Treatment of gingival fibromatosis associated with Zimmermann-Laband syndrome.
BACKGROUND
Gingival fibromatosis is a rare condition characterized by a generalized enlargement of the buccal and lingual aspects of the attached and marginal gingiva.


METHODS
This case report describes the periodontal management of a 13-year-old female patient with gingival fibromatosis associated with Zimmermann-Laband syndrome. The patient presented with gingival enlargement involving the maxillary and the mandibular arches, anterior open bite, and non-erupted teeth. Periodontal treatment included gingivectomy in all four quadrants.


RESULTS
Histopathologic evaluation of the excised tissue supported the diagnosis of gingival fibromatosis. A significant improvement in esthetic appearance and eruption of the non-erupted teeth were obtained. The patient was referred for appropriate orthodontic treatment and has been closely followed for the earliest signs of recurrence of gingival enlargement.


CONCLUSIONS
The successful therapy for gingival fibromatosis depends on correctly identifying the etiological factors and improving the impaired function and esthetic appearance through surgical intervention and adjunctive orthodontics. Maintaining treatment results depends on preservation of periodontal health.
Holzhausen
Marinella
M
Department of Diagnostic and Surgery, Division of Periodontics, School of Dentistry in Araraquara, State University of São Paulo (UNESP) Araraquara, São Paulo, Brazil.
Ribeiro
Fernando Salimon
FS
Gonçalves
Daniela
D
Corrêa
Fernanda Oliveira Bello
FO
Spolidorio
Luís Carlos
LC
Orrico
Silvana Regina Perez
SR
D000015:Abnormalities, Multiple; D000293:Adolescent; D005260:Female; D005351:Fibromatosis, Gingival / Q000209:etiology / Q000601:surgery*; D005881:Gingiva / Q000473:pathology; D005890:Gingivectomy; D006801:Humans; D013577:Syndrome; D014097:Tooth, Unerupted / Q000601:surgery