The aim of this study was to describe the clinical microscopic features of localized juvenile spongiotic gingival hyperplasia (LJSGH) using an operating microscope (OM), a non-invasive technique rarely applied to oral mucosal lesions. An 18-year-old female presented with asymptomatic gingival redness and bleeding affecting the buccal gingiva of previously orthodontically treated maxillary canines. Conventional clinical examination revealed gingival recession, erythema, and edema. OM evaluation enabled detailed visualization of gingival surface irregularities, superficial vascular spots, exudation, and friable tissue that bled upon touch and probing. An incisional biopsy was performed. Histopathological analysis showed acanthosis, spongiosis, exocytosis, congested capillaries at the epithelium-connective tissue interface, and a dense inflammatory infiltrate in the lamina propria, confirming the diagnosis of LJSGH. In conclusion, OM allowed the identification of vascularity, exudation, surface irregularity, and tissue friability, features not apparent in conventional clinical examination. These findings suggest that OM is a valuable adjunct for evaluating and documenting gingival lesions.
Abstract
Journal Article
Case Reports
eng
41832607
Medeiros, Yuri de Lima, et al. "Operating Microscope in the Analysis of Localized Juvenile Spongiotic Gingival Hyperplasia." Oral Diseases, vol. 31, no. 12, 2025, pp. 3417-3419.
Medeiros YL, Neto JBC, Alves FA. Operating Microscope in the Analysis of Localized Juvenile Spongiotic Gingival Hyperplasia. Oral Dis. 2025;31(12):3417-3419.
Medeiros, Y. L., Neto, J. B. C., & Alves, F. A. (2025). Operating Microscope in the Analysis of Localized Juvenile Spongiotic Gingival Hyperplasia. Oral Diseases, 31(12), 3417-3419. https://doi.org/10.1111/odi.70031
Medeiros YL, Neto JBC, Alves FA. Operating Microscope in the Analysis of Localized Juvenile Spongiotic Gingival Hyperplasia. Oral Dis. 2025;31(12):3417-3419. PubMed PMID: 41832607.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR
T1 - Operating Microscope in the Analysis of Localized Juvenile Spongiotic Gingival Hyperplasia.
AU - Medeiros,Yuri de Lima,
AU - Neto,João Batista César,
AU - Alves,Fabio Abreu,
Y1 - 2025/07/13/
PY - 2025/05/22/revised
PY - 2025/01/24/received
PY - 2025/07/03/accepted
PY - 2026/3/15/medline
PY - 2026/3/15/pubmed
PY - 2026/3/15/entrez
KW - gingival lesions
KW - microscopy
KW - spongiotic gingival hyperplasia
SP - 3417
EP - 3419
JF - Oral diseases
JO - Oral Dis
VL - 31
IS - 12
N2 - The aim of this study was to describe the clinical microscopic features of localized juvenile spongiotic gingival hyperplasia (LJSGH) using an operating microscope (OM), a non-invasive technique rarely applied to oral mucosal lesions. An 18-year-old female presented with asymptomatic gingival redness and bleeding affecting the buccal gingiva of previously orthodontically treated maxillary canines. Conventional clinical examination revealed gingival recession, erythema, and edema. OM evaluation enabled detailed visualization of gingival surface irregularities, superficial vascular spots, exudation, and friable tissue that bled upon touch and probing. An incisional biopsy was performed. Histopathological analysis showed acanthosis, spongiosis, exocytosis, congested capillaries at the epithelium-connective tissue interface, and a dense inflammatory infiltrate in the lamina propria, confirming the diagnosis of LJSGH. In conclusion, OM allowed the identification of vascularity, exudation, surface irregularity, and tissue friability, features not apparent in conventional clinical examination. These findings suggest that OM is a valuable adjunct for evaluating and documenting gingival lesions.
SN - 1601-0825
UR - https://www.unboundmedicine.com/prime/citation/41832607/Operating_Microscope_in_the_Analysis_of_Localized_Juvenile_Spongiotic_Gingival_Hyperplasia.
DB - PRIME
DP - Unbound Medicine
ER -
