Elephantiasis Gingiva in 13 Year Old Boy- A Case Report

Hereditary Gingival Fibromatosis (HGF) is the most common genetic form of gingival fibromatosis. HGF is characterized by a slowly progressive, non-hemorrhagic, fibrous enlargement of maxillary and mandibular keratinized gingiva. The enlarged gingiva is normal in color, firm in consistency, and histologically benign, the main feature being accretion of mature collagenous connective tissues. The overlying epithelium is typically normal, with occasional areas of hyperplasia, and with rete pegs extending deep into underlying connective tissues. Gingival enlargement may be generalized or localized, either unilateral or bilateral. A 13-year-old boy reported to the with massive gingival overgrowth. On clinical examination, a generalized gingival overgrowth covering almost entire clinical crowns of the teeth was found. Radiographic examination revealed evidence of anterior teeth bone loss. A provisional diagnosis of hereditary gingival fibromatosis was done after history, clinical & radiographical examination. Full mouth gingivectomy was carried out and tissue was sent for histopathological examination and final diagnosis was made. Patient was followed up for a period of 2 year and no recurrence was detected. Case report (J Int Dent Med Res 2011; 4: (1), pp. 30-34)