PMC3636929_01
(a-d) Pre-operative photos showing severe gingival enlargement
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F1
All the areas showed a combined probing depth with generalized mobility [Figure 1a-d].
(a and b) Pre-operative radiographs
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F2
Radiographically, orthopantamogram and full-mouth intra-oral peri-apical radiographs revealed the presence of remaining bone in the range of 30-35% [Figure 2a and b].
(a and b) Tissue after cauterization
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F3
Initially gross debulking cuts were given with an intention of undertaking a second step pocket reduction therapy with possible regenerative periodontal surgery [Figure 3a and b].
(a-d) 6-month post-operative photos
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F4
Intraoral examination revealed a marked reduction in probing pocket depth with reduction in mobility of most teeth except the upper right first molar (# 16) tooth which presented itself with a soft and edematous swelling and exudation [Figure 4a-d].