An uncommon presentation of an XXXX --responding to non-surgical periodontal therapy.

@entity1 @entity32 @entity2520 @entity39
BACKGROUND: The various clinical manifestations of @entity32 reported are more or less similar regardless of the underlying aetiological factors. Unusual presentation and unknown aetiology pose a diagnostic challenge for a periodontist. METHODS: A 34-year-old Indian @entity1 presented with the complaint of gum swelling that was sessile, lobulated, soft in consistency and bluish red in colour with ulcerated surface in some region, which was covered by the @entity39 slough. This type of enlargement was unusual and some underlying systemic pathology was suspected. But a written consultation from her physician confirmed her systemic health, which was based on clinical, radiological and haematological investigations. Histopathological examination confirmed the diagnosis of @entity32 . @entity1 was treated with oral hygiene instructions, scaling and root planning. RESULT: Within a month of conventional periodontal therapy, gum enlargement reduced markedly and @entity1 was put on oral hygiene maintenance programme. CONCLUSION: Periodontal therapy is diagnosis-driven and, to the extent possible, should address all the possible factors that impact development and progression of diseases that may affect periodontal tissue. In plaque-induced @entity2520 , non-surgical periodontal therapy is still a gold standard among all the therapies available.
