case_images: PMC2836736_01
case_images: Preoperative photograph with fullness of face.
case_images: IJD2009-153603.001.jpg
case_images: PMC2836736_01_IJD2009-153603.001.jpg
case_images: fig1
case_images: Dr. DY Patil Dental College and Hospital, Pune, India with a chief complaint of swollen gums since she was 6 years old. (Figure 1) According to patient, swelling appeared at the time of eruption of permanent teeth.
case_images: Pre-perative intraoral picture of generalized gingival fibromatosis.
case_images: IJD2009-153603.002.jpg
case_images: PMC2836736_01_IJD2009-153603.002.jpg
case_images: fig2
case_images: Intraoral examination revealed enlargement of gingiva on both buccal and lingual/palatal sides with pinkish red in color, fibrous in consistency with absence of stippling. (Figure 2) Bleeding on probing was absent.
case_images: Panoramic radiograph showing generalized bone loss with floating teeth appearance.
case_images: IJD2009-153603.003.jpg
case_images: PMC2836736_01_IJD2009-153603.003.jpg
case_images: fig3
case_images: Horizontally impacted lower right second premolar was seen. (Figures 3 and 4) Multidisciplinary approach for treatment was considered.
case_images: Lateral cephalogram showing the soft-tissue profile.
case_images: IJD2009-153603.004.jpg
case_images: PMC2836736_01_IJD2009-153603.004.jpg
case_images: fig4
case_images: Horizontally impacted lower right second premolar was seen. (Figures 3 and 4) Multidisciplinary approach for treatment was considered.
case_images: Postoperative intraoral view following gingivectomy.
case_images: IJD2009-153603.005.jpg
case_images: PMC2836736_01_IJD2009-153603.005.jpg
case_images: fig5
case_images: The total masses of excised gingival tissue were sent for histopathological examination (Figures 5 and 6).
case_images: Excised tissue mass.
case_images: IJD2009-153603.006.jpg
case_images: PMC2836736_01_IJD2009-153603.006.jpg
case_images: fig6
case_images: The total masses of excised gingival tissue were sent for histopathological examination (Figures 5 and 6).
case_images: Histopathological picture.
case_images: IJD2009-153603.007.jpg
case_images: PMC2836736_01_IJD2009-153603.007.jpg
case_images: fig7
case_images: Polarized microscope with picro sirus stain revealed more of mature collagen which stained red, while there was presence of immature collagen as well which stained green (Figures 7 and 8).
case_images: Picrosirus stain.
case_images: IJD2009-153603.008.jpg
case_images: PMC2836736_01_IJD2009-153603.008.jpg
case_images: fig8
case_images: Polarized microscope with picro sirus stain revealed more of mature collagen which stained red, while there was presence of immature collagen as well which stained green (Figures 7 and 8).
case_images: Partial denture constructed.
case_images: IJD2009-153603.009.jpg
case_images: PMC2836736_01_IJD2009-153603.009.jpg
case_images: fig9
case_images: On completion of proposed treatment plan, patient's functional and aesthetic requirement improved significantly (Figures 9 and 10).
case_images: Final postoperative view with denture.
case_images: IJD2009-153603.010.jpg
case_images: PMC2836736_01_IJD2009-153603.010.jpg
case_images: fig10
case_images: On completion of proposed treatment plan, patient's functional and aesthetic requirement improved significantly (Figures 9 and 10).