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Anterior maxillary gingival overgrowth with associated submandibular lymphadenopathy

Published:January 16, 2022DOI:https://doi.org/10.1016/j.oooo.2022.01.010
      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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