PMC3988653_01
Clinical appearance of lesion
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F1
A 27-year-old male patient reported to the department of periodontology and oral implantology, with the chief complaint of a growth of gum tissue in between the upper front teeth [Figure 1].
Traumatic deep bite interfering with the lesion during occlusion
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F2
On occlusal examination, the patient had a traumatic deep bite where the lower central incisors interfered with the lesion during biting [Figure 2].
Intra-oral periapical radiograph showing superficial erosion of bone
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F3
The radiographic examination revealed the superficial erosion of the bone [Figure 3], which was later reconfirmed during surgical excision.
Pre-operative scaling
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F4
Full mouth scaling was done to remove local irritants [Figure 4].
Occlusal correction
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F5
Occlusal correction was also done at this stage [Figure 5].
Full thickness flap elevation facial to tooth 11, 21 using crevicular incision
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F6
A full thickness flap was elevated facial to tooth 11, 21 using crevicular incision [Figure 6].
Excision of lesion
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F7
B.P blade [Figure 7].
Suturing with 3-0 silk suture
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F8
The flap was repositioned over the exposed teeth of 11, 21 and stabilized with 3-0 silk sutures under local anesthesia [Figure 8].
Superficial erosion of bone upon reflection of full thickness flap
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F9
During reflection of flap, the superficial erosion of bone was seen [Figure 9].
Excised tissue
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F10
The excised tissue measured 1 cm x 0.7 cm x 0.5 cm [Figure 10].
Photomicrograph showing features of peripheral ossifying fibroma
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F11
Satisfactory healing seen after 45 days
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F12
The patient presented for follow-up examination 7 days, 15 days, and 45 days postoperatively [Figure 12].