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O-36 Clinical Overview Submucosal Swelling (By Region) Gingival Swellings Disease Clinical Features Cause Signifcance Pyogenic granuloma Asymptomatic purple mass discovered Reaction to trauma or persistent May recur if incompletely totally on gingiva but might irritation excised; usually does not be discovered anyplace on skin trigger bone resorption or mucous membrane the place trauma has occurred; frequent Peripheral giant cell granuloma Asymptomatic purple mass of Reaction to trauma or persistent Completely benign behavior; gingiva; cannot be clinically irritation in contrast to central counterpart; separated from pyogenic recurrence not anticipated granuloma; unusual Peripheral fbroma (focal Firm mass; color identical as sur Reaction to trauma or chronic Represents overexuberant fbrous hyperplasia) rounding tissue; no symp irritation restore process with prolifera toms; frequent; may be tion of scar; occasional pedunculated or sessile recurrence seen with peripheral ossifying fbroma Parulis Red mass (or yellow if pus Sinus tract from periodontal or Cyclic drainage occurs until flled) occurring often on periapical abscess underlying drawback is buccal gingiva of youngsters eliminated and young adults; usually with out signs Exostosis Bony onerous nodule(s) covered Unknown No signifcance except in by intact mucosa discovered denture building hooked up to buccal facet of alveolar bone; asymp tomatic; widespread; often seems in adulthood Continued Clinical Overview O-37 � Figure fifty two Pyogenic granuloma. 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