Figure 1.

Acromegalic patients had frequent thick gingival biotype and oral bony outgrowths but no diffuse hypercementosis. (A) Orthopantomogram of an acromegalic patient recovering an isolated cementoma of the tooth 44 but no diffuse hypercementosis. (B) Enlargement of the dotted line delimited area in A, yellow arrow: cementoma. (C, D and F) Photographs of oral cavity of acromegalic patients showing: (C) thick gums without gingival hypertrophy nor periodontitis. Note the maxillary central diastema and occlusion disorder (class III); (D) presence of bilateral mandibular tori (circled in dotted line); (E) presence of vestibular bony outgrowths; (F) magnification of the bony outgrowth pointed by a red arrowhead in E; (G) 3D reconstruction from Cone beam CT (CBCT) of the same patient as in E; (H) CBCT slice through maxillary of the same patient as in E. Red arrow heads in E, G and H point to the same vestibular bony outgrowth, note the cortical bone enlargement H.