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GINGIVAL FIBROMATOSIS : A case report

The gingival fibromatosis is a peculiar condition of gingival tumor which is characterized by an abnormal increase in the connective tissue elements of the gingival corium. Other names for this condition are elephantiasis gingivae, idiopathic fibrous hyperplasia of gingiva, congenital macrogingivae, gingivoma, hereditary hypertrophy of gum, gigantism of the gingiva, etc. The cause of the overgrowth of gingival tissue is not known, although it is probably genetic. A typical case of Gingival Fibromatosis presents large masses of firm, dense resilient, fibrous tissue that covers the alveolar ridge and varying portions of the crowns of teeth. The hyperplastic tissue is essentially normal in color and stippling, is insensitive and does not bleed easily. The hyperplasia may be noted at an early age and in a few cases even at birth. Teeth does not erupt normally because of the dense fibrous tissues. The patient s complaint is usually that of concern with the cosmetic appearance of the lesions or with interference with mouth functions. Surgical removal of the excess fibrous tissues is the only treatment of value. Recurrence may follow. We experienced a case of Gingival Fibromatosis in 1 10/12 year old female. Heredity was not combined and other abnormalities were not noted. Because of markedly enlarged gingiva on entire maxilla and mandible, no teeth were visible. We could obtain the good results in esthetics and functions by surgical excision of the hyperplastic gingival tissue.