Surgical management of large fibro-epithelial hyperplasia: A case report

Yayan Andrian, Iwan Tofani, Etty Soenartini

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Introduction: Fibro-epithelial hyperplasia is a localized or generalized proliferative fibrous lesion of oral mucosa resulting from local irritation and response to injury. This pathological lesion can impair the gingival functions of mastication and their aesthetic appearance. This case study is a diagnostic and management report of a patient with 10-year-long slowly progressive gingival enlargement with several systemic complications. This patient has been managed by excisional surgery. Case report: A 69-year-old female patient came to the oral and maxillofacial clinical department in Persahabatan Hospital with a chief complaint of gum enlargement starting 10 years ago, accompanied by systemic complications. Panoramic radiographic showed no bone destruction. The fibrous inflammatory gingival tissue was surgically excised under general anesthesia. Post-surgery, the enlarged gingival tissue was significantly reduced and no post-operative complications were noted. Conclusion: Cognizant and careful treatments are needed in patients with large fibro-epithelial hyperplasia accompanied by systemic complications.

Original languageEnglish
Title of host publicationClinical Reports in Dentistry
PublisherNova Science Publishers, Inc.
Number of pages7
ISBN (Electronic)9781536173291
ISBN (Print)9781536173284
Publication statusPublished - 3 Apr 2020


  • Fibro-epithelial hyperplasia
  • Gingiva
  • Local irritation
  • Surgical management


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