遺傳性牙齦纖維瘤病－病例報告

Hereditary Gingival Fibromatosis-Four Cases Report

葉盈慧(Ying-Huei Yeh) ； 黃銘傑(Ming-Jay Hwang) ； 黃志浩(Chih-Hao Huang)

《中華民國家庭牙醫學雜誌》 5卷3期 (2010/12) Pp. 45-52

https://doi.org/10.6566/JFD/2010.5(3).45

摘要

遺傳性牙齦纖維瘤病是一種罕見的牙齦增生的疾病。它通常是單獨發生但也可能是一些特殊的症候群中的一項表徵。牙齦過度增生可能會造成門牙間隙，咬合不正。程度嚴重的可能會覆蓋住整個牙冠，造成美觀及功能上的問題。本文報告四位因全口牙齦曾生導致影響美觀及社交的病患。前三位患者為同一家族的成員。第四位患者則是屬於另一個遺傳性牙齦纖維瘤病家族。
三位成年患者經過牙齦切除術治療，手術中發現除了牙齦增生外並伴隨骨瘤增生。病患經手術後外觀獲得改善。另一位12歲女性因正值生長發育期，所以採用保守性的洗牙治療及口腔衛生指導。

關鍵字

遺傳性牙齦纖維瘤病 ； 牙齦曾生 ； 牙齦切除術

並列摘要

Hereditary gingival fibromatosis (HGF) is a rare gingival lesion that presents as localized or generalized enlargement of the attached gingiva. It usually develops as an isolated disorder but can be one feature of several multi-system syndromes. Gingival hyperplasia may induce diastema, malocclusion and prolonged retention of primary teeth. Severe hyperplasia gingiva can cover the crown of the teeth, which cause appearance and functional impairment.
This presentation reports four severe gingival hyperplasia cases. Three cases are members of a family. The fourth case belongs to the other HGF family. Three adult cases received gingivectomy. Qsteoma formation was noted under the overgrowth gingiva during surgeries. After surgery, the esthetics of these patients improves. The treatment of another adolescent patient was scaling and oral hygiene instruction. Because the 12 year-old patient is during puberty, the surgical excision was deferred and we choose conservative treatment for the patient.

並列關鍵字

Hereditary gingival fibromatosis ； HGF ； gingivectomy ； gingival hyperplasia