case_images: PMC8481045_01
case_images: Fibrous, nodular, hard gingival overgrowths extending to most of the clinical crown in the anterior and posterior parts of the mandibular arch.
case_images: CRID2021-4120148.001.jpg
case_images: PMC8481045_01_CRID2021-4120148.001.jpg
case_images: fig1
case_images: The patient presented with a dental history that includes thick deposits of calculus and plaque on all remaining teeth with fibrous, nodular, hard gingival overgrowths extending to most of the clinical crown in the anterior and posterior parts of the maxillary and mandibular arches (Figure 1).
case_images: Yellowish-white pseudomembranous slough was found covering the interdental papilla in the mandibular left area.
case_images: CRID2021-4120148.002.jpg
case_images: PMC8481045_01_CRID2021-4120148.002.jpg
case_images: fig2
case_images: Additionally, a yellowish-white pseudomembranous slough was found covering the interdental papilla in the mandibular left area (Figure 2). The gingiva in the mandibular left quadrant was edematous, fibrous, hemorrhagic, and painful swellings which had purulent exudate (Figure 2).
case_images: Panoramic radiograph presenting bone loss around teeth and lower 4-unit implant-retained bridge.
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case_images: fig3
case_images: Radiographically, bone loss can be observed around the teeth and implants; however, clinically, the implants are not mobile as submerged (Figure 3).
case_images: External bevel incision gingivectomy of the lower left quadrant and exodontia of #33, #34, and #35.
case_images: CRID2021-4120148.004.jpg
case_images: PMC8481045_01_CRID2021-4120148.004.jpg
case_images: fig4
case_images: An external bevel incision gingivectomy was done along with extraction of #33, #34, #35, and 45 due to extensive grade III mobility (Figures 4 and 5).
case_images: Gingiva removed from the lower left quadrant and extracted teeth (#33, #34, and #35).
case_images: CRID2021-4120148.005.jpg
case_images: PMC8481045_01_CRID2021-4120148.005.jpg
case_images: fig5
case_images: An external bevel incision gingivectomy was done along with extraction of #33, #34, #35, and 45 due to extensive grade III mobility (Figures 4 and 5).
case_images: 1 week after surgical excision of the lower left quadrant.
case_images: CRID2021-4120148.006.jpg
case_images: PMC8481045_01_CRID2021-4120148.006.jpg
case_images: fig6
case_images: Poor oral hygiene can be observed along the sutures which were surrounded by plaque and debris (Figure 6).
case_images: External bevel gingivectomy of the upper right quadrant.
case_images: CRID2021-4120148.007.jpg
case_images: PMC8481045_01_CRID2021-4120148.007.jpg
case_images: fig7
case_images: For the maxillary arch, an external bevel incision gingivectomy was done, and extraction of #11, #21, and #12 was done due to grade III mobility (Figures 7-9).
case_images: Gingiva removed from the upper left quadrant and extracted teeth (#11 and #21).
case_images: CRID2021-4120148.008.jpg
case_images: PMC8481045_01_CRID2021-4120148.008.jpg
case_images: fig8
case_images: For the maxillary arch, an external bevel incision gingivectomy was done, and extraction of #11, #21, and #12 was done due to grade III mobility (Figures 7-9).
case_images: External bevel gingivectomy of the upper left quadrant.
case_images: CRID2021-4120148.009.jpg
case_images: PMC8481045_01_CRID2021-4120148.009.jpg
case_images: fig9
case_images: For the maxillary arch, an external bevel incision gingivectomy was done, and extraction of #11, #21, and #12 was done due to grade III mobility (Figures 7-9).
case_images: Recall after 2 weeks of surgical intervention of maxillary arch. Pus and exudates were observed around teeth and sutures. Full exodontia was done for the remaining teeth in the upper arch.
case_images: CRID2021-4120148.010.jpg
case_images: PMC8481045_01_CRID2021-4120148.010.jpg
case_images: fig10
case_images: During the follow-up visits, the maxillary arch presented with signs of inflammation, pus, and exudates around the teeth and sutures (Figure 10).
case_images: 1 month recall after surgical intervention of the mandibular arch. Recurrence was presented, and full-mouth exodontia was done for the lower arch.
case_images: CRID2021-4120148.011.jpg
case_images: PMC8481045_01_CRID2021-4120148.011.jpg
case_images: fig11
case_images: There also seemed to be recurrence of gingival overgrowth around the implant-retained 4 unit bridge in the anterior mandible (Figure 11).