scholarly journals Multispeciality Approach in the Management of Patient with Hereditary Gingival Fibromatosis: 1-Year Followup: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
T. Ramakrishnan ◽  
Manmeet Kaur
Keyword(s):  
Surgical Treatment ◽  
Orthodontic Treatment ◽  
Gingival Inflammation ◽  
Flap Surgery ◽  
Excellent Outcome ◽  
Gingival Enlargement ◽  
Fixed Appliances ◽  
Gingival Fibromatosis ◽  
Almost All ◽  
Molar Region

Background. Hereditary gingival fibromatosis is a fibrotic enlargement of the gingiva. It may exist as an isolated abnormality or as part of multisystem syndrome. This paper reports a case of 16-year-old male with generalized severe gingival overgrowth, involving the maxillary and mandibular arches and covering almost all teeth.Methods. Periodontal management of gingival enlargement included gingivectomy in both arches except in the lower right molar region where flap surgery was done under general anesthesia. After a 2-month followup period, orthodontic treatment was started with fixed appliances. Monthly periodontal checkups and maintainance (scaling and polishing) were scheduled to control the gingival inflammation.Results. Reevaluation of the patient of surgical treatment after two months did not show any recurrence of condition; however, minimal overgrowth was noted 1 month after the beginning of orthodontic treatment which was treated nonsurgically.Conclusions. Although the risk of recurrence is high with this condition, surgical treatment with correction of malocclusion and regular followup can provide excellent outcome as seen in this case.

scholarly journals Rare case report of idiopathic gingival fibromatosis in childhood and its management

2019 ◽  
Vol 12 (1) ◽  
pp. e227942
Author(s):  
Morankar Rahul ◽  
Krishan Gauba ◽  
Nitin Gorwade ◽  
Aman Kumar
Keyword(s):  
Age Of Onset ◽  
Rare Condition ◽  
Radiographic Examination ◽  
Oral Manifestations ◽  
Gingival Enlargement ◽  
Rare Case Report ◽  
Scalpel Blade ◽  
Gingival Fibromatosis ◽  
Mandibular Teeth ◽  
Almost All

Idiopathic gingival fibromatosis (GF), also known as gingivomatosis, is a rare condition in childhood, with an unknown aetiology. The oral manifestations of the condition are varied and depend on the severity and age of involvement. This paper describe the case of a 5-year-old male child with extensive gingival enlargement covering almost all the maxillary and mandibular teeth resulted in difficulty with speech, mastication and poor aesthetics. Clinical and radiographic examination along with haematological investigations ruled out any systemic association. The case was managed with conventional scalpel blade surgery along with electrocautery under general anaesthesia yielding good results without any recurrence after a 12-month follow-up. The results revealed that the oral manifestations of GF depend on its severity and the age of onset. Timely intervention can help to prevent associated complications in a growing child.

Products for Prevention during Orthodontics

1994 ◽  
Vol 21 (4) ◽  
pp. 395-398 ◽  
Author(s):  
Barbara L. Chadwick
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Good Practice ◽  
Gingival Inflammation ◽  
Iatrogenic Damage ◽  
Fixed Appliances ◽  
Topical Fluorides ◽  
Adhesive Materials

The potential for iatrogenic damage following fixed orthodontic treatment has been well documented for many years. Enamel decalcification and gingival inflammation are preventable if good practice is followed. Patients with gingivitis or active caries should not be considered for fixed orthodontics until the disease is controlled. Diet advice, oral hygiene, and topical fluorides are the basic elements of any preventive regime, and while they need to be individually tailored for each patient, fluoride mouthrinses should be routinely used by all patients with fixed appliances. The susceptibility of enamel adjacent to an orthodontic attachment remains a problem which future improvements in adhesive materials may help to address.

scholarly journals Quality assessment of orthodontic care for adolescents by developing individual dento-somatic profiles

2016 ◽  
Vol 97 (4) ◽  
pp. 524-528
Author(s):  
Yu A Kalinichenko ◽  
D E Lugansky ◽  
A A Sirotchenko
Keyword(s):  
Quality Assessment ◽  
Orthodontic Treatment ◽  
Negative Impact ◽  
Oral Care ◽  
Sharp Decrease ◽  
Local Immunity ◽  
Financial Difficulties ◽  
Fixed Appliances ◽  
Almost All ◽  
Physician Patient

Aim. To study the effectiveness of the use of individual dento-somatic profiles at the stages of orthodontic treatment to improve the quality assessment of orthodontic intervention and compliance achievement between doctor and patient/parents.Methods. The study involved 196 adolescents with dentoalveolar anomalies needing treatment with fixed appliances. The first group (main group) consisted of 108 patients aged 12-15 years with dentoalveolar anomalies amid the pathology of the upper gastrointestinal tract. The second group (comparison group) consisted of 86 adolescents with dentoalveolar anomalies without somatic pathology. Dento-somatic profiles with determining the factors influencing the effectiveness of orthodontic treatment were developed. Modeling of individual dento-somatic profiles was performed by means of integral coefficients.Results. In the first group, individual dento-somatic profiles were visually demonstrated to the patients, where a sharp decrease in the level of hygiene was clearly presented. A professional cleaning, the constant use of individual oral care preparations, the use of medications to improve the local immunity in the oral cavity were recommended to them. After 3, 6 and 12 months, the level of hygiene in almost all of the first group adolescents (82.6%) improved to satisfactory values, statistically significantly increased «physician-parents» and «physician-patient» compliance. Indicators of the second group patients were by 2-2.3 times worse. With irregular medical follow-up pathological symptoms fixation, lack of understanding between parents, doctor and patient were revealed. Incompleteness of orthodontic treatment was equally dependent on both the financial difficulties and a lack of understanding of the problem importance on the part of parents and adolescents.Conclusion. Using individual dento-somatic profiles proved to be effective in improving quality assessment of orthodontic intervention and compliance achievement between physician and patient/parents; misunderstanding of features of treatment with fixed appliances by parents and patients, orthodontist inability to provide quality medical management has a negative impact on the effectiveness and significantly increases the duration of orthodontic treatment.

scholarly journals Amelogenesis Imperfecta and Generalized Gingival Overgrowth Resembling Hereditary Gingival Fibromatosis in Siblings: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Emre Yaprak ◽  
Meryem Gülce Subaşı ◽  
Mustafa Avunduk ◽  
Filiz Aykent
Keyword(s):  
Clinical Findings ◽  
Amelogenesis Imperfecta ◽  
Flap Surgery ◽  
Older Patient ◽  
Developmental Abnormalities ◽  
Gingival Enlargement ◽  
Hereditary Disorders ◽  
Gingival Fibromatosis

Amelogenesis imperfecta (AI) is a group of hereditary disorders primarily characterized by developmental abnormalities in the quantity and/or quality of enamel. There are some reports suggesting an association between AI and generalized gingival enlargement. This paper describes the clinical findings and oral management of two siblings presenting both AI and hereditary gingival fibromatosis (HGF) like generalized gingival enlargements. The treatment of gingival enlargements by periodontal flap surgery was successful in the management of the physiologic gingival form for both patients in the 3-year follow-up period. Prosthetic treatment was also satisfactory for the older patient both aesthetically and functionally.

scholarly journals Seven-year follow-up of a patient with hereditary gingival fibromatosis treated with a multidisciplinary approach: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ning Li ◽  
Wenfang Wang ◽  
Yuanyuan Sun ◽  
Hongning Wang ◽  
Tiejun Wang
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Long Term Results ◽  
Orthodontic Appliances ◽  
Gingival Hyperplasia ◽  
Fixed Orthodontic Appliances ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis

Abstract Background Hereditary gingival fibromatosis (HGF) is rare in clinical practice, and the long-term results of the combined orthodontic-periodontal treatment of HGF are rarely reported. Case presentation This study reports for the first time the results of seven years of follow-up in a seven-year-old girl with HGF. The diagnosis was confirmed by clinical signs, family history and histopathological examination. First, periodontal scaling and oral hygiene reinforcement were performed regularly in the mixed dentition stage. Next, gingivoplasty was performed on the permanent dentition. Two months after the surgery, treatment with fixed orthodontic appliances was conducted. The teeth were polished on a monthly basis, and oral hygiene was reinforced to control gingival enlargement. Gingival hypertrophy recurred slightly, and gingivectomies were performed in the months following the start of orthodontic treatment. Follow-up was performed for 24 months with orthodontic retention, and gingival enlargement remained stable after the combined treatment. Conclusions The risk of gingival hyperplasia recurrence during and after orthodontic treatment is high, but satisfying long-term outcomes can be achieved with gingivectomy, malocclusion correction, and regular follow-up maintenance.

scholarly journals Diode laser versus scalpel in the treatment of hereditary gingival fibromatosis in a 6-year old boy

2016 ◽  
Vol 6 (4) ◽  
Author(s):  
Samia Aboujaoude ◽  
Antoine Cassia ◽  
Carla Moukarzel
Keyword(s):  
Diode Laser ◽  
Clinical Results ◽  
Surgical Removal ◽  
Laser Technique ◽  
Laser Resection ◽  
Time Consumption ◽  
Laser Equipment ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis ◽  
Almost All

Hereditary gingival fibromatosis (HGF) is a rare disease characterized by a benign enlargement of the gingiva involving both the mandible and the maxilla. This case is about a 6-year-old child with non syndromic HGF showing a severe gingival enlargement covering almost all surfaces of the teeth, in both arches, hence causing major aesthetic, phonetic and masticatory problems. The aim of the present article is to compare the outcomes of two therapeutical approaches: i) classical surgical removal with scalpel; and ii) diode laser resection. Compared to the surgical approach, the clinical results show that the main advantages of the diode laser technique are a better visibility during the intervention, minimal post-operative discomfort combined to a better gingival recontouring. However, the time consumption and the high cost of the laser equipment remain the main disadvantages of the systematic use of this technique.

Changes in the Complexity of Orthodontic Treatment for Patients Referred to a Teaching Hospital

1988 ◽  
Vol 15 (1) ◽  
pp. 27-32 ◽  
Author(s):  
C. D. Stephens ◽  
N. W. Harradine
Keyword(s):  
General Practitioner ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Further Training ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
Specialist Treatment ◽  
Fixed Appliances ◽  
Removable Appliance

The records of 200 orthodontic patients accepted for treatment by the Orthodontic Department of the Bristol Dental Hospital in 1977 were compared with 200 taken on in 1985 in order to determine whether there had been any change in the proportion of referred cases requiring more complex procedures. Within each sample, cases were categorized as follows: (a) suitable for removable appliance treatment by an undergraduate or general practitioner; (b) requiring simple one arch fixed appliance treatment such as might he attempted by a general practitioner after a period of further training; (c) needing specialist treatment such as full multibracketed fixed appliances or orthognathic surgery. It was found that there had been no change in the proportions of simple and complex cases referred during the 8-year period although the proportion of patients now receiving complex treatment had increased greatly. Possible explanations and implications are discussed.

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