- 期刊
遺傳性牙齦纖維瘤病與牙科治療：一對兄妹的病例報告
Hereditary Gingival Fibromatosis and Dental Treatment: Report of Two Cases in Siblings
摘要
遺傳性牙齦纖維瘤病是一種無痛的全口或是局部的牙齦增生現象，而且在同一家族成員的口腔中也有類似的臨床表現。本文為兩位分別為五歲及三歲的小兄妹患有遺傳性牙齦纖維瘤合併齲齒治療的病例報告。針對齲齒的狀況，兩位小朋友接受牙齒填補、齒髓治療與牙冠復形等治療。當過度增生的牙齦組織妨礙牙科治療的操作時，要進行牙齦切除術，以利牙齒進行治療，其他的牙科治療與一般孩童無異。由於牙齦纖維瘤病在幼童以及青少年之復發率高，並且可能在恆牙萌發時期牙齦增生的狀況加劇。因此，在此時期僅做局部牙齦切除而非全口牙齦切除術，後續的治療首重口腔的清潔及定期回診追蹤觀察。
並列摘要
Hereditary gingival fibromatosis could be recognized as generalize or localize gingival enlargement without pain in family members. This paper reports two cases of hereditary gingival fibromatosis occurred in siblings who presented full mouth gingival enlargement and dental caries lesions. The dental treatment procedures, such as operative restoration, pulp therapies were similar to those for healthy children. However, only local gingivectomies were performed to facilitate dental procedures at this stage instead of performing full mouth gingivectomy. The decision for complete gingival surgery will not be made until permanent dentition stage when the patient concerns more about esthetic and masticatory problems. However, reinforcing oral hygiene and periodic recall are important for this condition.