Idiopathic Gingival Fibromatosis Associated with Generalized Aggressive Periodontitis Combined with Plasma Cell Gingivitis: a Rare Case Report

Gingival hyperplasia is a rare condition but it is important for cosmetic and mechanic reasons and because of its potential as an indicator of systemic disease. Gingival fibromatosis may exist as an isolated abnormality or as part of a syndrome. Aggressive periodontitis, another genetically transmitted disorder of the periodontium, typically results in severe, rapid destruction of the toothsupporting apparatus. The increased susceptibility of the host population with aggressive periodontitis may be caused by the combined effects of multiple genes and their interaction with various environmental factors. Plasma cell gingivitis (PCG) is reportedly an uncommon oral condition with distinctive clinical and microscopical features. The condition is characterized by diffuse gingival enlargement, erythema and sometimes by desquamation. We present a rare case of a nonsyndromic idiopathic gingival enlargement associated with generalized aggressive periodontitis. The patient's clinical features, treatment received, the histopathologic presentation and proper management of the condition are discussed.