case_images: PMC4795147_01
case_images: Extraoral photograph
case_images: JISP-20-98-g001.jpg
case_images: PMC4795147_01_JISP-20-98-g001.jpg
case_images: F1
case_images: The lips were competent [Figure 1].
case_images: Preoperative right and left lateral intraoral photographs showing major right side involvement
case_images: JISP-20-98-g002.jpg
case_images: PMC4795147_01_JISP-20-98-g002.jpg
case_images: F2
case_images: Gingival enlargement was more predominant on the right hand side of the mouth, but mild involvement was present extending to the incisors as well as the lingual aspect of the left mandibular molar region [Figures 2 and 3].
case_images: Preoperative intraoral maxillary and mandibular occlusal view
case_images: JISP-20-98-g003.jpg
case_images: PMC4795147_01_JISP-20-98-g003.jpg
case_images: F3
case_images: Gingival enlargement was more predominant on the right hand side of the mouth, but mild involvement was present extending to the incisors as well as the lingual aspect of the left mandibular molar region [Figures 2 and 3].
case_images: Radiograph (orthopantomogram) - showing severe bone loss with 14, 15, 16 and impacted teeth
case_images: JISP-20-98-g004.jpg
case_images: PMC4795147_01_JISP-20-98-g004.jpg
case_images: F4
case_images: Severe bone loss was present with 14, 15, and 16 teeth [Figure 4].
case_images: Intraoperative procedures for maxillary arch - incision, electrosurgical ablation, and suturing
case_images: JISP-20-98-g005.jpg
case_images: PMC4795147_01_JISP-20-98-g005.jpg
case_images: F5
case_images: The operative procedures for Maxilla are shown in Figure 5.
case_images: Immediate postoperative photograph following electrosurgical excision of enlargement in the mandibular arch
case_images: JISP-20-98-g006.jpg
case_images: PMC4795147_01_JISP-20-98-g006.jpg
case_images: F6
case_images: The mandibular surgery was performed 2 weeks later similarly [Figure 6].
case_images: Intraoral photographs at the 2 years postoperative recall
case_images: JISP-20-98-g007.jpg
case_images: PMC4795147_01_JISP-20-98-g007.jpg
case_images: F7
case_images: The patient has visited for recall follow-up since the past 2 years with minimal evidence of recurrence [Figure 7].
case_images: Microscopic picture showing epithelial and connective tissue hyperplasia with dense fibrosis and areas of hyalinization and inflammation
case_images: JISP-20-98-g008.jpg
case_images: PMC4795147_01_JISP-20-98-g008.jpg
case_images: F8
case_images: There was no evidence of dysplasia or malignancy [Figure 8].