Localized (Juvenile) Spongiotic Gingival Hyperplasia: A Series of Seventeen Cases

Vargo, Richard J.; Bilodeau, Elizabeth A.

doi:10.1016/j.oooo.2016.06.065

Cited by 4 publications

(7 citation statements)

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“…Case 2, with 9 years of follow‐up (now aged 26 years), and case 1, with 7 years of follow‐up, showed no significant alterations. The reporting of LJSGH in older patients argues against a spontaneous resolution natural history . Thus, the authors’ cases provide some limited evidence against the theory of spontaneous regression, and the authors feel that a diagnosis of LJSGH can be made in older patients.…”

Section: Discussionmentioning

confidence: 87%

“…The reporting of LJSGH in older patients argues against a spontaneous resolution natural history. 2,6,12 Thus, the authors' cases provide some limited evidence against the theory of spontaneous regression, and the authors feel that a diagnosis of LJSGH can be made in older patients. Case 4 showed a considerable progression of the lesion after 1 year of follow-up.…”

Section: Discussionmentioning

confidence: 90%

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Localized Juvenile Spongiotic Gingival Hyperplasia: A Report of Four Cases and Literature Review

Fernandes

Wright

Lopes

et al. 2018

Clin Adv Periodontics

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Introduction The aim of this case report is to present a distinct subtype of gingival inflammatory hyperplasia, providing information to avoid diagnostic mistakes and overtreatment. Also, an unexpected progression of the lesion is shown. Furthermore, a review of the literature to discuss the pathogenesis, diagnosis, treatment, and the need for new therapeutic approaches is presented. Case Series The authors report four cases of localized juvenile spongiotic gingival hyperplasia involving the anterior maxillary gingiva with distinct clinical features. The patients were followed for a period of 1 to 9 years, and the evolution of the lesions was documented. Surgical excision or therapy by topical steroids was used to treat the lesions. Conclusions The long‐term follow‐up provides important information for clinicians not to eliminate older patients for lesion diagnosis. Although surgical excision should not be recommended for all cases, considering the risk of esthetic problems, the treatment modality using topical steroids was not permanently effective in the authors’ cases. Investigations about new esthetic treatment modalities for lesions are needed.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 90%

Localized Juvenile Spongiotic Gingival Hyperplasia: A Report of Four Cases and Literature Review

Fernandes

Wright

Lopes

et al. 2018

Clin Adv Periodontics

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“…[18][19][20] In our literature review, 221 previous reported cases of LJSGH were found with no clear gender preponderance (Table 1). [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] This number may be an overestimation or an underestimation, as the disease is recently described and the diagnostic criteria has not been well established in some reports. Some authors have suggested that the lesion should be named as localized spongiotic gingival hyperplasia, as the disease may occur in both pediatric and adult population.…”

Section: Discussionmentioning

confidence: 99%

“…Table 1 summarizes the previous reports of LJSGH. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The main clinical feature of the disease consists of an erythematous line accompanying the marginal gingiva, and in some cases, gingival hyperplasia is present. Characteristically the disease is not associated with plaque-induced inflammation.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,9,10 Regarding treatment, although the surgical approach is still considered the gold standard, the technique is invasive with controversial results. 1,2,9,14 With this issues in mind, we adopted a more conservative and novel approach for the disease. Photodynamic therapy (PDT) has shown to be effective in treating similar inflammatory conditions, in addition to its selective toxicity, low invasiveness, and rare side effects.…”

Section: Introductionmentioning

confidence: 99%

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A Conservative Approach for Localized Spongiotic Gingivitis Hyperplasia Using Photodynamic Therapy: A Case Report and Review of the Literature

Vieira

Leite

Figueiredo

et al. 2019

Photobiomodulation, Photomedicine, and Laser Surgery

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Objective: To describe a clinical case of successful conservative management of Localized Juvenile Spongiotic Gingivitis Hyperplasia (LJSGH) using photodynamic therapy (PDT) and reviews the current literature on this pathology. Background data: LJSGH is a recently described rare disease with controversial treatment results. As of today, 13 publications report surgical treatment approaches. The use of CO 2 laser and cryotherapy was reported only in one study. The use of PDT was not previously reported. Patients and methods: A 9-year-old male patient was referred to our institution with the chief complaint of asymptomatic ''inflamed gingiva'' starting 1 year before. Clinical examination revealed an erythematous line accompanying the gingival contour, with a certain degree of hyperplasia. The diagnosis of LJSGH was performed based on clinical features and later confirmed histopathologically. A novel approach using PDT was then proposed. The photosensitizer was methylene blue, and a semiconductor laser diode was used. Results: One week after starting PDT, gingival hyperplasia was partially reduced. Immediately after the end of treatment, a significant reduction of gingival hyperplasia was observed. PDT proved to be safe, quick and painless, with no esthetic harm. Conclusions: This case illustrates the benefit of a more conservative approach as opposed to surgical procedure, with good clinical response and decreased morbidity over a 2-year follow-up period.

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Reappraising localized juvenile spongiotic gingival hyperplasia

Vargo¹,

Bilodeau²

2019

The Journal of the American Dental Association

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Localized (Juvenile) Spongiotic Gingival Hyperplasia: A Series of Seventeen Cases

Cited by 4 publications

References 0 publications

Localized Juvenile Spongiotic Gingival Hyperplasia: A Report of Four Cases and Literature Review

Localized Juvenile Spongiotic Gingival Hyperplasia: A Report of Four Cases and Literature Review

A Conservative Approach for Localized Spongiotic Gingivitis Hyperplasia Using Photodynamic Therapy: A Case Report and Review of the Literature

Reappraising localized juvenile spongiotic gingival hyperplasia

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