Clinical & Radiographic Findings

Clinical examination revealed mild trismus and a 2.0 x 1.5 x 1.5 cm purplish-blue exophytic, sessile mass involving the gingival margin of tooth #14  resembling a reactive gingival swelling such as peripheral giant cell granuloma or Kaposi sarcoma.

 

 

The panoramic radiograph demonstrated bone resorption near the right maxillary first molar and the area between the mandibular left first and second molars that resembled periodontitis.  Teeth numbers 14, 18 and 19 had deep furcation probings and sulcular purulent exudate with 2+ mobility.  A panoramic radiograph revealed significant bone resorption involving the furcation of teeth #s 14, 18 and some of 19.