PMC8092083_01
Intraoral clinical photograph showing two distinct, pedunculated, firm, soft tissue growth attached to alveolar crest of mandibular anterior region (a) and intraoral periapical radiograph of mandibular anterior region showing soft tissue shadow along with irregular radiopacity within it suggestive of calcification and underlying tooth buds of primary teeth (b)
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F1
On examination, there were two distinct, firm, soft-tissue pedunculated growth of size 1.5 cm x 1 cm with normal-appearing overlying mucosa in color and texture in relation to the alveolar crest of mandibular central incisor region [Figure 1a]. Intraoral periapical radiograph showed soft-tissue shadow along with irregular radiopacity within it suggestive of calcification or poorly formed teeth and also evidence of deciduous tooth buds present below the alveolar crest [Figure 1b].
Intraoral clinical photograph showing 2 weeks post-operative photograph with uneventful healing (a) and postoperative intraoral periapical radiograph of mandibular anterior region showing normal alveolar ridge with underlying tooth buds of primary teeth (b)
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F2
The patient was recalled after 1 week for suture removal, and post-operative healing was uneventful [Figure 2a]. Postoperative intraoral radiograph was taken, which revealed normal alveolar mucosa with tooth buds of anterior teeth [Figure 2b].
Gross picture of the excised specimen
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F3
On gross examination of the excised tissue [Figure 3]; no remnants of natal teeth were found.
Microphotograph (H and E, x4) showing parakeratinised hyperplastic stratified squamous epithelium having long and narrow rete ridges, connective tissue was consisting of collagen bundles, fibroblast, diffuse mild lymphocytic infiltration and mineralized areas (a) and Microphotograph (H and E, x40) showing varying degree of mineralized areas in connective tissue shown by an arrow and hypercellular areas having plump fibroblasts (b)
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F4
A final histopathological diagnosis of POF was made [Figure 4a and b].