On the upper cast, stainless steel framework was made from one side to the other (55 to 65), with an acrylic button similar to a Nance palatal arch with an extension of acrylic material being flowed from the palatal to the labial vestibule
over the archwire.
However, no permanent relief was obtained, and the condition further deteriorated with pus discharge from the labial vestibule
On exam, there was a large, painless, fibrous, exophytic mass in the anterior maxillary labial vestibule
(Figures 1(a) and 1(b)).
She got extraction of upper central and lateral incisors and suturing of the labial vestibule
. There were no extra oral lacerations nor facial fractures.
This procedure electrically records mandibular incisor point movement in three dimensions in the field emanating from a magnet placed with adhesive in the interior labial vestibule
. The information is fed to a computer that digitizes the data into such frames of reference as sagittal/frontal, anterior/ posterior, vertical, lateral, and velocity of movement.
In the case discussed, the denture flange at the maxillary labial vestibule
was evaluated to be a bit over extended.
Upper labial vestibule
was obliterated due to growth.
Superior and inferior borders of lesion includes 1cm from labial vestibule
to 0.5cm below the cervical margin of 11 respectively (figure 1).
Intra oral examination revealed a swelling in the labial vestibule
in relation to tooth number 11 and 12 of the size 2x2 cms.
No signs of cutaneous involvement at presentation, On Intraoral examination, the patient had multiple superficial shallow irregular denuded ulcers covered with pseudo membrane slough, on right and left buccal mucosa, buccal and labial vestibule
, ventral surface of tongue, hard palate, soft palate, uvula and tonsillar fauces measuring about few millimeters to centimeters in size (Fig-2,3,4,5,6).