Hereditary Gingival Fibromatosis with Distinctive Facies

Abstract

Hereditary gingival enlargement also known as gingivitis or familial elephantiasis is a rare type of gingival enlargement. It appears as an isolated autosomal dominant disorder or maybe associated with other conditions. Oral manifestations may vary from minimal involvement of only tuberosity area and the buccal gingiva around the lower molars to a generalized enlargement inhibiting eruption of the teeth. This paper discusses the case of a 13-year-old female patient with distinctive facial characteristics who presented to the department with a chief complaint of swollen gums since 1 year. She had severe diffuse gingival enlargement of the maxilla and mandible. Diagnosis was made based upon clinical examination and family history. Quadrant wise internal bevel gingivectomy procedure was done for the patient to restore her functional and esthetic needs.

Syndromes with gingival fibromatosis: A systematic review

“…The extent of GF was observed to be generalized in 77 studies, localized in six articles (Chacon‐Camacho, Vázquez, & Zenteno, 2011; Chadwick, Hunter, Hunter, Aldred, & Wilkie, 1994; Giansanti, McKenzie, & Owens, 1973; Goodwin et al., 2014; Hallett, Bankier, Chow, Bateman, & Hall, 1995; Ishita, Sujatha, Pramod, & Ashok, 2016), and not determined in one study (Pachajoa, López‐Quintero, Vanegas, Montoya, & Ramírez‐Montaño, 2018). The degree of severity was also assessed, with 15 studies reporting mild fibromatosis (Abo‐Dalo et al., 2008; Afifi et al., 2015; Ashkenazi, Rafe, Sarnat, & Levin, 2014; Debnath et al., 2019; Dourado et al., 2019; Feitosa et al., 2011; Giansanti et al., 1973; Goodwin et al., 2014; Hartsfield, Bixler, Hazen, Opitz, & Reynolds, 1985; Holzhausen et al., 2003; Landoulsi et al., 2012; Laouina & Zupan, 2017; Mangino et al., 2003; Martelli‐Júnior et al., 2008; O’Connell, Davies, Smallridge, & Vaidyanathan, 2014), 25 studies reporting moderate fibromatosis (Afifi, Abdel‐Hamid, Eid, Mostafa, & Abdel‐Salam, 2016; Bhesania, Arora, & Kapoor, 2015; Castori et al., 2013; Jaouad et al., 2015; Cho et al., 2012; Goldblatt & Singer, 1992; Kaisare, 2007; Kang, Lee, Jeon, Song, & Kim, 2018; Kantaputra et al., 2017; Kissi, Benyahya, & Rifki, 2006; Lee, Im, & Kim, 1993; Lin, Wang, Sun, & Huang, 2010; Martins, Ortega, Hiraoka, Ricardo, & Magalhaes, 2010; Mégarbané et al, 2016; Molano, Blank, Tamayo, & Isaza, 1996; Oikarinen, Salo, Ka, Lahtela, & Altonen, 1990; Paula, Melo, Guerra, Mestrinho, & Acevedo, 2005; Pêgo et al., 2017; Poulter et al., 2015; Prasad, Radharani, Sinha, & Kumar, 2012; Singer, Goldblatt, Hallam, & Winters, 1993; Torres et al., 2018; de la Tranchade, Bonarek, Marteau, Boileau, & Nancy,…”