain when chewing, dental caries, periodontal disease, delayed eruption, among others. Objective: To report the multidisciplinary treatment provided to a patient with hereditary gingival fibromatosis. Case Report: This report describes the treatment carried out in a thirteen-year-old male patient presenting generalized increase in gingival volume associated with functional and aesthetic compromise and delayed eruption of permanent teeth. After diagnosis, a multidisciplinary intervention was proposed, involving periodontal and pediatric dentistry procedures, which improved the quality of life of the patient both functionally and aesthetically. Conclusion: Hereditary gingival fibromatosis not only affects the dental eruption process, but also causes aesthetic and emotional alterations in the patient. The periodontal procedures significantly improved the appearance, function, and the psychological state of the patient.
Introducción: La fibromatosis gingival hereditaria es una altera-ción poco común, asociada a un componente genético que en ocasiones se hace evidente en el recambio dentario. Este padecimiento puede generar problemas funcionales y estéticos como maloclusiones, diastemas, dolor al masticar, caries, enfermedad periodontal, erupción tardía, entre otros. Objetivo: Reportar el caso clínico con manejo interdisciplinario en un paciente con fibromatosis gingival hereditaria. Reporte de Caso: Se expone el tratamiento realizado en un paciente de trece años, sexo masculino, con aumento de volumen gingival generalizado con compromiso funcional y estético, conjugado con retraso en la erupción de dientes permanentes. Tras diagnóstico se plantea la intervención multidisciplinaria, integrando áreas como periodoncia y odontopediatría; los procedimientos ejecutados permitieron mejorar la calidad de vida desde el punto de vista funcional y estético. Conclusión: La fibromatosis gingival hereditaria no solo desencadena alteración en proceso eruptivo dental, sino también alteraciones estéticas y emocionales en el paciente que la padece. Los procedimientos perio-dontales realizados permitieron de forma categórica la mejora de la estética, función y estado psicológico del paciente.
Asunto(s)
Humanos , Masculino , Adolescente , Fibromatosis Gingival/cirugía , Fibromatosis Gingival/genética , Encía/patología , Calidad de Vida , Odontología Pediátrica , Fibromatosis Gingival/psicologíaRESUMEN
OBJECTIVES: The aim was to present the diagnosis and treatment of a case of unilateral idiopathic gingival fibromatosis (IGF) in a geriatric patient. BACKGROUND: IGF is a rare condition characterised by an enlargement of the attached and marginal gingivae with no obvious association to any causative factor. Gingival overgrowth causes inaesthetic changes and clinical symptoms such as speech disturbances, tooth movement, and occlusal problems. MATERIALS AND METHODS: A 65-year-old female presented localised enlargement of mandibular gingiva, malpositioning of anterior mandibular teeth, and difficulty in speech and mastication. IGF also causes numerous aesthetic and psychological problems. Treatment consisted of multiple extractions, surgical therapy, and early prosthetic rehabilitation to restore function and appearance and to prevent recurrence. RESULTS: Excellent aesthetic result and psychological benefit were achieved, and no fibromatosis recurrence was detected after 1 year following surgery. CONCLUSION: Gingival resection of the tissue excess and early oral rehabilitation with removable dentures have so far greatly improved patient's quality of life.
Asunto(s)
Fibromatosis Gingival/cirugía , Anciano , Diseño de Dentadura , Dentadura Parcial Removible , Estética Dental , Femenino , Fibromatosis Gingival/psicología , Fibromatosis Gingival/rehabilitación , Estudios de Seguimiento , Gingivectomía/métodos , Humanos , Maloclusión/etiología , Mandíbula/patología , Masticación/fisiología , Planificación de Atención al Paciente , Satisfacción del Paciente , Autoimagen , Trastornos del Habla/etiología , Extracción Dental , Migración del Diente/etiologíaRESUMEN
Idiopathic or hereditary gingival fibromatosis is a benign oral disorder characterized by enlargement of the oral gingival tissues. This article describes a case of a female child who exhibited a generalized gingival overgrowth in both arches at birth. Other causes of gingival overgrowth and the clinical, radiographic, and histopathologic characteristics are discussed. Treatment consisted of surgical removal of the hyperplastic fibrous tissue in a series of gingivectomies. Medical history, clinical examination, and histopathologic and genetic findings were essential to rule out other systemic abnormalities. This unusual case of nonsyndromic idiopathic gingival fibromatosis was followed for 5 years, and no recurrence was seen.