PMC4999643_01
Preoperative photograph of the patient
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F1
She appeared apprehensive and lacked confidence due to gummy smile (Fig. 1).
Gingival overgrowth in anterior teeth region
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F2
An intraoral examination revealed generalized, smooth enlargement of the gingiva involving upper and lower arches (Figs 2 to 4).
Gingival overgrowth in upper arch
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F3
An intraoral examination revealed generalized, smooth enlargement of the gingiva involving upper and lower arches (Figs 2 to 4).
Gingival overgrowth in lower arch
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F4
An intraoral examination revealed generalized, smooth enlargement of the gingiva involving upper and lower arches (Figs 2 to 4).
Excised gingival tissue
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F5
The excised gingival tissue was sent for the histopathological evaluation (Fig. 5).
Histopathological specimen showing stratified squamous epithelium with long slender rete pegs and connective tissue with dense collagen stroma
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F6
The H&E staining of the specimen revealed stratified squamous epithelium with focal keratinization, long slender rete pegs and the subepithelium showed dense collagen stroma in connective tissue (Fig. 6).
Postoperative - increased clinical crown length
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F7
The periodontal dressing was removed after a week and healing was found to be satisfactory (Figs 7 to 9).
Postoperative - upper arch
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F8
The periodontal dressing was removed after a week and healing was found to be satisfactory (Figs 7 to 9).
Postoperative - lower arch
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F9
The periodontal dressing was removed after a week and healing was found to be satisfactory (Figs 7 to 9).
Postoperative photograph of the patient
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F10
No recurrence of gingival enlargement was observed one year after the surgery (Fig. 10).