MANAGEMENT OF A RARE CASE OF IDIOPATHIC GINGIVAL FIBROMATOSIS WITH GENERALIZED AGGRESSIVE PERIODONTITIS

Gingival fibromatosis is a heterogeneous group of enlargement characterized by progressive increase in submucosal connective tissue elements. Many Cases are iatrogenic and some are inherited or idiopathic. Idiopathic gingival fibromatosis, is a benign slow growing proliferation of the gingival tissue, is genetically heterogeneous. This condition is usually part of a syndrome or rarely an isolated disorder. Aggressive Periodontitis, another genetically transmitted disorder of the periodontium, typically result in severe rapid destruction of the tooth supporting apparatus. Gingival overgrowth as a clinical characteristic of Idiopathic gingival fibromatosis causes many dental complications which worsens patient’s adaptation in daily emotional, social and functional requirements. Here we present a rare case of a nonsyndromic idiopathic gingival fibromatosis associated with generalized aggressive periodontitis in a 23 year old female. The diagnosis was made based on history, Clinical examination, radiographic findings and histopathology. Gingivectomy was carried out in all four quadrants under local anesthesia. No recurrence was observed during 2 years follow up and patient showed remarkable esthetic and functional improvement