Unexplained Gingival Hyperplasia in a Girl with Symptomatic Generalized Epilepsy Resulting in Tooth Impaction of Primary Teeth―Report 1

Abstract

Gingival hyperplasia is frequently encountered in the clinical practice of special needs dentistry. Gingival hyperplasia is classified into drug-induced gingival hyperplasia and hereditary gingival fibromatosis；furthermore, idiopathic horizontal gingival hyperplasia and idiopathic gingival fibromatosis have been reported. We report a case of gingivectomy performed on a girl with tooth impaction of the maxillary primary incisors due to gingival hyperplasia of undetermined cause. On initial intraoral examination, only the mandibular deciduous incisors and first molars had erupted, while the maxillary teeth had not erupted. No family members had the same symptoms. Gingivectomy was performed several times under local anesthesia, and aesthetic improvement was observed.