A diligent search of our own and foreign language publications reveals but few reported cases of this disease, and of these only a few compare in extent to the cases to be reported at this time. Hypertrophies commonly seen by the stomatologist arise from broken down roots, irritations resulting from faulty dentistry, deposits of calculus, malocclusion, etc. The condition under consideration is not the result of these agencies and bears little or no resemblance to them.1
Well authenticated cases show heredity,2 the disease having been traced through three generations,3 with several cases in the same family,4 while in a family of five only a single case developed.5 Males and females are about equally affected, with possibly a slight preponderance of cases among females. All cases reported since 1839 are of the various members of the Caucasian race. The disease is undoubtedly congenital in some cases,
RUGGLES SD. PRIMARY HYPERTROPHY OF THE GUMS. JAMA. 1925;84(1):20–24. doi:10.1001/jama.1925.02660270024008
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