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Case Report A 34 year old female patient reported to the Department of Periodontics with the chief complaint ofblack discoloration with respect to maxillary gingiva since one year.On eliciting the history, the patient reported that she had noticed the presence of black spot in the maxillary gingivawith respect to11 and 21 regions one year back which gradually increased in size

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Given that the patients psychotropic regimen was not modified during this time, it is unlikely that changes to psychiatric symptoms are attributable to the psychotropic medications