遺傳性牙齦纖維瘤－病例報告

Hereditary Gingival Fibromatosis - A Case Report

黃奕維(Yi-Wei Huang) ； 林宜欣(I-Hsin Lin) ； 莊才逸(Tsai-Yi Chuang) ； 黃慧瑜(Huei-Yu Huang)

《臺灣兒童牙醫學雜誌》 18卷4期 (2018/12) Pp. 142-149

https://doi.org/10.6319/TJPD.201812_18(4).0003

摘要

遺傳性牙齦纖維瘤（Hereditary gingival fibromatosis, HGF）是一種良性的罕見遺傳疾病，可能是單發性（isolated）的也有可能合併其它特殊的症候群一同出現（syndromic）。通常在恆牙開始萌發時會出現角化牙齦的過度生長，進而出現笑齦、發音及咀嚼困難或牙菌斑堆積、口腔清潔不易等問題，此外亦可能造成乳牙延遲脫落、恆牙萌發障礙，咬合不正等。對於兒童或青少年來說很容易造成社交上的障礙。本病例為一位九歲患有遺傳性牙齦纖維瘤的女孩，患者母親年輕時也曾深受此疾病之苦，因此對於患者潛在的美觀及社交問題非常在意，患者目前仍屬於高復發的年齡，因此治療以暫時改善美觀為主，經牙齦切除術（gingivectomy）切除上下顎前牙區過度生長的牙齦後，患者目前狀況穩定未明顯復發，建議術後定期追蹤檢查並評估是否需後續牙周或矯正治療。

關鍵字

遺傳性牙齦纖維瘤 ； 牙齦過度生長 ； 牙齦切除術

並列摘要

Hereditary gingival fibromatosis (HGF) is a benign and rare hereditary disorder. It may occur in isolation or in combination with other syndromes. Keratinized gingiva overgrowth usually appears at the active eruption stage of permanent dentition, hence causing major esthetic problem like gummy smile and difficulties in mastication, phonation and performing oral care. Deciduous teeth over-retained may also arise, causing permanent teeth eruption disorder or malocclusion. It may result in negative impacts on social behavior development of children and adolescents. This case report presents a nine-year-old girl who used to suffer from HGF. The patient's mother, who once also suffered from this disease, is worried about potential esthetic or social problem with her daughter. The patient is at a stage where recurrence rate of this disease is high. Therefore, the treatment goal is to improve the appearance temporarily. After removing the overgrown tissues by gingivectomy over upper and lower anterior area, the patient's condition is stable and no obvious recurrence has been observed. Regular recalls for further periodontal surgery or orthodontic treatment evaluation are recommended.

並列關鍵字

Hereditary Gingival Fibromatosis ； Gingival Overgrowth ； Gingivectomy