Atypical Findings in the Management of Idiopathic Gingival Enlargement

Idiopathic gingival enlargement is a rare non-hemorrhagic, slowly proliferative fibrous lesion of the gingival tissue in which no causative agent can be identified. These type of enlargement causes esthetic and functional problems. This case report highlights the diagnosis and treatment of the idiopathic gingival enlargement of a 14 years old female patient who presented with a generalized diffuse type of gingival enlargement in both the maxillary and mandibular arches which covers maximum portion of the crowns. Based on family history and clinical examination, diagnosis was made following which segment wise gingivectomy was carried out. Histopathologic evaluation was also done. Post operative enlargement was noticed on first week which gradually decreased to some extent in the third week post operatively.