Recurrent idiopathic gingival fibromatosis with generalized aggressive periodontitis: A rare case report

Abstract

Gingival fibromatosis is an enlargement of the gingival tissue, which may be localized or generalized, characterized by hypertrophy and proliferation of the connective tissue, predominantly Type I collagen, with occasional presence of an increased number of cells, supposedly fibroblasts. Gingival fibromatosis occurs more commonly as a side- effect of systemic drugs, such as phenytoin, cyclosporine, nifedipine, or due to hereditary factors. However, in some cases, it is idiopathic. We report one such case in 30 -year- old - female who presented with a complaint of swelling of gums since 2 months. This case appears to be of special interest because of the recurrent nature of gingival enlargement along with excessive osseous destruction.

Keywords: Collagen; enlargement; gingiva; hypertrophy; recurrence.

Figure 1

Intra-oral photograph showing upper and lower arch

Figure 2

Intra-oral photograph showing upper right and left posterior teeth

Figure 3

Intra-oral photograph showing lower right and left posterior teeth

Figure 4

Panoramic radiograph showing generalized bone loss

Figure 5

Photomicrograph showing elongated rete ridges, collagen fibers arranged in bundles and chronic inflammatory infiltrate (H and E, ×10)