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Long-term Management of a Gingival Fibromatosis Patient with the Primary Dentition

Other Titles
 유치열기에서 나타난 치은섬유종증 환자의 장기간 관리 
Authors
 Chungmin Kang  ;  Jaeho Lee  ;  Hyungjun Choi  ;  Jeseon Song  ;  Seongoh Kim 
Citation
 Journal of the Korean Academy of Pediatric Dentistry (대한소아치과학회지), Vol.41(4) : 328-334, 2014 
Journal Title
 Journal of the Korean Academy of Pediatric Dentistry (대한소아치과학회지) 
ISSN
 1226-8496 
Issue Date
2014
Keywords
Gingival fibromatosis ; Gingival enlargement ; Idiopathic ; Gingivectomy ; Surgical treatment
Abstract
Gingival fibromatosis is a rare oral condition that is characterized by proliferative fibrous overgrowth of the attached gingiva, the marginal gingiva, and the interdental papilla, typically presenting in the growth period. A case of a 27-month-old girl with a generalized severe gingival overgrowth is described herein. The patient had no known systemic disease, but enlarged gingival tissue had gradually covered her teeth. The excess gingival tissue was removed by conventional gingivectomy, which involved extraction of the retentive primary teeth under general anesthesia when she was 5 years old. Post surgical follow-up at 18 months after the surgery demonstrated no recurrence. Resectional surgery of the enlarged gingival tissue is the treatment choice for gingival fibromatosis, although there is a high risk of recurrence. More frequent professional follow-ups and oral hygiene instruction might be required. A delay in the surgical treatment may have significant consequences for the patient, such as primary dentition retention and consequent delay in the eruption of the permanent teeth, difficulties in mastication and phonation, malpositioning of the teeth, and psychological problems. Early surgical treatment should be performed according to the severity of enlargement.
Files in This Item:
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DOI
10.5933/JKAPD.2014.41.4.328
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Pediatric Dentistry (소아치과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chung Min(강정민) ORCID logo https://orcid.org/0000-0001-7813-3741
Kim, Seong Oh(김성오) ORCID logo https://orcid.org/0000-0002-8620-1377
Song, Je Seon(송제선) ORCID logo https://orcid.org/0000-0001-8620-5629
Lee, Jae Ho(이제호) ORCID logo https://orcid.org/0000-0002-1556-3485
Choi, Hyung Jun(최형준) ORCID logo https://orcid.org/0000-0002-3315-6912
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158602
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