case_images: PMC4178355_01
case_images: Patient photograph
case_images: NJMS-5-42-g001.jpg
case_images: PMC4178355_01_NJMS-5-42-g001.jpg
case_images: F1
case_images: A 10-year-old girl [Figure 1] reported to outpatient department of Department of Oral Medicine and Radiology, Faculty of Dental Sciences, King George Medical University with presenting complaint of growth involving upper jaw and lower jaw, difficulty in eating food and speech impairment, and noneruption of teeth.
case_images: Extraoral view showing a massive, generalized multinodular growth covering both maxillary and mandibular arch completely
case_images: NJMS-5-42-g002.jpg
case_images: PMC4178355_01_NJMS-5-42-g002.jpg
case_images: F2
case_images: Extraoral examination [Figure 2] showed a massive, generalized multinodular growth covering both maxillary and mandibular arch completely causing incompetent everted lips and a convex profile.
case_images: Intraoral view of maxillary arch showing a gross generalized growth of gingiva completely covering the maxillary teeth extending from right maxillary tuberosity to left tuberosity region
case_images: NJMS-5-42-g003.jpg
case_images: PMC4178355_01_NJMS-5-42-g003.jpg
case_images: F3
case_images: Intraoral examination of maxilla [Figure 3] revealed a gross generalized growth of gingiva completely covering the maxillary teeth extending from right maxillary tuberosity to left tuberosity region.
case_images: Intraoral view of mandibular arch showing a gross generalized growth of gingiva completely covering the mandibular teeth extending from right mandibular tuberosity to left tuberosity region
case_images: NJMS-5-42-g004.jpg
case_images: PMC4178355_01_NJMS-5-42-g004.jpg
case_images: F4
case_images: However, intraoral examination of mandible [Figure 4] revealed a gross generalized growth of gingiva completely covering the mandibular teeth extending from right mandibular tuberosity to left tuberosity region. The mass was extending lingually bilaterally towards midline and fuses from anterior to posterior region along midline, reducing the normal tongue space and covering the floor of mouth completely [Figure 4]. The mass was exuberant in mandibular anterior region obliterating the chin area and submental region [Figure 4].
case_images: Panoramic radiograph showing multiple retained primary and impacted permanent teeth. The mandible was relatively thinner in angle region bilaterally
case_images: NJMS-5-42-g005.jpg
case_images: PMC4178355_01_NJMS-5-42-g005.jpg
case_images: F5
case_images: The panoramic radiograph [Figure 5] showed multiple retained primary and impacted permanent teeth.
case_images: (a) Scanner view of hematoxylin and eosin stained section shows proliferated parakeratinized stratified squamous epithelium and fibroconnective tissue (original magnification, x40). (b) Low power view of hematoxylin and eosin stained section shows fibroconnective tissue consisting of densely arranged collagen fiber bundles, numerous fibroblasts, compressed blood vessels, and focal areas of chronic inflammatory cells (original magnification, x100)
case_images: NJMS-5-42-g006.jpg
case_images: PMC4178355_01_NJMS-5-42-g006.jpg
case_images: F6
case_images: The fibroconnective tissue consisting of densely arranged collagen fiber bundles, numerous fibroblasts, compressed blood vessels, and various degree of focal areas of chronic inflammatory cells [Figure 6a and b].