- 期刊
Clinical Management of Gingival Overgrowth in Children: A Case Report
兒童牙齦增生之臨床處置：病例報告
摘要
Gingival overgrowth in children can be due to hereditary factors, appearing as isolated forms (hereditary gingival fibromatosis - HGF) or as part of a syndrome or chromosomal abnormality. It can also occur as a side effect of specific drug consumption (drug-induced gingival overgrowth - DIGO); or it can be caused by hormonal alterations as occurs in puberty (pubertal gingivitis). Also, gingival enlargement is an important manifestation of malignancies like leukemia and lymphoma. In many cases, however, the etiology of gingival overgrowth remains unknown, determining an idiopathic fibrous hyperplasia (IGF). A comprehensive medical and family history taking, along with a clinical examination are necessary. Early diagnosis of the disease and treatment are very important in order to reduce discomfort when mastication and to prevent gingival inflammation due to difficulty in maintaining oral hygiene. This clinical report presents the clinical management of a 10-year-old girl with gingival overgrowth of the right maxillary and mandibular posterior regions. The discussion focuses on diagnostic pathway, clinical management and treatment that should be employed in patient affected by gingival overgrowth.
並列摘要
在兒童或青少年身上發現的牙齦過度生長常見的原因有幾種，包含：遺傳疾病因素導致的牙齦腫大、藥物引起的牙齦過度增生、發炎或是因荷爾蒙變化引起的牙齦腫大，有些惡性腫瘤如白血病、淋巴瘤也有牙齦腫大的臨床特徵，此外仍有許多是病因仍然不明的特發性牙齦過度生長。全面且縝密的家族病史詢問、臨床檢查是必要的，透過早期診斷和治療，對於美觀的改善、緩解疾病所引起的咀嚼疼痛以及牙齦過度生長所導致的口腔清潔困難是有幫助的。本篇病例報告是一名十歲的女孩，因為多顆乳牙提早脫落而恆牙尚未萌發，且右上及右下後牙區牙齦過度生長，造成咀嚼時有疼痛不適的情形，因此至台灣大學附設醫院兒童牙科就診。討論的部分主要是針對牙齦過度增生之可能原因、臨床症狀和其處置方式。