White red lesion on attached gingiva

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Posted on By Mohamed Mohsen In Other

Hello guys,

A healthy 65 y/o woman suffering from a pain under the first left lower molar pointing to the attached gingiva bucally to the first left lower molar.
The molar is with a ceramic crown and no RCT, it was hard checking vitality of the tooth because of the crown on top.
On the buccal attached gingiva about 2 mm inferior to the crown edge there is a white lesion with a red pointin the middle, its painful to probing. The white layer material peels off. X ray shows no indication of any problem. I'm attaching a photo i took of the lesion.
What do you guys think ?

Thank you.


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1 Comments

The clinical date are very low.
-Presentation time, How many day
-Painfull by stimulation or allways
-The Slide show two lesion - one in attached mucosa (near molar) , one in alveolar mucosa
It is with white perypherary, but the red lesion in more prominent.
It is not a Ulcera and not a afta.
Is better see the lesion at 15 day later, but it is important to control the Pain:
rinse with bentelan cp 2mg in a little water for il 1 day tre times, after 1mg tre times a day for the necessary time.
Alternative: you can use a topic corticosteroid for more days.
Avoid drink the solution.
After 15 day if is present the red lesion ... Biopsy


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