case_images: PMC10994707_01
case_images: Intraoral images before surgery: (a) The occlusal view of maxillary alveolar ridge; (b) the occlusal view of mandibular alveolar ridge; (c) the frontal view of the edentulous ridges; and (d) the panoramic imaging.
case_images: CRID2024-6889574.001.jpg
case_images: PMC10994707_01_CRID2024-6889574.001.jpg
case_images: fig1
case_images: Mucosal enlargement was evident on both edentulous ridges, displaying a pale-pink, firm, irregular, mulberry-shaped, and nodular appearance (Figure 1(a)-1(c)). Additionally, panoramic radiograph showed unevenly absorbed maxillary and mandibular ridges with no osseous deformities (Figure 1(d)). The patient underwent recall appointment at 18 months and 24 months after surgery, during which no recurrence of overgrowth was observed (Figure 4, Supplementary Figure 1).
case_images: Intraoperative and postoperative images: (a) intraoperative flap, considerable granulation tissue with uneven alveolar bone; (b) the wound closure and suture postoperatively; and (c) the pathological section showed that hyperplastic epithelium overlay fibrous connective tissue.
case_images: CRID2024-6889574.002.jpg
case_images: PMC10994707_01_CRID2024-6889574.002.jpg
case_images: fig2
case_images: Upon medical approval, preprosthetic surgeries including flap surgery and alveoloplasty were performed (Figures 2(a) and 2(b)). An incisional biopsy was obtained for pathological evaluation, revealing hyperplastic epithelium overlaying fibrous connective tissue, leading to a fibrous epulis pathological diagnosis (Figure 2(c)).
case_images: (a) Intraoral images 2 months after surgery; (b) complete denture restoration; and (c) lateral photos showing significantly improved profile after denture restoration.
case_images: CRID2024-6889574.003.jpg
case_images: PMC10994707_01_CRID2024-6889574.003.jpg
case_images: fig3
case_images: After a 2-month healing period, the patient's alveolar ridges displayed a firm, regular, and well-healed appearance with no signs of recurrence or overgrowth (Figure 3(a)). Subsequently, complete denture fabrication for both arches were accomplished (Figure 3(b)), restoring the patient's masticatory function as well as enhancing lower facial aesthetic (Figure 3(c)).
case_images: Intraoral images 18 months after surgery: (a) the occlusal view of the maxillary alveolar ridge; (b) the occlusal view of the mandibular alveolar ridge; and (c) the frontal view of the edentulous ridges.
case_images: CRID2024-6889574.004.jpg
case_images: PMC10994707_01_CRID2024-6889574.004.jpg
case_images: fig4
case_images: The patient underwent recall appointment at 18 months and 24 months after surgery, during which no recurrence of overgrowth was observed (Figure 4, Supplementary Figure 1).