Dr. Shams

⬆️ Saving vitality of upper left 5 by direct pulp capping with MTA followed by glass ionemer base and direct composite overlay.

Deep margin elevation

Drug induced gingival hyperplasia.calcium channel blockers and cyclosporins effect. Gingivectomy is performed with deep scaling and root planning and the patient is instructed to consult the physician to alter the cyclosporins to tacrlimus and stop nifipidine if possible.

2 years ago case. When it was a lot to be learnt.

Liquidam is added then to seal. This isolation case wss challenging.

Deep margin Elevation.
Pre finished and polished case.

⬆️ Conventional crown lengthening followed by pre endo build up.

⬇️ Tough isolation case due to lack of tooth structure and presence of Two catilevered crowns of upper right and left centrals.

Chief complaint: painful enlarging polyp.

History of the chief complaint : 2 months ago , it was surgically removed because it was interfering with lower right canine eruption but recurred aggressively than before after surgical removal without sub periosteal curettage and complete removal of polyp.

Extraoral examination : The child is medically fit with no tender or palpable lymph nodes.

Intra oral examination: pedenuclated indurated cystic polyp appears to be originating from the gingiva

What is your differential diagnosis to the base of your knowledge ?

Leave your meaningful thought below ith the comments. Your comments are highly appreciated.

Replacement of old amalgam restoration in lower right 6

Surgical removal of mesio-angular lower left 8

Extraction of Lower left 8 with extra root.

Infected eruption cyst around lower right canine for up to 3 months.

Management of carious root lesion in upper right central incisor.

Preserving lower right 8 vitality