title: Treatment of gingival fibromatosis associated with Zimmermann-Laband syndrome.
abstract: 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.
authors.affiliation: Department of Diagnostic and Surgery, Division of Periodontics, School of Dentistry in Araraquara, State University of São Paulo (UNESP) Araraquara, São Paulo, Brazil.
authors.forename: Marinella
authors.initials: M
authors.lastname: Holzhausen
authors.forename: Fernando Salimon
authors.initials: FS
authors.lastname: Ribeiro
authors.forename: Daniela
authors.initials: D
authors.lastname: Gonçalves
authors.forename: Fernanda Oliveira Bello
authors.initials: FO
authors.lastname: Corrêa
authors.forename: Luís Carlos
authors.initials: LC
authors.lastname: Spolidorio
authors.forename: Silvana Regina Perez
authors.initials: SR
authors.lastname: Orrico
mesh_terms: 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