the mandibular anterior gingiva. She reported a swelling on the back of the mandibular
anterior teeth that had increased in size over time. She also reported numbness and
increased mobility of the mandibular anterior teeth that had begun 2 months earlier.
The patient had self-medicated with 500 mg of acetaminophen without significant improvement
of symptoms. Her medical history was significant for leukemia, in remission for 3
years after chemotherapy. Clinical examination revealed localized gingival enlargement,
both facially and lingually, in the region of the mandibular anterior teeth (Figure 1). The enlarged gingiva was bluish red, bosselated, and soft. Periodontal probing
revealed the presence of 4- through 6-mm pockets with significant bleeding. The mandibular
anterior teeth showed grade II and III mobility with tenderness to percussion. The
submandibular lymph nodes were palpable bilaterally. Results of the remainder of the
oral examination were otherwise within normal limits.
Figure 1Bluish red gingival enlargement on the facial (A) and lingual (B) aspects of the anterior mandible.
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Biography
Dr. Al-Sabbagh is a professor, Division of Periodontology, University of Kentucky College of Dentistry, Lexington, KY.
Biography
Dr. Hawasli is a periodontist, Woodbridge Periodontal and Implant Center, Woodbridge, VA.
Biography
Dr. Almehmadi is a periodontology resident, University of Kentucky College of Dentistry, Lexington, KY.
Biography
Dr. Omami is an associate professor, Division of Oral Diagnosis, Oral Medicine and Oral Radiology, University of Kentucky College of Dentistry, 800 Rose St, Lexington, KY 40536.
Biography
Dr. Miller is a professor, Division of Oral Diagnosis, Oral Medicine and Oral Radiology, University of Kentucky College of Dentistry, Lexington, KY.
Article Info
Publication History
Published online: November 23, 2021
Accepted:
September 3,
2021
Received in revised form:
August 30,
2021
Received:
May 12,
2021
Publication stage
In Press Corrected Proof
Footnotes
Disclosure. None of the authors reported any disclosures.
The authors thank Akila Mansour, MD, Department of Pathology and Laboratory Medicine, University of Kentucky Chandler Medical Center, for assistance with the histopathologic analysis.
Identification
DOI: https://doi.org/10.1016/j.adaj.2021.09.001
Copyright
(C) 2021 American Dental Association. All rights reserved.
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