Improved pathologic teeth migration following gingivectomy in a case of idiopathic gingival fibromatosis.
A case is reported of a 20-year-old woman with generalized severe gingival overgrowth covering almost all of the teeth with diastemata, diagnosed as idiopathic gingival fibromatosis. After initial therapy, the patient underwent surgery consisting of a full-mouth internal beveled gingivectomy. Postoperatively, the maxillary anterior teeth spontaneously moved to almost optimal positions. Removing the cause by gingivectomy can lead to spontaneous correction of the pathologic tooth migration. With supportive periodontal treatment, the patient showed no recurrence of gingival enlargement or repositioning of the teeth at the 5-year follow-up.
Seki
Keisuke
K
Faculty General Practice Residency, Nihon University School of Dentistry, Tokyo, Japan.
Sato
Shuichi
S
Asano
Yukhiro
Y
Akutagawa
Hideyasu
H
Ito
Koichi
K
D003481:Cuspid / Q000473:pathology; D003724:Dental Arch / Q000473:pathology; D012534:Dental Scaling; D003970:Diastema / Q000209:etiology / Q000628:therapy; D005260:Female; D005351:Fibromatosis, Gingival / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D005890:Gingivectomy; D006801:Humans; D007180:Incisor / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D016745:Root Planing; D014085:Tooth Migration / Q000209:etiology / Q000628:therapy*; D055815:Young Adult