PMC3474234_01
Initial aspect of the 12-year-old patient displays diffuse gingival enlargements covering almost all teeth ((a), (b), and (c)). Appropriate gingival form is established by periodontal flap surgery and maintained for 3 years ((d), (e), and (f)).
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fig1
Clinical crown lengths were short because of AI and diffuse gingival enlargement in both patients (Figures 1(a), 1(b), and 1(c)) and Figures 2(a), 2(b), and 2(c). In the follow-up period, at 3rd year, there was no sign for recurrence of gingival enlargement in both patients (Figures 1(d), 1(e), and 1(f) and Figure 5(b)).
Initial appearance of 19-year-old patient presents more mild gingival enlargements comparing with her younger sibling ((a), (b), and (c)). Appropriate gingival form is constituted by periodontal flap surgery at the 3rd month before prosthetic treatment ((d), (e), and (f)).
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fig2
Clinical crown lengths were short because of AI and diffuse gingival enlargement in both patients (Figures 1(a), 1(b), and 1(c)) and Figures 2(a), 2(b), and 2(c).
Panoramic radiography shows reduction of enamel thickness for younger (a) and older (b) patients.
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fig3
Radiographic examination showed normal dentin formation and pulp chamber, but enamel appeared to be thin in each patient (Figure 3).
Odontogenic epithelium (oe), and calcified bodies (cb) were seen in hematoxylin and eosin ((a) and (b)) and Masson's trichrome ((c) and (d)) stainings of younger ((a) and (c)) and older ((b) and (d)) patients.
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fig4
Histological investigations showed mononuclear inflammatory infiltrate, calcified bodies, and odontogenic epithelium in a dens-fibrovascular-connective tissue (Figure 4).
Preoperative (a) and the final (b) intra oral appearances of 19-year-old patient at the 3rd year.
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fig5
In the follow-up period, at 3rd year, there was no sign for recurrence of gingival enlargement in both patients (Figures 1(d), 1(e), and 1(f) and Figure 5(b)). After the prosthetic treatment, the patient was satisfied both functionally and aesthetically (Figure 5(b)).