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O-36 Clinical Overview Submucosal Swelling (By Region) Gingival Swellings Disease Clinical Features Cause Signifcance Pyogenic granuloma Asymptomatic pink mass discovered Reaction to trauma or chronic May recur if incompletely totally on gingiva however might irritation excised; normally does not be found wherever on skin cause bone resorption or mucous membrane the place trauma has occurred; widespread Peripheral big cell granuloma Asymptomatic red mass of Reaction to trauma or chronic Completely benign behavior; gingiva; cannot be clinically irritation in contrast to central counterpart; separated from pyogenic recurrence not anticipated granuloma; unusual Peripheral fbroma (focal Firm mass; shade similar as sur Reaction to trauma or chronic Represents overexuberant fbrous hyperplasia) rounding tissue; no symp irritation repair course of with prolifera toms; widespread; may be tion of scar; occasional pedunculated or sessile recurrence seen with peripheral ossifying fbroma Parulis Red mass (or yellow if pus Sinus tract from periodontal or Cyclic drainage occurs till flled) occurring normally on periapical abscess underlying downside is buccal gingiva of children eliminated and young adults; often without symptoms Exostosis Bony exhausting nodule(s) coated Unknown No signifcance besides in by intact mucosa discovered denture building connected to buccal aspect of alveolar bone; asymp tomatic; frequent; often appears in adulthood Continued Clinical Overview O-37 Figure 52 Pyogenic granuloma. 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