Concluded Case

C/c Swelling over upper anterior region D/d epulis Planning for surgical excision with curettage

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Sir i dont think its a euplis. Its looking like pyogenic granuloma. Check for bleeding in the lesion. If its bleeding profusely on probing might br pyogenic granuloma. Looks like a female patient. Ask about medical history. Give antibiotic and analgesics and take proper precaution to control bleeding while excision.

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Sir i dont think its a euplis. Its looking like pyogenic granuloma. Check for bleeding in the lesion. If its bleeding profusely on probing might br pyogenic granuloma. Looks like a female patient. Ask about medical history. Give antibiotic and analgesics and take proper precaution to control bleeding while excision.

Thank you doctor.
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History of swelling? Any increase in size? Age of the patient H/o recurrence? D/d epulis Peripheral giant cell granuloma Pyogenic granuloma Peripheral ossifying fibroma Confirm with biopsy Treatment -surgical excision

Thank you doctor.
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1) o/e looks like pyogenic granuloma 2) Check an iopa whether peripheral cuffing of bone is present in the area of lesion then it could be peripheral ossifying fibroma. 3)Since the lesion has caused displacement of teeth it can be a benign tumor most commonly AOT in maxillary anterior region.

Agree with Dr. Nazia it looks like a pyogenic granuloma, t/t is surgical excision under l.a., followed by oral prophylaxis & biopsy of lesion. Regular follow up is necessary, reccuranac may occur due to chronic irritation of calculus & plaque or any hormonal change

Thank you doctor.
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Looks like pyogenic granuloma.....get an opg done first .....biopsy required after excision....good luck

Epulis Excision Curettage

Agreed with @mogesvar sir One more possiblty is Adenomatoid odontogenic tumor associated with probably any impacted mesiodens... Nice case sir

Thank you doctor.
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Growth ? Malignant

Long standing lobular capillary hemangioma (pyogenic granuloma) may have got scaring/fibrosis. Or even peripheral ossifying fibroma is possible. Please establish working diagnosis. Origin from pdl so take out in-toto to avoid recurrence.

Gingival overgrowth, Epulis, you can advise for blood investigation for Total count, Differential count. can be due to medication for b.p, phenytoin, carbamazepine

Thank you doctor.
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