Idiopathic Gingival Fibromatosis- Unravelling the Mystery of an Uncommon Condition: A Case Report


Authors : Dr. Aastha Gajavalli; Dr. Suchetha A.; Dr. Sapna N.; Dr. Apoorva S. M.; Dr. Darshan B. M.; Dr. Anusha D.; Dr. Vaishnavi K.; Dr. Aishwarya V. S.

Volume/Issue : Volume 10 - 2025, Issue 11 - November


Google Scholar : https://tinyurl.com/3j27erzf

Scribd : https://tinyurl.com/2tmhumc6

DOI : https://doi.org/10.38124/ijisrt/25nov1406

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Abstract : Background/Aims: Idiopathic gingival fibromatosis is an uncommon condition marked by different levels of fibrous enlargement of the attached gingiva, with no identifiable cause. It may appear as an individual condition or as part of a broader syndrome. This report describes about a 19-year-old female who exhibited extensive gingival enlargement affecting both the maxillary and mandibular arches, with the gingiva almost completely covering the teeth. The clinical differential diagnosis considered drug-induced gingival enlargement and hereditary gingival fibromatosis.  Treatment: The excessive gingival tissue was excised using conventional gingivectomy using scalpel. Since the enlargement was widespread and involved all quadrants bilaterally, the procedure was performed under local anaesthesia. Healing progressed smoothly, and the patient showed marked improvement in facial and oral appearance.  Conclusion: Idiopathic gingival fibromatosis is a uncommon disorder characterized by progressive fibrous enlargement of the gum tissues. Surgical removal of the overgrown tissue remains the primary treatment option, though recurrence is frequently observed.

References :

  1. Bittencourt LP, Campos V, Moliterno LF, Ribeiro DP, Sampaio RK. Hereditary gingival fibromatosis: Review of the literature and a case report. Quintessence Int 2000; 31:415-8.
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  3. Coletta RD, Graner E. Hereditary gingival fibromatosis: a systematic review. J Periodontol 2006; 77(5):753–64.
  4. DeAngelo S, Murphy J, Claman L, Kalmar J, Leblebicioglu B. Hereditary gingival fibromatosis — a review. Compend Contin Educ Dent 2007; 28(3):138–43, quiz 144, 152.
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Background/Aims: Idiopathic gingival fibromatosis is an uncommon condition marked by different levels of fibrous enlargement of the attached gingiva, with no identifiable cause. It may appear as an individual condition or as part of a broader syndrome. This report describes about a 19-year-old female who exhibited extensive gingival enlargement affecting both the maxillary and mandibular arches, with the gingiva almost completely covering the teeth. The clinical differential diagnosis considered drug-induced gingival enlargement and hereditary gingival fibromatosis.  Treatment: The excessive gingival tissue was excised using conventional gingivectomy using scalpel. Since the enlargement was widespread and involved all quadrants bilaterally, the procedure was performed under local anaesthesia. Healing progressed smoothly, and the patient showed marked improvement in facial and oral appearance.  Conclusion: Idiopathic gingival fibromatosis is a uncommon disorder characterized by progressive fibrous enlargement of the gum tissues. Surgical removal of the overgrown tissue remains the primary treatment option, though recurrence is frequently observed.

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Paper Submission Last Date
31 - December - 2025

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