Multiple swellings

Chief complaint 43 y/o male complains Swelling over the palate and oral cavity & pain in the 4th quadrant for a month History Patient has h/o restoration irt 46,47. Both teeth were tender to percussion with failing restorations. He also has swelling on the arm and legs. Investigations Examination shows many nodules in oral cavity & head and neck. The nodules were soft on touch. Hyperplasia of the gingiva is noted on OPG. Diagnosis What are your comments? Treatment Suggest treatment also.

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AS. PER THE... DESCRIPTION. OF. THE. CASE... SUGGESTIVE. OF... NEUROFIBROMATOSIS N. F. 1 WITH MULTIPLE PLEXIFORM NEUROFIBROMAS. ..ON HEAD. AND. NECK. .. REGION WITH HYPERPLASIA. OF SOFT. TISSUES. OF. PALATE... AND FUNGIFORM. PAPILLAE... .. WITH MULTIPLE. DISPLACED... ..... IMPACTED. AND. UNERUPTED TEETH... ...... OPG. SHOWS... ....., ....... WIDENING. OF.... MANDIBULAR. FORAMEN AND INFERIOR. ALVEOLAR. CANAL... ADVISABLE..... 1 NODULE. BIOPSY 2. ALL. ROUTINE. INVESTIGATION 3. REFER. TO. GEN. SURGEON... FOR. FUNCTIONAL. THERAPY.. AND LASER. / DERMA. TREATMENT 4. IN. DENTAL. .TREATMENT .. .....EXTRACTION. OF. INFECTED MOLARS / ENDODONTIC. TREATMENT ....IF. POSSIBLE...... .

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