Gingival Hyperplasia with Bone Resorption as a Chronic Trauma associated with an Occlusal Defect

Abstract

Aim: To report a clinical presentation, diagnosis and treatment of a particular case of traumatic fibroma associated an occlusal defect. Background: Fibroma is benign neoplasm, whose causative agent is represented by a chronic or a traumatic stimulus. Case report: A 52-year-old healthy woman, came to our observation with a condition of an increased volume of the gingival tissue in the region between the back of the upper central incisors and the palatine wrinkles. In the middle of the exophytic lesion, could be noted invaginations that corresponded to the incisal edges of the lower incisors. An orthopantomoghraph and Dental Scan was performed that showed a reduction of the bone tissue and the thinning of the corresponding gingival cortex, to the area of incisal traumatism. The hystological examination confirmed the presence of an inflammatory hyperplasia, with traumatic etiology. Conclusion: The patient was advised to the use of a soft resin bite to reduce occlusal trauma and was sent to a gnathologist for an appropriate treatment plan.