Today i came across a patient in the clinic , aged 75 years complaining of a swelling wrt bridge[33 to 37] in lower left region with no pain
On examination it was found that the swelling was localised to 36, and right beneath the crown/bridge that was done atleast 10 years ago
The swelling was present both lingually and buccally
Since we suspected an infection erupting from the tooth under the crown as gingival recession was also seen, we took an IOPA but there was no sign of infection so an OPG was asked for.
The OPG was normal, no bony lesion nor any sign of infection under the bridge. The 36 is not RC treated yet there is absolutely no sign of infection
Also history was taken to rule out any drugs that could cause gingival enlargement but this kind of localised enlargement could not have been attributed to drugs
This led us to narrow down our diagnosis to a fibrous growth stemming out of irritation to the gums by the crown margins of the old bridge
We have referred the patient for second opinion
KINDLY OPINE
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