JIDAM
"An Official Journal of IDA - Madras Branch" ©2019.
Available online

Rares Clinical Entity - Idiopathic Orofacial Granulomatosis

Dr. Jaishree Tukaram Kshirsagar, Dr. Sangeetha.S

Abstract:

Orofacial granulomatosis (OFG), a noncaseating granulomatous inflammation is a rare disorder affecting the orofacial region which is clinically characterized by diffuse, nontender, soft to firm enlargement involving lip, tongue, gingiva, buccal mucosa, floor of the mouth and other intra-oral sites. The term Idiopathic Orofacial granulomatosis refers to conditions restricted to the oral region without any identifiable systemic granulomatous diseases. Though certain food and food additives, dental materials and various microbiological agents may be possible etiological agents, the definite cause has yet to be identified. The exact antigen inducing the immunological reaction differs in individuals. Evidence for the role of genetic predisposition to the disease is sporadic. Delayed type of hypersensitivity reaction appears to play a significant role. Early diagnosis and management prevent the systemic complications. Multidisciplinary approaches are evolved to achieve periodontal esthetics. This case report entails the overview of enlargement of lip and gingiva in a 28year old female of 2 years duration without any identifiable etiology and was treated by gingivectomy.

KEY WORDS: Orofacial granulomatosis [OFG], Gingival enlargement, Corticosteroid therapy













JIDAM/Volume:7/Issue:4/Pages 152 - 156/Oct-Dec 2020