case_images: PMC3357019_01
case_images: Extraoral appearance of an enlarged and fissured upper lip in the patient of the study
case_images: JISP-16-115-g001.jpg
case_images: PMC3357019_01_JISP-16-115-g001.jpg
case_images: F1
case_images: Trivandrum, with the chief complaint of a swollen upper lip and enlarged gums [Figures 1 and 2]. The patient first noticed a mild reddish discoloration involving her upper lip around 5 years back, which progressively increased in size without any apparent discomfort. The upper lip appeared edematous and dry with exaggerated fissures [Figure 1].
case_images: Characteristic appearance of the gingival enlargement in the patient of the study
case_images: JISP-16-115-g002.jpg
case_images: PMC3357019_01_JISP-16-115-g002.jpg
case_images: F2
case_images: Trivandrum, with the chief complaint of a swollen upper lip and enlarged gums [Figures 1 and 2]. The patient first noticed a mild reddish discoloration involving her upper lip around 5 years back, which progressively increased in size without any apparent discomfort. Intra oral examination showed generalized enlargement of marginal and attached gingivae [Figure 2].
case_images: Pre treatment panoramic radiographic view of the patient in the study
case_images: JISP-16-115-g003.jpg
case_images: PMC3357019_01_JISP-16-115-g003.jpg
case_images: F3
case_images: Panoramic radiograph couldn't detect any bony pathology, and there were no changes in the lamina dura, periodontal ligament space and alveolar bone crest [Figure 3].
case_images: Surgical views of maxillary and mandibular anterior sextants of the patient in the study. (a) Pre surgical view; (b) After gingivectomy; (c) Excised tissue; (d) Pre surgical view; (e) After gingivectomy; (f) Excised tissue
case_images: JISP-16-115-g004.jpg
case_images: PMC3357019_01_JISP-16-115-g004.jpg
case_images: F4
case_images: External bevel gingivectomy was done in all six sextants and the specimens were sent for histopathological examination [Figures 4a-4f].
case_images: Histopathological appearance (hematoxylin and eosin staining) showing infi ltrate of plasma cells in a dense collagenous stroma. (a) Low power view (x10); (b) High power view (x40)
case_images: JISP-16-115-g005.jpg
case_images: PMC3357019_01_JISP-16-115-g005.jpg
case_images: F5
case_images: There was increased vascularity with dilated and engorged blood vessels [Figure 5].
case_images: Pre treatment gingival appearance
case_images: JISP-16-115-g006.jpg
case_images: PMC3357019_01_JISP-16-115-g006.jpg
case_images: F6
case_images: After 2 weeks of excision, the surgical site was healing and the lesion showed remission; however, the gingiva appeared reddish and atrophic even after one month [Figures 6 and 7].
case_images: Post treatment changes in the gingival appearance
case_images: JISP-16-115-g007.jpg
case_images: PMC3357019_01_JISP-16-115-g007.jpg
case_images: F7
case_images: After 2 weeks of excision, the surgical site was healing and the lesion showed remission; however, the gingiva appeared reddish and atrophic even after one month [Figures 6 and 7].
case_images: Pre treatment appearance of the upper lip
case_images: JISP-16-115-g008.jpg
case_images: PMC3357019_01_JISP-16-115-g008.jpg
case_images: F8
case_images: Most interestingly, there was a dramatic reduction in the lip enlargement without any additional therapeutic procedures [Figures 8 and 9].
case_images: An evident reduction in the lip size post treatment compared to the appearance before the treatment in the patient of the study
case_images: JISP-16-115-g009.jpg
case_images: PMC3357019_01_JISP-16-115-g009.jpg
case_images: F9
case_images: Most interestingly, there was a dramatic reduction in the lip enlargement without any additional therapeutic procedures [Figures 8 and 9].
case_images: Recurrence of lesion after 8 months correlating with local irritants in the patient of the study
case_images: JISP-16-115-g010.jpg
case_images: PMC3357019_01_JISP-16-115-g010.jpg
case_images: F10
case_images: It remained in the same condition for the next 8 months, while the gingival lesions showed mild recurrence [Figures 10 and 11].
case_images: After oral prophylaxis
case_images: JISP-16-115-g011.jpg
case_images: PMC3357019_01_JISP-16-115-g011.jpg
case_images: F11
case_images: It remained in the same condition for the next 8 months, while the gingival lesions showed mild recurrence [Figures 10 and 11].