case_images: PMC11288352_01
case_images: (A-G) Intraoral clinical feature at the first visit. The appeared gingival hyperplasia, erythema, soft consistency, a dark red, rounded gingival margin, and tendencies to bleed on the labial, buccal, palatal, and lingual regions.
case_images: IMCRJ-17-709-g0001.jpg
case_images: PMC11288352_01_IMCRJ-17-709-g0001.jpg
case_images: f0001
case_images: Intraoral examination revealed gingival hyperplasia; erythema; soft consistency; a dark red, rounded gingival margin; tendencies to bleed on the labial, buccal, palatal, and lingual areas; and pain. (Figure 1A-G) Oral hygiene index-simplified (OHIS) score was poor (5.7) and there were true pockets in all regions.
case_images: (A-F) The first follow-up visit. (G-M) The second follow-up visit. There has been no clinical change in the gingiva.
case_images: IMCRJ-17-709-g0002.jpg
case_images: PMC11288352_01_IMCRJ-17-709-g0002.jpg
case_images: f0002
case_images: Intraoral bleeding still exists in the lingual-anterior part of the mandible, but bleeding in the anterior part of the maxilla has stopped (Figure 2A-F). Intraoral bleeding Follow-up visits should be conducted in outpatient settings (Figure 2G-M).
case_images: (A) The follow-up visit was nine days after the initial visit. (B) The follow-up visit was one month after the initial visit. (C) The follow-up visit was one week after the 4th visit. Gingival enlargement decreased in all regions.
case_images: IMCRJ-17-709-g0003.jpg
case_images: PMC11288352_01_IMCRJ-17-709-g0003.jpg
case_images: f0003
case_images: Oral symptoms appeared to improve; bad breath was greatly reduced, but the gums were still swollen (Figure 3A). Oral complaints improved significantly, bad breath was absent, gingiva enlargement decreased, and spontaneous bleeding ceased (Figure 3B). One week after the 4th visit (day +37), the oral complaints improved (Figure 3C), but pharmacological and non-pharmacological therapy continued, including spooling 3% H2O2 on all parts of the gingiva, chlorine dioxide as a mouthwash, and applying a thin layer of petroleum jelly to the lips.
case_images: (A) The follow-up visit was two months from the initial visit. Gingival enlargement resolved in the anterior and posterior regions of the maxilla and mandible. (B) The follow-up visit was two weeks after the 6th visit. Gingival enlargement of all regions of the maxilla and mandible resolved, except for the palatal-anterior part of the maxilla. (C) The follow-up visit was three months of therapy after the initial visit, which showed significant improvement in the gingiva.
case_images: IMCRJ-17-709-g0004.jpg
case_images: PMC11288352_01_IMCRJ-17-709-g0004.jpg
case_images: f0004
case_images: Two months after the initial visit (day +60), the oral complaints improved (Figure 4A). Two weeks after the 6th visit (Day+74), all the complaints improved (Figure 4B). All patients with gingival hyperplasia recovered optimally (Figure 4C). The clinical features after three months of treatment are shown in Figure 4C.
case_images: Summary of the multidisciplinary management.
case_images: IMCRJ-17-709-g0005.jpg
case_images: PMC11288352_01_IMCRJ-17-709-g0005.jpg
case_images: f0005
case_images: The summary of the collaborative management and therapy is depicted in Figure 5. 