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Exophytic gingival growth on the anterior buccal maxillary gingiva.
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PMC4245672_02
Solitary, pedunculated, exfoliated, lesion in the gingiva between upper left central and lateral incisors.
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The contour was regular with determined margins and was associated with a flaring space between the two incisors of 2 mm at the contact area level (Fig. 2).
Intra-oral peri-apical radiograph revealing slight localized reduction of the level of interdental crestal bone between the two incisors.
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The lamina dura was detected adjacent to the periodontal ligament spaces, but the crestal bone showed less opacity (Fig. 3).
Excision of lesion.
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Under local anesthesia, the lesion was excised down to the periosteum; a thin layer of alveolar bone was resected as well (Fig. 4).
Connective tissue graft sutured on defect area to compensate the excised tissues and to avoid an esthetic complication.
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A connective tissue graft was placed on the defect area to compensate the excised tissues and to avoid an esthetic complication in the anterior region (Fig. 5).
The excised tissue was sent for histo-pathological analysis after being placed in a container with formalin.
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The excised tissue was sent for histo-pathological analysis in CAP LABS (Center for Advanced Pathology Labs, Bethlehem, Palestine) (Fig. 6).
One year follow-up, no signs of recurrence of the lesion have been observed.
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There was no esthetic problem caused by the excision; this is due to proper healing of the connective tissue graft on the healthy tooth surface (Fig. 8).