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Religion: Hindu
Chief complaint: Patient complains of growth in right upper front region of the jaw related to
gums, and also complains of swelling in gums and bleeding since 15 days.
History of present illness: patient was asymptomatic 15 days back than he noticed small
swelling in right upper front region of the gums; initially swelling was small in size and
gradually increases as present size without pain and discharge. No any history of associated
symptoms.
Personal history: Gutkha chewing 4-5 pouches per day since 5 years and smoking cigarette 1-2
per day since 2 years
Habits:
Diet: Mixed
Vital signs:
Face: asymmetrical
Lips: Competent
Soft tissues:
Teeth present:
11,12,13,14,15,16,17,18,21,22,23,24,25,26,27,28,31,32,33,34,35,36,37,38,41,42,43,44,45,46,47,
48.
Dental caries:-
Occlusal: Absent
Proximal: Absent
Cervical: Absent
Mobility: Absent
Stains: Moderate
Calculus: Mild
Hard tissues:
Mobility: Absent
Percussion: Absent
Soft tissues:
Inspection:
A solitary growth present irt 13and 14 related to gums it extends mesio-distally distal aspect of
13 to distal aspect of 14, covering distally 1/3 crown of 13 and entire coronal surface of 14.
Approximately 02 to 03 cm in size and slightly oval in shape with irregular margin and smooth
and shiny surface, red in color
Palpation: On palpation all inspector findings are confirmed, it is soft and smooth growth
attached with small base and bleeding on probing.
Case summary:
Patient came in the department of oral medicine and radiology with the chief complains of
growth in gums without any other associated symptoms. Growth was small in size initially and
gradually increases as present size 2X 3 cm approximate and sometimes he noticed bleeding
from gums during brushing or own. On examination growth present i.r.t 13 14 attached with
small base pedunculated and pear or oval shaped it extends distal aspect of 13 to distal aspect of
14 that is mesio-distally and superior-inferiorly it extends from attaced gingiva to buccal cusp of
14 (entire coronal portion covered) red in color and no any history of discharge except
sometimes blood. On palpation no raised temperature, it is soft fibrous with smooth surface.
Bleeding on probing present.
Differential diagnosis:
Radiographs: IOPAR
Biopsy: Excisional
Histopathological findings: Reveals epithelium overlying an inflamed connective tissue stroma.
Epithelium was stratified squamous in nature and keratinized in nature and exhibiting mild
features of hyperplasia underlying connective tissue was chiefly cellular composed of
proliferating endothelial cells admixed with chronic inflammatory cells within collagenous
background. Numerous budding capillaries and vascular slits were also evident.
Radiographic interpretation:
PREOPERATIVE