A Rare Association of Idiopathic Gingival Enlargement with Plasma Cell Gingivitis and Generalized Chronic Periodontitis

Gingival fibromatosis is a clinical condition that is characterized by gingival overgrowth. It is often caused due to medication, hereditary reasons and other local factors. When the etiology is unknown, they are referred as Idiopathic gingival enlargement (IGE). IGE is a rare and is often occurs as a manifestation of an underlying syndrome or as a separate entity. They clinically appear as gingival overgrowth with firm consistency with both deciduous and permanent dentition equally affected and worsens during adolescence. IGE is a slowly growing benign growth affecting all anatomic parts of the gingiva leading to esthetic and functional problems with difficulty in speech, mastication and deglutition. This leads to plaque accumulation which complicates the previous gingival enlargements. There are many cases reporting the idiopathic gingival enlargement in the literature, but here we report a rare case of non-syndromic association of IGE, chronic periodontitis and plasma cell gingivitis in an older patient.