Clinical pathology conference case 2: gingival overgrowth around a badly carious first molar

Abstract

A 10-year-old girl was referred to the oral surgery clinic with a chief complaint of easily bleeding gingival overgrowth of 3 months’ duration in the lower right quadrant (Figure 1). The associated right first molar was badly carious, with grade 2 mobility along with the adjacent premolars. On palpation, the buccal and lingual cortical bones associated with first molar were missing. On radiographic evaluation, a periradicular radiolucency with external root resorption was evident (Figure 2). The patient showed developmental delay and had a history of tonsillectomy and chronic cough. Enlarged upper anterior gingiva and enlarged, palpable bilateral submandibular lymph nodes were also noted during clinical examination (Figures 3 and 4). Fig. 2Periradicular radiolucency with external root resorption evident on the radiograph. View Large Image Figure Viewer Download Hi-res image Fig. 3Enlarged upper anterior gingiva. View Large Image Figure Viewer Download Hi-res image Fig. 4Enlarged, palpable bilateral submandibular lymph nodes. View Large Image Figure Viewer Download Hi-res image