36yrs/F pt c/o swelling left upper posterior back teeth region since one year gradually increased to present size interfering with occlusion no relevant medical history, not on any medication ,opg reveals no significant bone loss,excisional biopsy done by gingvectomy. Differential Diagnosis??

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Generally it 4 types as we commonly know. Inflamatory/ Heriditary/ Drug induced/ Systemic causes Inflammatory- no bone loss. Drug induced- Not specific May be Heriditary....need family history. Hereditary Gingival Fibromatosis mostly Rare & usually develops during childhood, although cases may not become evident until adulthood. Repeated surgical removals may be required as its recurrent in nature. This condition presents as a slowgrowing generalized or localized. Non-tender, firm, pale pink gingival enlargement Systemic Causes....I know few, that may cause localized and/or generalized gingival enlargement such as pregnancy, hormonal imbalances, and leukemia. Need through & detailed investigation. Definitely some link which is getting missed

Thank you sir
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Gingival hypertrophy/ hyperplasia D/D- Drug history- Antiepileptics ( Phenytoin), Nifidipine, Chronic arthritis, cyclosporine. Chronic gingivitis. Hereditary gingival fibromatosis. Leukemia Pregnancy &other dishormonal conditions. Suggest- Biopsy n HPE for confirmation. Please do inform what it came out as...

Definitely Dr
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SUGGESTIVE of.. UNILATERAL GINGIVAL . FIBROMATOSIS WITH LOCALIZED AGGRESSIVE PERIODONTITIS ADVISABLE.... X. RAY H. P. E

Thank you Dr
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Gum hyper with impacted teeth Eup

Is it just a soft tissue swelling?

Yes Dr
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Although the information are so well defined.... Plz share the opg

Drug induced Gingival hyperplasia Biopsy Mouthwash

I think it's inflammatory enlargement. Do thorough scaling and root planing. And follow up.... Give Antibiotics and mouth wash

Hardly any local deposits can be appreciated and gingiva is pale pink firm in consistency less likely to be inflammatory Dr yes but definitely is one of differential diagnosis
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Was something irritating to gingiva I mean calculus.....

No Dr no specks of calculus
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Non inflammatory fibrous gingival enlarge ment