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Extraoral clinical photographs showing diffuse swelling of the face giving a leonine facies appearance.

Extraoral clinical photographs showing diffuse swelling of the face giving a leonine facies appearance.

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Paget's disease (PD) is a chronic bone disease characterised by increased resorption followed by excessive bone formation resulting in bone pain and fractures. PD is most common in the elderly and many are initially asymptomatic but can develop severe complications as disease progresses. Serum alkaline phosphatase is an important biochemical marker...

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... swelling was immobile and attached to the underlying bone. Intra-orally, there was a swelling seen in the 18 region of the maxillary alveolus [ Fig.1] with obliteration of the buccal sulcus. ...

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