PMC6334546_01
Preoperative view
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F1
The gingivae of both the arches bled on probing suggestive of generalized moderate inflammatory gingival enlargement as contemplated in Figure 1.
Orthopantomograph view
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F2
Pulpal calcifications were also seen in most of the teeth as observed in Figure 2.
Histopathological slide of gingival biopsy showing an encircled dystrophic gingival calcification
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F3
Dystrophic gingival calcification was also seen in one area of the specimen as seen in Figure 3.
Computed tomography showing agenesis of the left kidney and slight calcification in the right kidney (encircled)
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F4
On further investigation, a renal ultrasound showed that agenesis of the left kidney and slight calcification in the right kidney were observed as seen in Figure 4.
Periodontal flap surgery
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F5
Since a full-mouth rehabilitation with crowns was planned, periodontal flap with bone contouring (crown lengthening) was done for all the teeth in a quadrant-wise approach as viewed in Figure 5.
Postoperative healing and crown preparation
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F6
After complete healing of the periodontal tissues, the all-ceramic crowns for the anterior teeth and metal crown for the posterior teeth were given as contemplated in Figure 6.
Full-mouth crown rehabilitation after 1 month
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F7
The patient remains under regular dental and medical follow-up till date as observed in Figure 7.