Rahul Morankar, Gauba Krishan, Gorwade Nitin, Kumar Aman
Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
BMJ Case Rep. 2019 Jan 22;12(1):e227942. doi: 10.1136/bcr-2018-227942.
Idiopathic gingival fibromatosis (GF), also known as gingivomatosis, is a rare condition in childhood, with an unknown aetiology. The oral manifestations of the condition are varied and depend on the severity and age of involvement. This paper describe the case of a 5-year-old male child with extensive gingival enlargement covering almost all the maxillary and mandibular teeth resulted in difficulty with speech, mastication and poor aesthetics. Clinical and radiographic examination along with haematological investigations ruled out any systemic association. The case was managed with conventional scalpel blade surgery along with electrocautery under general anaesthesia yielding good results without any recurrence after a 12-month follow-up. The results revealed that the oral manifestations of GF depend on its severity and the age of onset. Timely intervention can help to prevent associated complications in a growing child.
特发性牙龈纤维瘤病（GF），也称为牙龈瘤病，是一种儿童期罕见疾病，病因不明。该病症的口腔表现多样，取决于病情严重程度和受累年龄。本文描述了一名5岁男童的病例，其牙龈广泛增生，几乎覆盖了所有上颌和下颌牙齿，导致言语、咀嚼困难且美观度差。临床和影像学检查以及血液学检查排除了任何全身相关性。该病例在全身麻醉下采用传统手术刀手术并结合电灼治疗，效果良好，12个月随访后无复发。结果显示，GF的口腔表现取决于其严重程度和发病年龄。及时干预有助于预防成长中儿童的相关并发症。
