Inflammatory hyperplasia: From diagnosis to treatment
A female patient aged 38 years reported with a chief complaint of swelling in the left front region of the gums.\nThe lesion was nodular, circumscribed polypoid lesion measuring about 1.5 cm × 1.2 cm, pinkish to reddish in color, which bled easily, and was painless. This lesion involved the marginal and interdental gingiva on the facial surface of the maxillary left canine and 1st premolar. Local factors plaque and calculus were present [].\nOral hygiene instructions were given and scaling and polishing were done on the first visit. Then, the patient was recalled for surgical excision of the lesion. After excision, residual calculus was removed and root planing was performed [Figures and ]. The excised lesion was sent to the Department of Oral Pathology for histopathological examination. The patient was motivated to maintain oral hygiene and was asked to rinse her mouth with 0.2% chlorehexidene mouthwash twice daily for 1 week. The patient was kept under observation through recall checkups.\nMicroscopic examination revealed hyper-parakeratinized stratified squamous epithelium with ulceration and acanthosis of the stratum spinosum. The underlying dense fibrous connective tissue stroma showed severe chronic inflammatory cell infiltrate consisting of lymphocytes and plasma cells and a moderate number of endothelial-lined blood vessels suggestive of chronic inflammatory fibrous hyperplasia [].\nFigures and show the post-operative photograph of the same lesion after 1 and 3 weeks, respectively.