clobetasol and Gingival-Hyperplasia

Foreign body gingivitis (FBG) is a non-plaque induced chronic inflammatory process involving the marginal and/or attached gingiva. It results from the introduction of foreign particulate material, primarily dental prophylaxis paste and restorative dental materials, into the gingival tissues. Clinical presentation varies from an erythematous to vesiculoerosive-like process that may mimic a localized form of desquamative gingivitis or an erosive lichenoid process. Rarely, it may also present with a granular appearance. We describe the clinical presentation, differential diagnosis and clinical management of a 52-year-old Woman who presented with localized chronic inflammation of the maxillary anterior and left posterior gingiva secondary to the presence of foreign material.

Topics: Anti-Inflammatory Agents; Biopsy; Clobetasol; Diagnosis, Differential; Female; Foreign-Body Reaction; Gingival Diseases; Gingival Hyperplasia; Gingivitis; Glucocorticoids; Granuloma; Humans; Middle Aged

Orofacial granulomatosis (OFG) is a descriptive term used for granulomatous disorders of the face and oral cavity that may occur for a variety of reasons, some of which result in significant morbidity and mortality. Although rarely, a granular enlargements of the gingiva may be the first clinical manifestation of OFG, preceding other local or systemic manifestations.. We will report a case of OFG that showed an atypical and monosymptomatic onset with a generalized hyperplastic gingivitis that preceded other facial and mucosal features by several weeks.. Considering the variable clinical onset of OFG and its apparent increase in incidence, we emphasize that in some cases, the periodontologist, as first consulted health care professional, plays an important role to detect this disorder. Early diagnosis of OFG is a crucial step to prevent and cure its unsightly sequelae and sometimes avoid progression of systemic potentially life-threatening OFG-related diseases.. Thus, when none of the common causes of gingival enlargement can be detected, OFG diagnosis should be suspected.

Topics: Adult; Anti-Inflammatory Agents; Cheilitis; Clobetasol; Diagnosis, Differential; Disease Progression; Edema; Face; Female; Giant Cells; Gingival Hyperplasia; Glucocorticoids; Granuloma; Humans; Mouth Diseases; Triamcinolone