Article: Volume 39 Number 4 Page 286 - May 2012

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  Dent Update 2012; 39: 286-290

Oral medicine:  Recurrent Exophytic Growth on Maxillary Posterior Edentulous Alveolar Ridge – A Diagnostic Challenge

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Abstract: Accurate diagnosis of recurrent intra-oral exophytic lesions require a thorough history, meticulous clinical examination and the experience of assessing these lesions, because they are not commonplace. Despite this, instituting the correct diagnosis tests the skills of an oral medicine expert. Therefore, the same is all the more challenging for a general practitioner who may encounter these lesions without any significant experience. The importance of diagnosing such lesions cannot be understated, as they may represent a myriad of conditions ranging from seemingly innocuous benign pathologic processes to much more sinister ones, like oral malignancy; occasionally some of these lesions may manifest atypically. Such atypical presentations may cloud the diagnostic process. Here a case uncharacteristic of the condition it represented is reported with the aim of increasing awareness of the diagnosis of such lesions.

Clinical relevance: When a clinician comes across recurrent exophytic intra-oral lesions, he/she must be careful, and consider all conditions in the differential diagnosis.

Author notes: Aditya Patney, BDS, MDS, Consultant Oral Radiologist, Mahajan Imaging Centre, Hauz Khas Enclave, New Delhi – 110016, India, Amar A Sholapurkar, BDS, MDS, FAGE, Assistant Professor, Department of Oral Medicine and Radiology, College of Dentistry, King Khalid University, Gregor Abha, Kingdom of Saudi Arabia – 61471, Keerthilatha M Pai, BDS, MDS, Professor and Head, Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Karnataka – 576104, India and Monica C Solomon, BDS, MDS, Professor, Department of Oral Pathology, Manipal College of Dental Sciences, Manipal, Karnataka – 576104, India.

Objective: To recognize uncharacteristic symptoms when diagnosing a particular condition.