case_images: PMC4615852_01
case_images: PMC4615852_02
case_images: Keratotic plaques over the dorsal surface of the palms.
case_images: CRID2015-137381.001.jpg
case_images: PMC4615852_02_CRID2015-137381.001.jpg
case_images: fig1
case_images: Skin of both palms and soles was peeling off, leaving an underlying red shiny area (Figures 1, 2, and 3).
case_images: Keratotic plaques which peel off leaving underlying reddish areas over the ventral surface of the skin.
case_images: CRID2015-137381.002.jpg
case_images: PMC4615852_02_CRID2015-137381.002.jpg
case_images: fig2
case_images: Skin of both palms and soles was peeling off, leaving an underlying red shiny area (Figures 1, 2, and 3).
case_images: Peeling off of the skin over the feet.
case_images: CRID2015-137381.003.jpg
case_images: PMC4615852_02_CRID2015-137381.003.jpg
case_images: fig3
case_images: Skin of both palms and soles was peeling off, leaving an underlying red shiny area (Figures 1, 2, and 3).
case_images: PMC4615852_03
case_images: Intraoral picture showing maxillary arch with spacing of teeth between 11, 12, 13, 21, 22, and 23.
case_images: CRID2015-137381.004.jpg
case_images: PMC4615852_03_CRID2015-137381.004.jpg
case_images: fig4
case_images: Intraorally, the patient presented 28 teeth with proclination of 21 and 11, spacing in relation to 11, 12, 13, 21, 22, and 23, rotations in relation to 44, 35 (Figures 4 and 5), erupting teeth in relation to 44, a smooth diffuse swelling of the gingiva in relation to 36 and 37, and increased mobility and apical shift in position of gingival margin in relation to 11, 21, and 41.
case_images: Intraoral picture showing mandibular arch with distoangular rotation of 34 and mesioangular rotation of 44.
case_images: CRID2015-137381.005.jpg
case_images: PMC4615852_03_CRID2015-137381.005.jpg
case_images: fig5
case_images: Intraorally, the patient presented 28 teeth with proclination of 21 and 11, spacing in relation to 11, 12, 13, 21, 22, and 23, rotations in relation to 44, 35 (Figures 4 and 5), erupting teeth in relation to 44, a smooth diffuse swelling of the gingiva in relation to 36 and 37, and increased mobility and apical shift in position of gingival margin in relation to 11, 21, and 41.
case_images: Intraoral picture showing proclination of upper anteriors.
case_images: CRID2015-137381.006.jpg
case_images: PMC4615852_03_CRID2015-137381.006.jpg
case_images: fig6
case_images: There was generalized bleeding on probing and deep periodontal pockets especially in relation to 11, 21, 36, 37, 41, and 46 (Figure 6).
case_images: Orthopantomograph of the patient.
case_images: CRID2015-137381.007.jpg
case_images: PMC4615852_03_CRID2015-137381.007.jpg
case_images: fig7
case_images: There was vertical bone loss in relation to 11, 21, 36, 37, 41, and 46 (Figures 7, 8, 9, and 10).
case_images: Intraoral periapical radiograph showing bone loss in relation to 11, 12.
case_images: CRID2015-137381.008.jpg
case_images: PMC4615852_03_CRID2015-137381.008.jpg
case_images: fig8
case_images: There was vertical bone loss in relation to 11, 21, 36, 37, 41, and 46 (Figures 7, 8, 9, and 10).
case_images: Intraoral periapical radiograph showing vertical bone loss in relation to 46.
case_images: CRID2015-137381.009.jpg
case_images: PMC4615852_03_CRID2015-137381.009.jpg
case_images: fig9
case_images: There was vertical bone loss in relation to 11, 21, 36, 37, 41, and 46 (Figures 7, 8, 9, and 10).
case_images: Intraoral periapical radiograph showing vertical bone loss in relation to 36.
case_images: CRID2015-137381.010.jpg
case_images: PMC4615852_03_CRID2015-137381.010.jpg
case_images: fig10
case_images: There was vertical bone loss in relation to 11, 21, 36, 37, 41, and 46 (Figures 7, 8, 9, and 10).
case_images: PMC4615852_04
case_images: PMC4615852_05
case_images: Surgical exploration in relation to 36.
case_images: CRID2015-137381.011.jpg
case_images: PMC4615852_05_CRID2015-137381.011.jpg
case_images: fig11
case_images: Based on her clinical and radiographic features, further treatment comprised of surgical periodontal therapy with regenerative periodontal procedures using osseograft in relation to the vertical defect of 36 and 46 (Figures 11 and 12).
case_images: Placement of osseograft in relation to 36.
case_images: CRID2015-137381.012.jpg
case_images: PMC4615852_05_CRID2015-137381.012.jpg
case_images: fig12
case_images: Based on her clinical and radiographic features, further treatment comprised of surgical periodontal therapy with regenerative periodontal procedures using osseograft in relation to the vertical defect of 36 and 46 (Figures 11 and 12).