A massive growth in an uncommon site in mandible “Pyogenic granuloma

On the gums lesions associated with gingival tissues means Epulis or Epulides. A reactive focal connective tissue proliferation confined only to gingiva, but its histopathology etiology is unknown. Fibrous epulis is a slow growing, painless, hyperplastic fibrous tissue mass located only in gums. Commonly found in anterior region of oral cavity. Here we report a case of giant fibrous epulis which occurred in the third molar region of mandible associated with impacted third molar. The case of fibrous epulis at the lower left quadrant of mandible for past 5 months duration is presented, it was painless, slow growing mass, on examination well pedunculated growth over the third molar on left lower mandibular region. Provisional diagnosis was fibrous epulis with impacted third molar tooth. Surgical excision was done under local anesthetic solution along with removal of impacted third molar and second molar also. Histopathology report suggests of pyogenic granuloma with no signs of malignancy. Considering the fact that all the clinical features resembles that for fibrous epulis, we would like to emphasize the good histopathologic consideration for the post – operative follow up by the dentist.