case_images: PMC10859659_01
case_images: Preoperative buccal view. A, B, and C depict the overall preoperative gingival enlargement with signs of acute inflammation in reference to maxillary and mandibular anteriors
case_images: cureus-0016-00000052190-i01.jpg
case_images: PMC10859659_01_cureus-0016-00000052190-i01.jpg
case_images: FIG1
case_images: The patient had undergone uneventful molar teeth removal five years before, due to advanced caries and attachment loss (Figure 1).
case_images: Preoperative lingual view. Gingival enlargement with deposits of calculus
case_images: cureus-0016-00000052190-i02.jpg
case_images: PMC10859659_01_cureus-0016-00000052190-i02.jpg
case_images: FIG2
case_images: On examination, a generalized moderate amount of supra- and subgingival calculus was noted (Figure 2).
case_images: Orthopantomograph. Generalized horizontal bone loss until the middle third of the roots as observed in the orthopantomograph
case_images: cureus-0016-00000052190-i03.jpg
case_images: PMC10859659_01_cureus-0016-00000052190-i03.jpg
case_images: FIG3
case_images: On radiographic investigation, generalized horizontal bone loss extending approximately until the middle third of the roots was seen (Figure 3).
case_images: After phase I therapy of scaling and root planing. Partial resolution of gingival inflammation and enlargement after repeated episodes of nonsurgical therapy
case_images: cureus-0016-00000052190-i04.jpg
case_images: PMC10859659_01_cureus-0016-00000052190-i04.jpg
case_images: FIG4
case_images: All the four quadrants were operated with a one-week interval between them (Figure 4).
case_images: Reevaluation of surgical phase. Postoperative healing as observed after one month of periodontal surgical therapy
case_images: cureus-0016-00000052190-i05.jpg
case_images: PMC10859659_01_cureus-0016-00000052190-i05.jpg
case_images: FIG5
case_images: Review of the periodontal maintenance at one-year follow-up
case_images: cureus-0016-00000052190-i06.jpg
case_images: PMC10859659_01_cureus-0016-00000052190-i06.jpg
case_images: FIG6