Case of the day

Huge Gingival swelling

A 62 y/o female presented with a very large gingival swelling. She stated that the swelling had been of about 3 months’ duration. The gingival swelling was in the area of retained roots of tooth 25 measuring 4.2 x 3.4 x 3.7 cm. The patient reported that this swelling impaired her ability to close her mouth and impacted eating but that she was otherwise asymptomatic. There was no pain, bleeding or sensitivity associated with the swelling.

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How is the consistency...bruit / thrill...if not its pyogenic granuloma, which can be confirmed by tieing a ligature around the stalk of the lesion , it Blanche's and turns blue , simply excise the lesion with anticipation of bleeding, do a bt CT PT INR and platelets count before doing so... aggressive currettage will help prevent recurrence.
Pyogenic granuloma D/d Peripheral giant cell granuloma Peripheral ossifying fibroma Confirm with biopsy Treatment plan Surgical excision including offending teeth or root stumps and thorough curettage.
IT'S A..CASE OF.. ? GINGIVAL HYPERPLASIA .. ? INFLAMMATORY GUM ENLARGEMENT.. * NEED'S.. SURGICAL INTERVENTION.. HPE STUDY..
Peripheral Gaint Cell granuloma Peripheral Ossifying Fibroma Gingival Hyperplasia Surgical excision Biospy
Peripheral Gaint Cell Granuloma, Oosifying fibroma
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