Peripheral odontogenic fibroma is an uncommon, benign, unencapsulated, exophytic gingival mass of fibrous connective tissue covered with a surface epithelium. Odontogenic epithelium and mineralized material may be found in the mass. A case is reported of a lesion that recurred in the attached gingiva following initial excision. Differential diagnosis of exophytic gingival lesions and post-operative management are also discussed.
This case report describes a patient with Turner's syndrome receiving systemic androgen therapy who experienced marked gingival enlargement, bleeding, and discomfort. Turner's syndrome and its treatment are discussed. The literature pertaining to sex hormones and their role in affecting periodontal disease is reviewed. The patient was treated with full mouth gingivectomy and 2-week recall visits for a period of 2 months consisting of oral physiotherapy instructions, scaling, and topical fluoride application. She was then placed on 1-month recall for the next 4 months. This mode of therapy was effective in treating severe gingival hyperplasia in a patient receiving systemic androgen therapy.
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