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Case Reports
. 2024 Oct 9;16(10):e71174.
doi: 10.7759/cureus.71174. eCollection 2024 Oct.

Successful Management of an Emerging Distinct Gingival Lesion With a New Histopathological Identity

Faris Almutairi  1
Affiliations
Case Reports

Successful Management of an Emerging Distinct Gingival Lesion With a New Histopathological Identity

Faris Almutairi. Cureus. .

Abstract

Gingival fibroma is a pathological condition that can manifest in pediatric and adult patients, often presenting diagnostic challenges due to shared histopathological characteristics among various lesions. It has been reported as a novel category with distinct histopathological features with new diagnostic criteria. A 40-year-old Saudi female patient with no significant medical history reported a 4×3 cm pedunculated, non-tender, firm, red gingival growth adjacent to the remaining root of tooth number 27 in the maxillary left side. Radiographic assessment yielded remarkable findings. An excisional biopsy was performed, and histopathology analysis confirmed the lesion to be a gingival fibroma. This case marks the first reported instance of gingival fibroma in Saudi Arabia. The recognition of such distinctive histopathological features contributes to improved diagnostic accuracy and highlights the need for vigilance in identifying emerging pathological entities within the gingival overgrowths. The recognition of gingival fibroma as a unique pathological entity is clinically significant, resolving diagnostic challenges in gingival growth cases. Specific diagnostic criteria enable accurate differentiation from similar lesions. The advancement improves patient care and refines the understanding of gingival overgrowth pathogenesis.

Keywords: gingival fibroma; gingival growth; gingival hyperplasia; gingival hypertrophy; gingival neoplasms.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Clinical picture of the gingival overgrowth originating from the left side of the maxilla (tooth area 27)
Figure 2
Figure 2. Panoramic X-ray showing the remaining root of tooth number 27
Figure 3
Figure 3. Low-power magnification of the histopathological slide: H&E section
H&E: hematoxylin and eosin
Figure 4
Figure 4. Medium-power (10×) magnification of the H&E section showing myxoid and fibrous tissues containing loose to dense collagen fibers, fibroblasts, and blood vessels
H&E: hematoxylin and eosin
Figure 5
Figure 5. High-power (20×) magnification of the H&E section showing loosely arranged fibrous tissue
H&E: hematoxylin and eosin
Figure 6
Figure 6. Post-excisional biopsy of the lesion
Figure 7
Figure 7. Post-excisional biopsy showing the remaining root attached to the lesion
See this image and copyright information in PMC

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