case_images: PMC4789408_01
case_images: A photo showing the initial presentation of the GE associated with all lower anterior teeth.
case_images: CRID2016-1095927.001.jpg
case_images: PMC4789408_01_CRID2016-1095927.001.jpg
case_images: fig1
case_images: On examination, there was gingival hyperplasia and pocketing of 5 mm (Figure 1).
case_images: A photo showing the histopathological picture of the GE. (a) Showing heavy inflammatory cell infiltrate (green arrows) and osseous metaplasia (black arrows), H&E x2. (b) Showing a higher magnification of some areas of osseous metaplasia, H&E x20. (c) Showing an area of osseous metaplasia surrounded by chronic inflammatory cells, H&E x40.
case_images: CRID2016-1095927.002.jpg
case_images: PMC4789408_01_CRID2016-1095927.002.jpg
case_images: fig2
case_images: Biopsy results showed the diagnosis was Fibrous Epulis with osseous metaplasia (Figure 2).
case_images: A photo showing the persistence of GE after the initial periodontal treatment. The inflammation decreased slightly. Oral hygiene improved after the initial treatment.
case_images: CRID2016-1095927.003.jpg
case_images: PMC4789408_01_CRID2016-1095927.003.jpg
case_images: fig3
case_images: However, the degree of inflammation decreased (Figure 3).
case_images: Showing disappearance of the GE and improvement of the overall periodontal condition after cessation of Felodipine together with strict oral hygiene measures.
case_images: CRID2016-1095927.004.jpg
case_images: PMC4789408_01_CRID2016-1095927.004.jpg
case_images: fig4
case_images: In the second review appointment, there was a significant reduction in GE (Figure 4).
case_images: An orthopantograph (OPG) showing mild to moderate bone loss around lower anterior teeth, which compromises the long term prognosis of these teeth and mandates strict oral hygiene measures and careful and regular monitoring.
case_images: CRID2016-1095927.005.jpg
case_images: PMC4789408_01_CRID2016-1095927.005.jpg
case_images: fig5
case_images: The OPG showed mild to moderate horizontal bone around the lower anterior teeth (Figure 5).