Lima Marina Deus Moura, Teixeira Rubens G, Bonecker Marcelo, de Camargo Moraes Paulo, Mantesso Andrea
School of Dentistry, University of São Paulo, Av Professor Lineu Prestes, 2227, Cidade Universitária, São Paulo-SP 05508-000, Brazil.
BMC Res Notes. 2014 Sep 25;7:673. doi: 10.1186/1756-0500-7-673.
Gingival hyperplasias are peculiar conditions that may produce extreme growth that impairs masticatory function and causes psychological and aesthetic disturbances. They can vary from mild interdental papillae localized growth to marked swelling affecting both jaws.
The aim of this case report is to present a rare case of generalized gingival growth diagnosed in a 4 year-old Caucasian child and followed for 9 years. The lesion covered almost all of the upper and lower teeth and recurred thirty times with the same clinical and histopathological aspects. The clinical features suggested the diagnosis of idiopathic gingival fibromatosis, but the histopathological aspects did not confirm this hypothesis and were consistent with peripheral ossifying fibroma.
The present case reports a rare gingival growth with challenging diagnosis and treatment.
牙龈增生是一种特殊情况，可能会导致过度生长，损害咀嚼功能，并引起心理和美观方面的困扰。其表现多样，从轻度的局限于牙间乳头的生长到影响上下颌的明显肿胀。
本病例报告的目的是呈现一例在一名4岁白种儿童中诊断出的罕见广泛性牙龈生长病例，并对其进行了9年的随访。病变几乎覆盖了所有的上下牙齿，且在相同的临床和组织病理学表现下复发了30次。临床特征提示诊断为特发性牙龈纤维瘤病，但组织病理学表现并未证实这一假设，而是与外周骨化性纤维瘤相符。
本病例报告了一例诊断和治疗颇具挑战性的罕见牙龈生长病例。
