47 years male pt with the chief complaint of bleeding comes out from gingiva

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Gingival hyperplasia due to poor oral hygiene , may be decayed teeth , calculus tartar , chronic caries anterior lower incisors will result the abnormal swelling of gingiva results Gingival hypertrophy . * biopsy is very much needed . * looks like cauliflower growth may be chances of carcinogenic effect . * profuse bleeding due to huge swelling of gingival tissue . * oral hygiene is very poor . * due to gingival hypertrophy pt couldn't able to brush the teeth . * due non brushing of teeth food , calculus aggravates the gingival hypertrophy and results bleeding gums . * metrogyl 400mg thrice in a day for 10 days . * for foul smell ( halitosis) chlorhexidine is very useful to arrest foul smell and bad breath * complete scaling is compulsory . * any caries teeth with grade 3 mobility should remove . * b complex tab once daily for 10 days . * complete blood picture is mandatory . * any history of anti epileptic drugs usage . * any habits if smoking and pan chewing and Panparag , raja khyni nut powder chewing habit . * any sublingual and sub mandibular lymph adenopathy . * any auto immune diseases ? Rx , removal of fully decayed teeth , and scaling , and opg for bone condition and any cystic changes underlying bone . After getting biopsy and opg if the growth is Benine then u can remove the growth surgically. Any hematological abnormalities also we have to see

Submandibular lymphadenopathy
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GINGIVAL HYPERTROPHY&SUBMANDIBULAR LYMHADENOPATHY

There is a proliferative growth involving the gingivolabial sulcus and gingivobuccal sulcus...appears to be CA alveolus...biopsy needs to be done to rule out malignancy first and then proceed as per the report

U r very true Doctor Devjani gi
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Rule out carcinoma firstly... Then periodontal treatment can be discussed

Biopsy and opg needed for diagnosis. .. and then should go for b/l usg neck to confirm the lymphadenopathy and to plan for the treatment.... as it is a proliferative growth in the midline and also extending the lingual region b/l lymphadenopathy must be their. Also extraction should never be done in the line of fire I.e if tge growth is carcinogenic..

Gingival hyperplasia due to calculus tartar , abnormal swelling * looks like growth of a cauliflower * profused bleeding of gums continuosly * check for diabetes , blood investigations * any hypertensive drug * oral hygiene is too worst * Autoimmune disorders, pan gutka , chute chewing personality ?? Go for biopsy ... may be carcinogenic effect tooo... Then go for surgery

Suspicious leison... Could be squamous cell carcinoma....Take biopsy to confirm the diagnosis and treat accordingly

Gingival hyperplasia Poor oral hygiene Antibiotics Multivitamins Sutgical excision Biopsy Opg

Looks like hyperplasia due to underlying calculus and may be associated with periodontitis.. Evaluation -OPG,ORAL ANTIBIOTICS WITH ANAEROBIC COVERAGE,MOUTH RINSE(BETADIBE+CHLORHEXIDINE),GUM ASTRINGENTS,ORAL PROPHYLAXIS FOLLOWED BY GINGIVECTOMY OR PERIODONTAL THERAPY FOLLOWING OPG, ROUTINE BLOOD INVESTIGATION NERDED..

Cbc and biopsy is required Most probably d/t systemic disease Betadine gargle and h2o2 mouthwash Complete medical and drug history also required

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