Abstract

Surgical Management of a Severe Case of Gingival Fibromatosis

Munagala Karthik Krishna, Lumbini Pathivada, Gopinath Vivekanandan, Sunaina Shetty

Gingival fibromatosis (GF) is a fibrous overgrowth of gingiva that maybe idiopathic or may have an inheritance pattern wherein it is known as hereditary gingival fibromatosis (HGF). This case report describes a 16-year old female patient who presented generalized extensive gingival overgrowth, involving the maxillary and mandibular arches. Diagnosis of GF was substantiated by the patient’s clinical features and histopathological examination. Excision of the gingival tissue was done by gingivectomy with manual instrumentation and electrosurgery. The postoperative course was uneventful and the patient’s aesthetic concerns were addressed. Thus, in severe cases of GF, the use of multiple modalities of surgery is warranted to achieve favorable esthetic and functional results.