Idiopathic gingival fibromatosis with unilateral aggressive periodontitis: A case report

BACKGROUND AND AIM: Until now there are a few case reports in which idiopathic gingival enlargement and aggressive periodontitis are diagnosed in combination but in none of them unilateral aggressive periodontitis was seen. CASE REPORT: A 25-year-old female was referred with the chief complaint of swelling of the gingiva in the regions of right upper and lower jaws, for the past 7 years. No relevant medical or family history was recorded. There was not any local or environmental factor. On physical examination, generalized diffused enlargement of gingiva was observed. Radiographs showed unilateral advanced destruction of supporting bone in right upper and lower sextants. The histological analysis of excisional biopsy revealed hyper parakeratinized epithelium. Enormous distribution of inflammatory cells was seen in subepithelial tissue. RESULTS: The combination of gingival fibromatosis (GF) and unilateral aggressive periodontitis in this rare case can be a kind of syndromic form that is uncommon in GF. There is little information in this area.