Juvenile spongiotic hyperplasia
Report of three cases with different clinical evolution
Keywords:
juvenile spongiotic gingival hyperplasia, gingivitis, gingival inflammationAbstract
Localized juvenile spongiotic gingival hyperplasia is a benign lesion that occurs mostly in young patients as gingival erythema, a growth with an edematous, hyperplastic appearance, delimited and circumscribed to the attached gingiva, which may include the marginal gingiva. It is not related to bacterial plaque. It can have a single or multiple gingival location, typically involving the buccal gingiva of anterior teeth, mainly the maxilla. It is usually an asymptomatic lesion. The etiology is unknown and the pathogenesis uncertain. The purpose of this publication is to present three patients with different clinical evolution. Exposing for the first time in the literature, the case of remission post-primal herpetic infection, as well as the evolution of a localized lesion to multifocal. Three patients with different clinical evolution are presented. The ages of the patients are 11, 7 and 9 years. One male and two female. The first patient underwent surgical excision of the lesion. The second patient presented spontaneous remission of the lesion, after a primary herpetic infection. The third case is a patient who initially presented a localized lesion that evolved to a multifocal form.
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