case_images: PMC9931528_01
case_images: Extraoral view of the patient showing puffiness of the face
case_images: cureus-0015-00000033844-i01.jpg
case_images: PMC9931528_01_cureus-0015-00000033844-i01.jpg
case_images: FIG1
case_images: She complained of weight gain, puffiness over her face and fatigue (Figure 1).
case_images: Intraoral clinical photograph showing interdental deposits (black arrows) in both arches
case_images: cureus-0015-00000033844-i02.jpg
case_images: PMC9931528_01_cureus-0015-00000033844-i02.jpg
case_images: FIG2
case_images: An intraoral examination revealed the presence of supra- and subgingival plaque and calculus (Figure 2).
case_images: Orthopantomogram showing a generalized horizontal bone loss with localized areas of vertical bone loss
case_images: cureus-0015-00000033844-i03.jpg
case_images: PMC9931528_01_cureus-0015-00000033844-i03.jpg
case_images: FIG3
case_images: Radiological examination revealed generalized horizontal bone loss with vertical bone loss in molars (Figures 3, 4).
case_images: Intraoral periapical radiographs of the mandibular premolar/molar region showing a generalized horizontal bone loss and vertical bone loss around first molars
case_images: cureus-0015-00000033844-i04.jpg
case_images: PMC9931528_01_cureus-0015-00000033844-i04.jpg
case_images: FIG4
case_images: Radiological examination revealed generalized horizontal bone loss with vertical bone loss in molars (Figures 3, 4).