Baptista Isabel Poiares
Departamento de Medicina Dentária e Cirurgia Maxilo-facial, Faculdade de Medicina, Universidade de Coimbra, Portugal.
J Clin Periodontol. 2002 Sep;29(9):871-4. doi: 10.1034/j.1600-051x.2002.290913.x.
BACKGROUND/AIMS: Hereditary gingival fibromatosis is characterized by various degrees of attached gingival overgrowth. It usually develops as an isolated disorder but can be one feature of a syndrome. A case of a 38-year-old female is reported who presented a generalized severe gingival overgrowth, involving the maxillary and mandibular arches and covering almost all teeth. The clinical differential diagnosis included drug-induced overgrowth as well as idiopathic gingival fibromatosis.
Excess gingival tissue was removed by conventional gingivectomy. As the gingival enlargement was generalized to all quadrants, on both sides, the surgery was carried out under general anaesthesia. The postoperative course was uneventful and the patient's appearance improved considerably. Post-surgical follow-up after 20 months demonstrated a slight recurrence
Hereditary gingival fibromatosis is a rare disorder characterized by the proliferative fibrous overgrowth of the gingival tissue. Resective surgery of the excess tissue is the treatment available. However, recurrence is a common feature.
背景/目的：遗传性牙龈纤维瘤病的特征是附着龈出现不同程度的过度生长。它通常作为一种孤立性疾病发生，但也可能是某一综合征的特征之一。本文报告了一例38岁女性病例，该患者出现广泛性严重牙龈过度生长，累及上下颌牙弓，几乎覆盖了所有牙齿。临床鉴别诊断包括药物性牙龈过度生长以及特发性牙龈纤维瘤病。
通过传统牙龈切除术切除多余的牙龈组织。由于牙龈肿大累及所有象限及双侧，手术在全身麻醉下进行。术后过程顺利，患者外观有显著改善。20个月后的术后随访显示有轻微复发。
遗传性牙龈纤维瘤病是一种罕见疾病，其特征为牙龈组织的增生性纤维过度生长。切除多余组织的手术是可行的治疗方法。然而，复发是其常见特征。
