Hereditary Gingival Fibromatosis: A Case Report with Review of Literature

Abstract

Gingival fibromatosis is characterized by localized or generalized fibrous enlargement of the gingivae, mainly around permanent teeth. Gingival fibromatosis affects only the masticatory mucosa and does not extend beyond the muco-gingival junction. This article describes an unusual case of hereditary gingival fibromatosis with delayed eruption of permanent teeth in an 11 year-old girl and her younger sibling. The patient presented with severely enlarged gingival tissues affecting both arches and multiple retained deciduous. Most of the permanent teeth were not erupted. She had no associated symptoms to suggest any syndrome but there was family history of similar disorder with father and paternal aunt. The over retained primary teeth were extracted and gingivectomy as well as gingivoplasty were performed by exposing unerupted permanent teeth in all the quadrants. The excised gingival tissue was sent for histopathological examination to confirm the diagnosis. Two year postoperatively, follow up revealed no recurrence.