case_images: PMC9126713_01
case_images: Desquamative erythematous lesion in the vestibular area upper left quadrant.
case_images: CRID2022-9508580.001.jpg
case_images: PMC9126713_01_CRID2022-9508580.001.jpg
case_images: fig1
case_images: Erythematous and ulcerated mucosal tissue were observed on the buccal vestibule of the upper left and lower left quadrants (Figures 1 and 2).
case_images: Lichenoid lesion related to tooth #37.
case_images: CRID2022-9508580.002.jpg
case_images: PMC9126713_01_CRID2022-9508580.002.jpg
case_images: fig2
case_images: Erythematous and ulcerated mucosal tissue were observed on the buccal vestibule of the upper left and lower left quadrants (Figures 1 and 2).
case_images: Improved soft tissue response to topical corticosteroid therapy two months after diagnosis.
case_images: CRID2022-9508580.003.jpg
case_images: PMC9126713_01_CRID2022-9508580.003.jpg
case_images: fig3
case_images: Two months after systemic and local treatments, the patient presented with an improved soft tissue status and healthier-looking tissue (Figure 3).
case_images: The sequence of the surgical management of the upper left quadrant. (a) After tooth extraction and ridge deficiency is noticed at the 1st premolar site. (b) Implant placement at #25 and 24. (c) Allograft bone material is used to fill the buccal gap at the extraction socket and augment the buccal ridge at #24. (d) Upon flap closure, a tissue tear was noticed at the mucosal area of the site.
case_images: CRID2022-9508580.004.jpg
case_images: PMC9126713_01_CRID2022-9508580.004.jpg
case_images: fig4
case_images: The tissue was difficult to suture at this point, and tears at the buccal mucosa were noticed upon tightening the sutures (Figure 4).
case_images: (a) Eight days of follow-up presented with exaggerated tissue response to the surgery. (b) Four weeks postoperative with better soft tissue response. (c) Eight weeks postoperative with thin, soft tissue covering the implants.
case_images: CRID2022-9508580.005.jpg
case_images: PMC9126713_01_CRID2022-9508580.005.jpg
case_images: fig5
case_images: On eight weeks follow-up, healing appeared to be better with around 2 x 2 mm soft tissue exposure of cover screw at the site of the second premolar (Figure 5).
case_images: (a) At three months postimplant placement, the radiograph showed slight crestal bone loss. (b) Implants exposure with healing abutments. (c) Two weeks healing with better soft tissue healing and healthier-looking tissue.
case_images: CRID2022-9508580.006.jpg
case_images: PMC9126713_01_CRID2022-9508580.006.jpg
case_images: fig6
case_images: The tissue appeared firm, pink in color, and free of inflammation (Figure 6).