PMC2836736_01
Preoperative photograph with fullness of face.
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Dr. DY Patil Dental College and Hospital, Pune, India with a chief complaint of swollen gums since she was 6 years old. (Figure 1) According to patient, swelling appeared at the time of eruption of permanent teeth.
Pre-perative intraoral picture of generalized gingival fibromatosis.
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Intraoral examination revealed enlargement of gingiva on both buccal and lingual/palatal sides with pinkish red in color, fibrous in consistency with absence of stippling. (Figure 2) Bleeding on probing was absent.
Panoramic radiograph showing generalized bone loss with floating teeth appearance.
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Horizontally impacted lower right second premolar was seen. (Figures 3 and 4) Multidisciplinary approach for treatment was considered.
Lateral cephalogram showing the soft-tissue profile.
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Horizontally impacted lower right second premolar was seen. (Figures 3 and 4) Multidisciplinary approach for treatment was considered.
Postoperative intraoral view following gingivectomy.
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The total masses of excised gingival tissue were sent for histopathological examination (Figures 5 and 6).
Excised tissue mass.
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The total masses of excised gingival tissue were sent for histopathological examination (Figures 5 and 6).
Histopathological picture.
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Polarized microscope with picro sirus stain revealed more of mature collagen which stained red, while there was presence of immature collagen as well which stained green (Figures 7 and 8).
Picrosirus stain.
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Polarized microscope with picro sirus stain revealed more of mature collagen which stained red, while there was presence of immature collagen as well which stained green (Figures 7 and 8).
Partial denture constructed.
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On completion of proposed treatment plan, patient's functional and aesthetic requirement improved significantly (Figures 9 and 10).
Final postoperative view with denture.
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On completion of proposed treatment plan, patient's functional and aesthetic requirement improved significantly (Figures 9 and 10).