Idiopathic Horizontal Gingival Hyperplasia in Severely Disabled Persons
Some patients with severe motor and intellectual disabilities also have horizontal gingival enlargement without drug-influenced gingival hyperplasia and genetic predisposition to hereditary gingival fibromatosis. Patients who were hospitalized in a facility for the severely disabled were examined, a...
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Published in | Journal of the Japanese Society for Disability and Oral Health Vol. 42; no. 1; pp. 84 - 90 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
The Japanese Society for Disability and Oral Health
28.02.2021
一般社団法人 日本障害者歯科学会 |
Subjects | |
Online Access | Get full text |
ISSN | 0913-1663 2188-9708 |
DOI | 10.14958/jjsdh.42.84 |
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Summary: | Some patients with severe motor and intellectual disabilities also have horizontal gingival enlargement without drug-influenced gingival hyperplasia and genetic predisposition to hereditary gingival fibromatosis. Patients who were hospitalized in a facility for the severely disabled were examined, and the proportion and clinical characteristics of those patients with horizontal gingival overgrowth of 3.5mm or more were studied.There were 73 hospitalized subjects with severe motor and intellectual disabilities. Age, sex, disease, ADL, medications, and oral intake/tube feeding were investigated from hospitalization records. Pocket depth, malocclusion, and oral hygiene status were evaluated using a mirror and LED light in the oral examination. Those not taking a drug that caused gingival overgrowth, having no genetic predisposition, and having horizontally enlarged gingiva of over 3.5mm were diagnosed as non-drug/non-hereditary gingival hyperplasia. These patients were examined for experience of taking phenytoin, a calcium channel blocker, and cyclosporine based on hospital records and interviews with parents.The proportion of non-drug/non-hereditary gingival hyperplasia was 5.5% in persons with severe motor and intellectual disabilities and 22.2% in tube-fed individuals alone. Those who had non-drug/non-hereditary gingival overgrowth had a lower average age than those who did not, and there was a significantly higher proportion of tube feeding and open bite. The morphological characteristics of non-drug/non-hereditary gingival hyperplasia are horizontal hypertrophy inward of the upper anterior and upper and lower molars. This characteristic was different from the morphology of drug-induced gingival overgrowth and hereditary gingival fibromatosis. Four cases with idiopathic horizontal gingival hyperplasia had no history of oral intake. |
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ISSN: | 0913-1663 2188-9708 |
DOI: | 10.14958/jjsdh.42.84 |