Juvenile spongiotic gingival hyperplasia: clinicopathological features of eight cases and a literature review

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dc.creatorLara Maria Alencar Ramos Innocentini
dc.creatorFernando de Moraes Grisi
dc.creatorJorge Esquiche León
dc.creatorAna Carolina Fragoso Motta
dc.creatorThais Tedeschi Santos
dc.creatorMarília Bianchini Lemos Reis
dc.creatorCarolina de Moraes Rego Mandetta
dc.creatorRafael Moraes Chaves Santos
dc.creatorRicardo Alves de Mesquita
dc.creatorTarcília Aparecida da Silva
dc.creatorSoraya de Mattos Camargo Grossmann
dc.creatorCelso Augusto Lemos
dc.date.accessioned2025-04-14T19:47:45Z
dc.date.accessioned2025-09-08T23:40:16Z
dc.date.available2025-04-14T19:47:45Z
dc.date.issued2020
dc.identifier.doihttps://doi.org/10.3290/j.ohpd.a45435
dc.identifier.issn1757-9996
dc.identifier.urihttps://hdl.handle.net/1843/81566
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofOral health and preventive dentistry
dc.rightsAcesso Aberto
dc.subjectGingival diseases
dc.subjectHyperplasia
dc.subjectEpithelial attachment
dc.subjectMargins of excision
dc.subjectDiagnosis
dc.subjectBiopsy
dc.subject.otherGingival diseases
dc.subject.otherHyperplasia
dc.subject.otherInflammatory gingival hyperplasia
dc.subject.otherJunctional epithelium
dc.subject.otherSpongiotic Gingival hyperplasia
dc.titleJuvenile spongiotic gingival hyperplasia: clinicopathological features of eight cases and a literature review
dc.typeArtigo de periódico
local.citation.epage958
local.citation.issue1
local.citation.spage953
local.citation.volume18
local.description.resumoBackground: Juvenile spongiotic gingival hyperplasia (JSGH) is a benign proliferation of non-keratinised stratified squamous epithelium with evident spongiosis, exocytosis leukocytes and dilated vessels with varying numbers of inflammatory cells. Although uncertain, it has been suggested that the epithelial proliferation is probably related to trauma and local irritants. It emerges as a painless erythematous patch or papule with an irregular surface. Case reports: We present a series of eight cases and a literature review of the clinical presentation and treatment approaches for JSGH. This series includes four females and four males with a mean age of 11.6 years, all complaining of injury to the gums. All lesions were painless and not bleeding. One patient associated the lesion with the onset of trauma and another with a previous history of an eruption cyst. Periapical radiographs of the adjacent area did not show any alteration of bone or teeth. Based on these findings, the diagnostic hypotheses were a non-neoplastic proliferative process or a factitious injury. Incisional biopsy was performed and histopathologic diagnosis was conclusive for JSGH. Surgical excision was conducted in three cases, and the other five cases were supported by clinical observation and plaque control in order to prevent gingival recession defects. After a follow-up period of 11 months (mean), no recurrence was observed for surgically treated cases and mild improvement was achieved with periodontal treatment. Conclusion: This case series illustrates the importance of diagnosis and follow-up of patients with JSGH. A conservative approach consisting of basic periodontal support instead of surgical excision may be indicated because of the risk of aesthetic defects at the involved areas.
local.identifier.orcidhttps://orcid.org/0000-0002-9899-5178
local.identifier.orcidhttps://orcid.org/0000-0002-0391-2393
local.identifier.orcidhttps://orcid.org/0000-0003-2187-9504
local.identifier.orcidhttps://orcid.org/0000-0001-5712-0968
local.identifier.orcidhttps://orcid.org/0000-0003-3207-4007
local.identifier.orcidhttps://orcid.org/0000-0001-9623-7835
local.identifier.orcidhttps://orcid.org/0000-0002-8920-3853
local.identifier.orcidhttps://orcid.org/0000-0002-3372-6719
local.identifier.orcidhttps://orcid.org/0000-0002-9668-5870
local.identifier.orcidhttps://orcid.org/0000-0002-3887-9239
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE CLÍNICA
local.publisher.initialsUFMG
local.url.externahttps://www.quintessence-publishing.com/deu/en/article-download/842374/oral-health-and-preventive-dentistry/2020/volume-18/juvenile-spongiotic-gingival-hyperplasia-clinicopathological-features-of-eight-cases-and-a-literature-review

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