Oral cavity- Mirror to the body - A case report

Gingival enlargement is a bizarre condition causing aesthetic, functional, psychological and masticatory problems in oral cavity. Gingival enlargement has been associated with a variety of factors, including medications, inflammation and systemic disorders. Recent periodontal studies have suggested a mild to moderate association between periodontal disease and thyroid disorders due to altered gingival microcirculation compromising the first line of defence which may result in gingival hyperplasia. This case report is an unusual presentation of gingival fibromatosis in a 20 year old girl. The gingival hyperplasia and associated clinical features alerted us to the possibility of altered functioning of the thyroid gland. Subsequent investigations revealed subclinical hypothyroidism. This case report emphasizes, yet again the adage/saying that ‘the oral cavity is the mirror to the body!’