A 50-year-old Saudi woman presented to the Department of Oral and Maxillofacial Surgery,
King Saud University Dental Hospital, Riyadh, Saudi Arabia, with a mucosal overgrowth
related to the labial gingiva of the right maxillary second incisor and canine of
about 10 months’ duration. The mass was slow-growing with no associated recent rapid
growth before presentation. There was no history of trauma to the area. The patient
was a known shammah (smokeless tobacco) user for over 40 years, usually placed alternately in the right
and left anterior mandibular vestibule in the canine-premolar area. She also had type
2 diabetes for more than 10 years, which was managed with metformin and lifestyle
modification. Her diabetes appeared to be poorly controlled at presentation (HbA1C was 9.1%; 11.9 mmol/L). The normal target for type 2 diabetes is ≤6.5% (7.8 mmol/L).
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Article info
Publication history
Published online: January 16, 2022
Accepted:
January 11,
2022
Received in revised form:
December 24,
2021
Received:
September 15,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
