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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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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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?

Proliferative growth.. ? Pyogenic granuloma.. ? SCC Better to evaluate clinicopathologically With Biopsy for confirmation and further management..

Granuloma pyogenicum

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Fleshy growth suggestive of granulomatous epulis, advised excision biopsy under LA and plan further treatment as per the hpe

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

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Take a biopsy

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

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Excision biopsy must for diagnosis

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Granuloma Pyogenicum.

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