Idiopathic gingival fibromatosis – case report

Idiopathic gingival enlargement is a type of gingival fibromatosis characterized by progressive overgrowth of the gingival tissues.This case report presented the clinical features of a typical idiopathic gingival enlargement which was treated with external bevel gingivactomy. The patient presented with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal/occlusal third of the tooth resulting in difficulty in speech and mastication since last three years. Gingivectomy was carried out to improve patient's quality of life. Since removal of hyperplastic gingival tissue eliminates difficulties in eating and speaking. Therefore, this surgical intervention improves access for plaque control, and leads to psychological benefits due to esthetic improvement. In this case, even after one year from following-up, no recurrence of gingival overgrowth was observed. Keyword: Gingival Overgrowth, Idiopathic Gingival Fibromatosis, Gingivactomy, Biopsy, Yemen