NEUROFIBROMA AND PLASMA CELL GINGIVITIS IN PATIENT WITH NEUROFIBROMATOSIS TYPE I

Abstract

The neurofibromatosis type 1 (NF1), or von Recklinghausen's disease, is an autosomal dominant genetic alteration in chromosome 17, intraoral manifestations are uncommon. Female patient J.G.C., 34 years old, leucoderma, presented to the dental service complaining of gingival growth in the anterior upper and lower. Clinical examination showed café-au-lait spots, pigmentation, and neurofibromas around the body, NF1's characteristic manifestations. The intraoral examination revealed biofilm and abundant calculus, region of the upper and lower incisors with gums tumescent and hyperemia, large insertion loss, and diagnosed with severe chronic periodontitis. Hygiene advice and basic periodontal treatment to reduce local inflammation was performed to prepare for surgical removal. Histopathologic examination was conclusive to plasma cell gingivitis at upper and neurofibroma injury to the lower. The preservation is being carried out and after 4 months has improved periodontal framework and without recurrence of proliferative lesions.