case_images: PMC3988653_01
case_images: Clinical appearance of lesion
case_images: JISP-18-88-g001.jpg
case_images: PMC3988653_01_JISP-18-88-g001.jpg
case_images: F1
case_images: A 27-year-old male patient reported to the department of periodontology and oral implantology, with the chief complaint of a growth of gum tissue in between the upper front teeth [Figure 1].
case_images: Traumatic deep bite interfering with the lesion during occlusion
case_images: JISP-18-88-g002.jpg
case_images: PMC3988653_01_JISP-18-88-g002.jpg
case_images: F2
case_images: On occlusal examination, the patient had a traumatic deep bite where the lower central incisors interfered with the lesion during biting [Figure 2].
case_images: Intra-oral periapical radiograph showing superficial erosion of bone
case_images: JISP-18-88-g003.jpg
case_images: PMC3988653_01_JISP-18-88-g003.jpg
case_images: F3
case_images: The radiographic examination revealed the superficial erosion of the bone [Figure 3], which was later reconfirmed during surgical excision.
case_images: Pre-operative scaling
case_images: JISP-18-88-g004.jpg
case_images: PMC3988653_01_JISP-18-88-g004.jpg
case_images: F4
case_images: Full mouth scaling was done to remove local irritants [Figure 4].
case_images: Occlusal correction
case_images: JISP-18-88-g005.jpg
case_images: PMC3988653_01_JISP-18-88-g005.jpg
case_images: F5
case_images: Occlusal correction was also done at this stage [Figure 5].
case_images: Full thickness flap elevation facial to tooth 11, 21 using crevicular incision
case_images: JISP-18-88-g006.jpg
case_images: PMC3988653_01_JISP-18-88-g006.jpg
case_images: F6
case_images: A full thickness flap was elevated facial to tooth 11, 21 using crevicular incision [Figure 6].
case_images: Excision of lesion
case_images: JISP-18-88-g007.jpg
case_images: PMC3988653_01_JISP-18-88-g007.jpg
case_images: F7
case_images: B.P blade [Figure 7].
case_images: Suturing with 3-0 silk suture
case_images: JISP-18-88-g008.jpg
case_images: PMC3988653_01_JISP-18-88-g008.jpg
case_images: F8
case_images: The flap was repositioned over the exposed teeth of 11, 21 and stabilized with 3-0 silk sutures under local anesthesia [Figure 8].
case_images: Superficial erosion of bone upon reflection of full thickness flap
case_images: JISP-18-88-g009.jpg
case_images: PMC3988653_01_JISP-18-88-g009.jpg
case_images: F9
case_images: During reflection of flap, the superficial erosion of bone was seen [Figure 9].
case_images: Excised tissue
case_images: JISP-18-88-g010.jpg
case_images: PMC3988653_01_JISP-18-88-g010.jpg
case_images: F10
case_images: The excised tissue measured 1 cm x 0.7 cm x 0.5 cm [Figure 10].
case_images: Photomicrograph showing features of peripheral ossifying fibroma
case_images: JISP-18-88-g011.jpg
case_images: PMC3988653_01_JISP-18-88-g011.jpg
case_images: F11
case_images: Satisfactory healing seen after 45 days
case_images: JISP-18-88-g012.jpg
case_images: PMC3988653_01_JISP-18-88-g012.jpg
case_images: F12
case_images: The patient presented for follow-up examination 7 days, 15 days, and 45 days postoperatively [Figure 12].