Pediatric oral pulse granuloma: A rare entity
An 8 year old young boy patient reported to our department of Pedodontics and Preventive Dentistry in College of Dental Sciences, Davangere, with a chief complaint of swelling on the lower lip region and interference in closing of mouth.\nCase history revealed the growth to be initiated as a small nodule over the lower lip, which gradually increased in size within 3 weeks. The patient's parents also revealed a failed attempt for removal of the growth by tying a horse's tail hair around it - a popular superstitious belief []. Clinical examination, intra-orally revealed, a nodule on the right side of lower lip measuring about 1 × 0.8 cm, which was round in shape with a pedunculated base, non-tender on palpation. The growth was reddish brown in color, firm in consistency with smooth borders. Secondary infection was seen with pus discharge due to the tying of horse's tail hair []. The other intra-oral clinical findings revealed generalized hypoplasia of the teeth.\nAfter complete haemogram, surgical excision of the nodule [] was done followed by curettage of the excised area [] followed by prescription of antibiotics and anti-inflammatory drugs.\nBased on history and clinical features, a provisional diagnosis of Irritational Fibroma was made. Upon histological examination of the excised lesion, the slide exhibited compartmentalized spaces with enveloping giant cells. Polarized lenses were used to detect the foreign material which was not readily identifiable otherwise [].\nThe patient was recalled after a week. The excised area exhibited complete healing with proper lip seal [].