PMC7644798_01
Frontal (a) and lateral view of patient (b and c).
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Extraoral examination revealed a convex facial profile with bimaxillary protrusion and competent lips (Fig. 1).
(a-e) preoperative photographs showing severe generalized diffused nodular gingival hyperplasia.
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The gingival contour was also altered and projected into the oral vestibule (Fig. 2).
(a) OPG showing excessive osseous destruction.. (b-d) CBCT scan reveals involvement of right maxillary sinus.
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Significant bone loss causing erosion of the floor of the right maxillary sinus in the molar region was also noted (Fig. 3).
Excised hyperplastic gingival tissue.
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Under general anesthesia surgical excision of Gingival overgrowth using scalpel was done arch wise on both the arches along with removal of floating teeth having poor prognosis (18,17,16,15,14,13,12,11,21,28,37,38,48) (Fig. 4).
H & E stained section showing parakeratinized epithelium, arcading pattern of rete ridges, fibrous Connective tissue with collagen fiber bundles, chronic inflammatory cell infiltrate and mild degree of vascularity.
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This further confirmed the diagnosis of fibrous gingival hyperplasia (Fig. 5).