case_images: PMC8647225_01
case_images: Hyperplastic tissue folds in the mandibular buccal.
case_images: 10.1177_2050313X211063135-fig1.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig1.jpg
case_images: fig1-2050313X211063135
case_images: The alveolar ridge was highly resorbed at the mandibular level, with insufficient keratinized mucosa (Figure 1).
case_images: Palatal erythema.
case_images: 10.1177_2050313X211063135-fig2.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig2.jpg
case_images: fig2-2050313X211063135
case_images: On the palate, examination revealed the presence of erythema contrasting with the normal pallor of the mucous, delimited by the level of the posterior edge of the maxillary prosthesis (Figure 2).
case_images: Excision of the epulis.
case_images: 10.1177_2050313X211063135-fig3.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig3.jpg
case_images: fig3-2050313X211063135
case_images: The incision followed the limits of the fibrous hyperplasia which was excised over a width of approximately 10-12 mm, going from the 2nd right mandibular premolar to the contralateral side (Figure 3), exposing the underlying connective tissue (Figure 4).
case_images: Exposure of the underlying connective tissue.
case_images: 10.1177_2050313X211063135-fig4.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig4.jpg
case_images: fig4-2050313X211063135
case_images: The incision followed the limits of the fibrous hyperplasia which was excised over a width of approximately 10-12 mm, going from the 2nd right mandibular premolar to the contralateral side (Figure 3), exposing the underlying connective tissue (Figure 4).
case_images: Interrupted periosteal sutures.
case_images: 10.1177_2050313X211063135-fig5.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig5.jpg
case_images: fig5-2050313X211063135
case_images: Immediate aspect of the treated area.
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case_images: PMC8647225_01_10.1177_2050313X211063135-fig6.jpg
case_images: fig6-2050313X211063135
case_images: Later, vertical mattress sutures with periosteal anchorage were performed to ensure the graft immobilization in case of lip traction at the lateral borders and at the underlying periosteum (Figure 6).
case_images: Relining of the prosthesis with the "fit de kerr"
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case_images: PMC8647225_01_10.1177_2050313X211063135-fig7.jpg
case_images: fig7-2050313X211063135
case_images: The patient's prosthesis was relined using a tissue conditioning material "Fit de kerr" (Figure 7).
case_images: A well--extended and retentive new prosthesis.
case_images: 10.1177_2050313X211063135-fig8.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig8.jpg
case_images: fig8-2050313X211063135
case_images: Perfect integration of the prosthetic volume, and the resulting retention and stability were observed (Figures 8 and 9).
case_images: Two months post-operative surgical site.
case_images: 10.1177_2050313X211063135-fig9.jpg
case_images: PMC8647225_01_10.1177_2050313X211063135-fig9.jpg
case_images: fig9-2050313X211063135
case_images: Perfect integration of the prosthetic volume, and the resulting retention and stability were observed (Figures 8 and 9).