Clinical Findings

The patient presented with a red, ulcerated, lobular gingival swelling (Figure 1) between teeth #s 8 & 9 mostly involving the labial gingiva and extend into the interproximal palatal gingiva (Figure 2). The patient states that over the past several months she noticed her upper incisors separating slightly with irritated gums but no evidence of loose teeth. The clinical examination revealed heavy sub-gingival calculus.

Figure 1 This photograph was taken at the first periodontology clinical visit. Note the red, lobular gingival swelling between teeth # 8 & 9 and slightly extending to the interproximal area between teeth #s 9 & 10.

Figure 2 This photograph demonstrated the interproximal palatal extension of the swelling.