title: Facial distortion secondary to idiopathic gingival hyperplasia: surgical management and oral reconstruction with endosseous implants.
abstract: Little information exists regarding the surgical and oral reconstructive options for the patient with idiopathic gingival hyperplasia, especially with regard to endosseous implant placement and recurrence of the disease. The authors report a case of severe gingival enlargement and bone resorption involving the maxillary and mandibular arches in a 21-year-old female causing distortion of facial features. The etiology could not be established but the condition was exacerbated during pregnancy, causing chewing, speaking, and esthetic problems. The hyperplastic tissue and all the teeth were removed surgically, followed by immediate placement of 2 endosseous implants. Restoration of esthetics and function with a maxillary denture and mandibular overdenture were completed 3 months later. No disease recurrence was noted at the 6-month postoperative interval.
authors.affiliation: Department of Oral and Maxillofacial Surgery, The University of North Carolina Hospitals and School of Dentistry, Chapel Hill, NC 27599-7450, USA.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Tiwana
authors.forename: Ingeborg J
authors.initials: IJ
authors.lastname: De Kok
authors.forename: David S
authors.initials: DS
authors.lastname: Stoker
authors.forename: Lyndon F
authors.initials: LF
authors.lastname: Cooper
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000209:etiology*; D003758:Dental Implantation, Endosseous; D019094:Dental Prosthesis, Implant-Supported; D003827:Denture, Complete, Upper; D005145:Face; D005260:Female; D005885:Gingival Hyperplasia / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D005890:Gingivectomy; D006801:Humans; D008334:Mandible / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D014086:Tooth Mobility / Q000209:etiology