female 38 yrs of age came with swelling on upper jaw burning sensation granulomatous growth was seen patient was advised for cbct. Rx dx

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Pyogenic granuloma D/d peripheral giant cell granuloma Peripheral ossifying fibroma Gingival hyperplasia Confirm with biopsy Any habit history? Duration of lesion? White patches on labial and buccal mucosa? Any skin disease?

An exophytic proliferative growth with leukoplakia on buccaneer mucosa. Impression : Puogenic granuloma. However advised Biopsy including bits at the root/ base.

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Provisional Diagnosis- Pyogenic Granuloma and if there is h/o pregnancy is there then it is confirmed But for final diagnosis and treatment punch biopsy is must. .

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This Appears to be ch infective granuloma following periapical infection and abscess formation.

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Proliferative growth involving upper alveolus. PUNCH biopsy followed by Contrast CT Neck

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Pyohenic granuloma Periapical giant cell granuloma Gingival hyperplasia Biopsy

Punch biopsy to be done  and the growth to be removed surgically urgently

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Periodental SCC yse biopdy to confirm and to plan radical surgery.

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What is duration of growth?,ad biopsy

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