Clinical Features and Management of Spongiotic Gingival Hyperplasia in Kuwait: A Case Series

Abdulhameed Alsarraf; Abdullatif Burahmah; Marwah Alshatti

doi:10.5327/2525-5711.536

Authors

Abdulhameed Alsarraf Oral Medicine Clinic, Jahra Dental Specialty Center, Ministry of Health, Kuwait https://orcid.org/0000-0003-0601-6452
Abdullatif Burahmah Oral Medicine Clinic, Jahra Dental Specialty Center, Ministry of Health, Kuwait https://orcid.org/0009-0002-1519-3119
Marwah Alshatti Dental Administration, Ministry of Health, Kuwait https://orcid.org/0009-0007-3634-8665

DOI:

https://doi.org/10.5327/2525-5711.536

Keywords:

Gingival Hyperplasia, Biopsy, Oral Medicine, Oral Pathology

Abstract

Objective: This study aims to present a series of cases of spongiotic gingival hyperplasia treated at the oral medicine and pathology service of Jahra Dental Specialty Centre, Kuwait Ministry of Health, with emphasis on its clinical features and management approaches.Methods: Patients diagnosed with SGH between January 2024 and June 2026 were retrospectively identified from clinical and histopathology records based on established clinical diagnostic criteria, with biopsy performed where consented.Results: Six patients (five females) aged 5–16 years (mean 12.2 years) were identified, with lesions predominantly involving the anterior maxillary gingiva—solitary in four cases and multifocal in two. Common symptoms included mild tenderness and bleeding on brushing. Five cases were managed with clinical monitoring alone, showing no progression over 12–24 months; one case underwent excisional biopsy confirming the diagnosis, with no recurrence at 11 months.Conclusions: SGH is a rare, benign gingival condition affecting the anterior gingiva in children and adolescents, refractory to conventional periodontal treatment. Histopathological diagnosis guides appropriate management, while clinical monitoring may be a reasonable alternative in stable cases.

References

1. Darling MR, Daley TD, Wilson A, Wysocki GP. Juvenile Spongiotic Gingivitis. J Periodontol. 2007.

2. Fernandes DT, Wright JM, Lopes SMP, Santos-Silva AR, Vargas PA, Lopes MA. Localized Juvenile Spongiotic Gingival Hyperplasia: Four Cases and Literature Review. Clin Adv Periodontics. 2018.

3. Theofilou VI, Pettas E, Georgaki M, Daskalopoulos A, Nikitakis NG. Localized juvenile spongiotic gingival hyperplasia: Microscopic variations and proposed change to nomenclature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021.

4. Innocentini LMAR, dos Santos TT, Reis MBL, et al. Juvenile Spongiotic Gingival Hyperplasia: Clinicopathological Features of Eight Cases and a Literature Review. Oral Health Prev Dent. 2020.

5. Gilligan G, Molina-Ávila I, Sosa P, et al. Clinical and aetiological factors in spongiotic gingival hyperplasia. Oral Surg Oral Med Oral Pathol Oral Radiol. 2025;140(4):436–445.

6. Decani S, Lodi G, Sardella A, Varoni EM. Localised juvenile spongiotic gingival hyperplasia: A case of spontaneous resolution and a literature review. Eur J Paediatr Dent. 2021.

7. Lafuente-Ibáñez de Mendoza I, Alberdi-Navarro J, Marichalar-Mendia X, Mosqueda-Taylor A, Aguirre-Urizar JM. Characterization of juvenile spongiotic gingival hyperplasia as an entity of odontogenic origin. J Periodontol. 2019.

8. Wang MZ, Jordan RC. Localized juvenile spongiotic gingival hyperplasia: A report of 27 cases. J Cutan Pathol. 2019.

9. Sidhu K, Wudrich K, de Castro Costa M, et al. A unique presentation of spongiotic hyperplasia at the mucogingival junction. J Oral Maxillofac Surg Med Pathol. 2025.

10. Leite AF, Figueiredo PTS, Vieira DL, et al. A Conservative Approach for Localized Spongiotic Gingivitis Hyperplasia Using Photodynamic Therapy: Case Report and Review of the Literature. Photobiomodul Photomed Laser Surg. 2019.

11. Moine L, Gilligan G. Trichloroacetic Acid for SGH: A case report with a novel treatment. Pediatric Dental Journal. 2018.

12. Argyris PP, Nelson AC, Papanakou S, et al. Localized juvenile spongiotic gingival hyperplasia featuring unusual p16INK4A labeling and negative HPV by PCR. J Oral Pathol Med. 2015.