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Article: Volume 47 Number 2 Page 162 - February 2020

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  Dental Update 475: 162-164

Oral medicine:  Localized Juvenile Spongiotic Gingival Hyperplasia: a Case Series

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Abstract: Localized juvenile spongiotic gingival hyperplasia is a relatively new histopathological diagnosis, presenting as a localized erythematous lesion of the anterior attached gingivae. Presenting in a peri-pubertal age, this condition is often misdiagnosed as ‘puberty gingivitis’. Here, two cases presenting to the Joint Paediatric-Oral Medicine clinic at the Eastman Dental Hospital are discussed.

Clinical relevance: Localized juvenile spongiotic gingival hyperplasia is a novel diagnosis, and one that is currently under-reported. Increased awareness of this condition is required for appropriate patient management.

Author notes: Thomas Saunsbury, BDS, MSc, MJDF RCSEng, Specialty Doctor in Oral Medicine and Facial Pain, Eastman Dental Hospital (email:, Tim Hodgson, FDS, FDS(OM) RCS, MRCP(UK) FGDP(UK), Medical Director, Specialist Hospitals Board, Consultant in Oral Medicine/Honorary Associate Professor and acting Divisional Clinical Director, Eastman Dental Hospital, 47–49 Huntley Street, London WC1E 6DG and Barbara Carey, MBBCh, BAO, BA, BDS, NUI FDS(OM), Consultant in Oral Medicine, Guy’s Dental Hospital, Great Maze Pond, London SE1 9RT, UK.

Objective: To recognize this novel gingival condition and understand how it is managed.