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Category: Volume 06 Issue 05 May 2018
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Title: Unusual Presentation in a Case of Generalized Aggressive Periodontitis– A Case Report

Authors: Dr Gurpreet Singh Saini, Dr Sukhmani Hundal, Dr Guntashdeep Kaur

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.09

Abstract

Introduction

Peripheral giant cell granuloma (PGCG) is a localized, benign, sometimes aggressive hyperplastic reactive lesion of oral cavity. Jaffe in 1953 proposed the term“giant-cell reparative granuloma” for such lesions occurring in the jaws while Berner & Cahn in 1954 used the term “peripheral giant cell reparative granuloma” for the peripheral lesions1,2. They believed that these lesions were not neoplasms but represented as a local reparative reaction. But as the clinical behavior of most of these lesions have been inconsistent with the reparative process, thus this nomenclature has been omitted these days.

PGCG is thought to originate from the interdental tissue (periosteum or periodontal ligament) following local irritation. Periodontal disease with varying amount of subgingival plaque and calculus too act as an important local irritant factor2,3,4. Rapidly Progressing Periodontitis (RPP) is usually seen in young adults with a female predilection.It is a multifactorial disease and mixed factors as oral flora, immunological response of patient and environment decide the severity, course and onset of the disease5,6,7.

We present here a case and management of a young female suffering from Rapidly Progressing Periodontitis with complete destruction of the alveolar bone in both the jaws with a huge PGCG in left mandibular body region.

References

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  2. Bernier JL and Cahn LR: Peripheral giant cell reparative granuloma. JADA 1954: 49;141-148.
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  13. Choi C, Terzian E, Schneider R, Trochessel DA. Peripheral giant cell granuloma associated with hyperthyroidism secondary to end stage renal disease: A case report. J Oral MaxillofacSurg 66: 1063-1066,2008.
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Corresponding Author

Dr Gurpreet Singh Saini

Oral and Maxillofacial Surgery, SGRD, Amritsar