Idiopathic Gingival Hyperplasia: A Rare Case with Multiple Severe Recurrences (pp. 53-63)
Authors: André L. R. Ribeiro, Mayara Brito de Sousa, Walessa B. Silva, Sérgio M. Alves-Junior, and Sílvio A. F. Menezes
Abstract: Idiopathic gingival hyperplasia is a rare lesion, which has a slow and gradual gum overgrowth that may cause speaking and chewing difficulties, as well as esthetic problems in the patient. Its etiology is not completely understood; it should be considered idiopathic when other causes of gingival hyperplasia (GH) have been discarded. The clinical behavior of idiopathic GH is little known and its response to treatment is quite unpredictable.
A 21-year-old female patient showed a not bleeding, a pale pink gingival enlargement with 2 months of evolution. Clinical, laboratory, and histopathological examinations were performed, which ruled out other types of hyperplasia, supporting the diagnosis of idiopathic GH. The patient was submitted to repeated surgical treatments with gingivectomy and gingivoplasty, associated with dental calculus and bacterial biofilms control, until a satisfactory clinical condition was obtained after several episodes of recurrence without any apparent cause.
The authors reported a rare case of idiopathic GH, which presented an aggressive clinical behavior, with several episodes of recurrence. The authors suggest that the surgical treatments of gingivectomy and gingivoplasty appear to be effective. However, the lesion’s clinical behavior as well as the possibilities of recurrence remain unpredictable.