39th CPC - Case #2
Provided By: Elizabeth Andrews D.D.S., M.S. - 2009-05-27
Clinical History
Healthy, 7 year old white male
CC: Red bump on gums. Present for about one week. Noted by parent on brushing of area.
Clinical exam 5 x 6 cm exophytic, red mass on gingiva of #14 with ulcerated surface
15mm pockets on M & D
Differential Diagnosis
Pyogenic granuloma (Clinicians Diff DX based on gingival presentation)
Central giant cell granuloma
Juvenile ossifying fibroma
Langerhans Cell Disease
Metastatic Tumor
Squamous Cell Ca
Osteosarcoma