Almiñana-Pastor Pedro J, Buitrago-Vera Pedro J, Alpiste-Illueca Francisco M, Catalá-Pizarro Montserrat
DD, Post-graduated in Periodontics, Department d´Estomatologia, Facultad de Medicina y Odontologia, Universidad de Valencia, Valencia, Spain.
MD DD, PhD in Medicine. Adjunct Professor of Periodontics, Facultad de Medicina y Odontologia, Universidad de Valencia, Valencia, Spain.
J Clin Exp Dent. 2017 Apr 1;9(4):e599-e602. doi: 10.4317/jced.53644. eCollection 2017 Apr.
Hereditary gingival fibromatosis (HGF) is a rare disorder characterized by a benign, non-hemorrhagic, fibrous gingival overgrowth that can appear in isolation or as part of a syndrome. Clinically, a pink gingiva with marked stippling can be seen to cover almost all the tooth, in many cases preventing eruption. HGF usually begins during the transition from primary to permanent teeth, giving rise to a condition that can have negative psychological effects at that age. As it does not resolve spontaneously, the treatment of choice is gingivectomy, which can be performed with an internal or external bevel incision, depending on each case and bearing in mind the changes that will take place at the dentogingival junction (DGJ). This paper describes clinical aspects and treatment in two eight-year-old boys with HGF, considering different facets of the surgical approach with conscious sedation in young children. Hereditary gingival fibromatosis, gingivectomy, internal bevel incision, external bevel incision, gingival overgrowth.
遗传性牙龈纤维瘤病（HGF）是一种罕见的疾病，其特征为良性、非出血性的牙龈纤维性过度生长，可单独出现或作为综合征的一部分。临床上，可见粉红色且有明显点彩的牙龈几乎覆盖所有牙齿，在许多情况下会阻碍牙齿萌出。HGF通常在乳牙向恒牙过渡期间开始出现，在那个年龄段会引发可能产生负面心理影响的状况。由于其不会自行消退，首选的治疗方法是牙龈切除术，可根据具体情况并考虑到牙-牙龈交界（DGJ）处将会发生的变化，采用内斜切口或外斜切口进行手术。本文描述了两名患有HGF的8岁男孩的临床情况及治疗方法，探讨了在幼儿中采用清醒镇静进行手术的不同方面。遗传性牙龈纤维瘤病、牙龈切除术、内斜切口、外斜切口、牙龈过度生长
