PMC3357023_01
PMC3357023_02
Right profile view
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F1
When the patient was examined extra-orally, there was asymmetry in the facial appearance [Figures 1-3].
Left profile view
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F2
When the patient was examined extra-orally, there was asymmetry in the facial appearance [Figures 1-3].
Enlargement of the nasal process of maxilla
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F3
When the patient was examined extra-orally, there was asymmetry in the facial appearance [Figures 1-3].
Bony enlargement of the palate
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F4
When intra-oral examination was done, there was spacing present between the teeth and there was bony prominence on the right side of the palate till the mid palatine region [Figure 4].
Spacing between the teeth in the 1st and 4th quadarant
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F5
While recording the history, the patient mentioned that the circumference of the head gradually increased for the past 10 years; there was also gradual increase in spacing between the teeth [Figures 5 and 6] since her paget's disease was diagnosed, which could be due to the increase in the size of the jaws.
Spacing between the teeth in the 3rdquadarant
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F6
While recording the history, the patient mentioned that the circumference of the head gradually increased for the past 10 years; there was also gradual increase in spacing between the teeth [Figures 5 and 6] since her paget's disease was diagnosed, which could be due to the increase in the size of the jaws.
Preoperative pocket measurements in 16 and 17 regions
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F7
Seven millimeter pocket was observed locally, in the regions 16 and 17 [Figure 7].
OPG showing hypercementosis in 14 and 15 regions
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F8
OPG revealed hypercementosis in the teeth 14 and 15 [Figure 8].
Saggital section of CT scan showing growth in the intercorticol spaces of saggital and occipital bones
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F9
CT scan revealed the presence of woven bone or immature bone by observing the radio density in the occipital region, palate, and mandible that correlated the clinical findings [Figures 9-11].
Cross sectional view of CT scan showing growth in the intercorticol spaces of maxilla and occipital bones
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F10
CT scan revealed the presence of woven bone or immature bone by observing the radio density in the occipital region, palate, and mandible that correlated the clinical findings [Figures 9-11].
Saggital section of CT scan showing pockets being measured using software
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F11
CT scan revealed the presence of woven bone or immature bone by observing the radio density in the occipital region, palate, and mandible that correlated the clinical findings [Figures 9-11].
PMC3357023_03
Horizontal bone loss in 16 and 17 regions
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F12
So phase II or surgical phase therapy was carried out for the patient, which consisted of flap surgery in the areas 16 and 17 [Figures 12 and 13].
Flap closure with black silk
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F13
So phase II or surgical phase therapy was carried out for the patient, which consisted of flap surgery in the areas 16 and 17 [Figures 12 and 13].
Postoperative view of 16 and 17 regions
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F14
The treatment was uneventful with healing without complications, and after one week, the sutures were removed [Figure 14].
PMC3357023_04