A reactive lesion of gingiva that may demonstrate bone radiographically and often seen microscopically?
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A diverse group of pathologic process can produce the enlargement of soft tissues in the oral cavity and often present a diagnostic challenge. This soft tissue enlargement may represent a variation of normal anatomic structure, inflammatory reaction, cyst, neoplasm and developmental anomalies. A group of reactive hyperplasias, which develop in response to chronic recurring tissue injury that stimulates an excessive tissue repair response. Reactive lesions found on the gingiva are common and tend to be non-neoplastic growths and not implicated with drug involvement. These lesions include Pyogenic granuloma (PG), irritation fibroma, peripheral giant cell granuloma (PGG), peripheral ossifying fibroma (POF). They are usually not painful and are often overlooked by the patient until they become symptomatic or are identified by their dental healthcare provider. It is recommended to obtain histologic diagnoses for the lesions since their clinical appearances can be similar amongst various lesions, but the recurrence rates are different. This paper presents a case report on reactive lesions and highlights the diverse clinical and Histopathological presentations along with review of the available literature for identification and treatment of gingival lesions.
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