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Hereditary Gingival Fibromatosis and Dental Treatment Consideration-A Case Report

遺傳性牙齦纖維瘤病與牙科治療考量-病例報告

摘要


Hereditary gingival fibromatosis is characterized by varying degrees of attached gingival hyperplasia effecting family members. Patients' gingiva might present pink, firm, fibrous consistency with smooth to stippled surfaces. This condition results in both esthetic and functional problems, such as diastemas, malposition of teeth, prolonged retention of primary dentition, delayed eruption of permanent teeth, prominent lips, and open lip posture. Periodontal surgery for gingivoplasty might help to improve esthetic and masticatory function. However, the timing of intervention is usually delayed until permanent dentition stage because the recurrence rate is high during teeth eruption. This case report presents the dental managements and treatment considerations of a 10-year-old boy with hereditary gingival fibromatosis.

並列摘要


遺傳性牙齦纖維瘤病會造成受影響的家族成員發生不同程度的附連牙齦增生,病患的牙齦會呈現粉紅色、質地堅硬、光滑或成點狀表面,於口腔的表現可能會產生齒間隙、牙齒錯位、恆牙延遲萌發、嘴唇前突或無法閉合等情形。牙周手術能幫助改善美觀以及咀嚼功能,但牙齦增生於幼童及青少年期復發率極高,並且可能於牙齒萌發時情況加劇,所以治療時機通常會延後至恆牙齒列時期。本文為一個十歲患有遺傳性牙齦纖維瘤病男童的牙科治療以及考量的病例報告。

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