Good morning

PRESENTED BY:

DR. Abdul Qahar Qureshi

Name: Mr. Suresh Kale

Age / Sex: 13 yrs / M

Chief complaint: Pateint C/O Swelling in upper right back

region ofjaw , since 1 month.

Dental history: Medical history: Non contributoryFamily history:Drug allergy:

Personal history: Appetite: Normal Type of diet: Vegetarian Bowel and Bladder habits: Normal Adverse habits: No adverse Habits

Habits: No adverse habits

EXTRA ORAL EXAMINATION…. HeadHair Ears NADLymph nodeFacial symmetry:- SymmetricalLips:- compitentTMJ:- Bilaterally smooth, symmetrical, with no

clicking sounds

Intraoral examination Inspection: No-1 Site: Posterior right side of the palate

Involving 16 upto 17,18 region,also Involving the occlusal distal surface Of 16 buccopalatally extend.

Size: 2cm x 2cm

Extent: AP – In the line of mesial surface of 18 to Anterior Faucial PillarsML – 1 cm away from midline to Laterally towards Tuberosity

Shape: Spherical

Colour: Reddish Pink

Surface Texture: Smooth

Margin: Well defined

Border: Regular

Surrounding Structures: Normal

Mucosa over swelling : whitish red with slight reddish margin

Palpation:Inspectory findings confirmed bypalpation

Consistency: Firm

Local Temperature: Not Raised

Tenderness: Negative

Fluctuation: Negative

Fixity:

Bleeding on Provocation: Not present

INTRA ORAL EXAMINATION… Soft tissue examination: Buccal mucosa: Labial Mucosa: Gingiva: Tongue: Floor of mouth: Palate: : swelling noted on posterior

right side of the palate

NAD

Hard Tissue Examination:

Root Pieces – 17,28,34,36Proximal Caries – 18,35,38Generalised AttritionGeneralised AbrasionStains +

Provisional diagnosis :Pyogenic granuloma ?

Investigations… Radiographs Complete hemogram HIV, HbsAg, serum urea and

creatinine.

Orthopantamogram

Differential diagnosis

• Peripheral giant cell granuloma

• Exophytic capillary hemangioma

• Peripheral fibroma

• Lymphoma

Treatment plan Surgical Excision of the lesion

Thank You