Fibromatosis gingival hypertrichosis
Gingival fibromatosis presents as a generalized but often irregular enlargement of the facial and lingual aspects of the attached and marginal gingiva (Figure 4a). A portion of one quadrant may be involved, or all four quadrants of the gingival tissues may be involved. Enlargement is painless, slowly progressive and dependent to a great extent on the oral hygiene of the individual. While the hyperplastic tissues are usually firm to palpation, inflammation and edema may make some surface areas (facing the teeth) spongy, erythematous and easily bleeding. It is not unusual for the fibromatosis to completely cover the teeth.
