CLINICAL EFFECTIVENESS OF TREATMENT OF GINGIVAL FIBROMATOSIS. CLINICAL CASE REPORT

L. Tatintsyan, L. Yessayan, Tarasenok Tarasenok, Roman Alaverdyan, Karmen Sahakyan, Gayane Hakobyan, Valery Tatintsyan
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Abstract

Gingival fibromatosis is the uncontrolled growth of fibrous tissue in the gum and periodontal area. It can be hereditary or acquired, and is progressive in nature. Gingival fibromatosis can partially or completely cover the teeth, causing significant aesthetic, phonetic and chewing disorders requiring surgical correction. The main symptoms of the pathology: partial or complete overgrowth of crowns in the area of fibromatosis; smooth rounded edge of growths; increased density of hypertrophied tissues; an even pink tint of the gums and no bleeding. The intensity of symptoms determines the stage of the disease. The difference is that if in a focal form only a single lesion is formed, then in a generalized form several pathological areas merge with each other. Without treatment, tissue proliferation will inevitably lead to the development of concomitant pathologies with the formation of periodontal pockets, bone atrophy, loss of healthy teeth and impaired chewing function. In this case report we discuss the case of a 33-year-old woman who presented with gingival overgrowth (gingival fibromatosis). The diagnosis was based on clinical, radiological and pathohistological studies. For this case, an external gingivotomy was performed under local anesthesia on the mandible. Healing took place under a special self-adhesive membrane (Diplen Denta S (with solcoseryl), the patient was satisfied. The patient was warned about a possible relapse and also instructed on hygiene measures.
治疗牙龈纤维瘤病的临床效果。临床病例报告
牙龈纤维瘤病是牙龈和牙周区域纤维组织不受控制的生长。这种病可能是遗传性的,也可能是后天获得的,而且是渐进性的。牙龈纤维瘤病会部分或完全覆盖牙齿,造成严重的美观、语音和咀嚼障碍,需要进行手术矫正。病理的主要症状:纤维瘤病区域的牙冠部分或全部过度增生;增生边缘光滑圆润;增生组织密度增加;牙龈呈均匀的粉红色,无出血。症状的严重程度决定了疾病的阶段。所不同的是,如果在局灶性病变中只形成一个病灶,那么在全身性病变中,几个病变区域就会相互融合。如果不进行治疗,组织增生将不可避免地导致牙周袋形成、牙槽骨萎缩、健康牙齿脱落和咀嚼功能受损等并发症。在本病例报告中,我们讨论了一名 33 岁女性的病例,她出现了牙龈增生(牙龈纤维瘤病)。诊断基于临床、放射学和病理组织学研究。在对该病例进行局部麻醉的情况下,对下颌骨进行了外龈切除术。在一种特殊的自粘膜(Diplen Denta S(含solcoseryl))下愈合,患者对此表示满意。医生警告患者可能会复发,并指导他们采取卫生措施。
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