CASE-1

FIBROMA OF TONGUE

• NAME ASGAR MALIK

• AGE 30YRS

• SEX MALE

• OCCUPATION JOB

• ADDRESS SEC.29 FARIDABAD.

• CHIEF COMPLAINT -PATIENT COMPLAIN OF YELLOW DEPOSITS ON HIS TEETH SINCE 6

MONTHS.

• HISTORY OF PRESENT ILLNESS- PATIENT ALSO GIVES HISTORY OF EXTRACTION OF UPPER

BACK TOOOTH 8-9 MONTHS BACK AND HE FEELS PUS DISCHARGE FROM THAT AREA AFTER
SLEEPING.

• PAST DENTAL HISTORY- PATIENT GOT EXTRACTION OF UPPER BACK TOOTH 8-9MONTHS
BACK.

• MEDICAL/DRUG HISTORY- NO DATA AVAILABLE

• PERSONAL HISTORY- PATIENT CLEANS HIS TEETH ONCE DAILY.

• FAMILY HISTORY- NO DATA AVAILABLE.

• EXAMINATION-

1.GENERAL EXAMINATION

• BUILT AND NOURISHMENT-MODERATE

• EDEMA -NORMAL

• PALLOR-ABSENT

• B.P.-120/80
 • ICTERUS-ABSENT

• CLUBBING-ABSENT

• TEMPERATURE-NORMAL

• PULSE-NORMAL

• RESPIRATORY RATE-NORMAL

• ANY OTHER SIGNIFICANT FINDING-ABSENT

• ORAL PATHOLOGICAL FINDINGS

• FIBROMA OF TONGUE

• UNILATERAL

• LOCALISED

2.EXTRA ORAL

• T.M.J-NO ABNORMALITY DETECTED.

• LYMPH NODE-NO ABNORNALITY DETECTED.

• SALIVARY GLAND-NO ABNORMALITY DETECTED.

• LIPS-NORMAL.

• ANY SWELLING/ABNORMALITY-ABSENT.

• [3]INTRA ORAL

• [A]HARD TISSUES

• [i]TEETH

• DECAYED -NEGATIVE cross bite w.r.t 23,24,33,34

• MISSING -NEGATIVE

• FILLED -NEGATIVE

• TENDERNESS ON PERCUSSION-NEGATIVE

• VESTIBULAR TENDERNESS-NEGATIVE

• OVER RETAINED-NEGATIVE
• MOBILITY-NEGATIVE

• ROOT STUMPS-NEGATIVE

• ATTRITION ,ABRASION,EROSION w.r.t 31,32,36,41,42

• [3]INTRA ORAL

• [A]HARD TISSUES

• [i]TEETH

• DECAYED -NEGATIVE cross bite w.r.t 23,24,33,34

• MISSING -NEGATIVE

• FILLED -NEGATIVE

• TENDERNESS ON PERCUSSION-NEGATIVE

• VESTIBULAR TENDERNESS-NEGATIVE

• OVER RETAINED-NEGATIVE

• MOBILITY-NEGATIVE

• ROOT STUMPS-NEGATIVE

• ATTRITION ,ABRASION,EROSION w.r.t 31,32,36,41,42

• [ii]LABIAL MUCOSA-NO ABNORMALITY DETECTED.

• [iii]BUCCAL MUCOSA-NO ABNORMALITY DETECTED.

• [iv]TONGUE-FIRM SWELLING ON LEFT SIDE OF DORSUM OF TONGUE,SESSILE.FISSURES PRESENT

ON LEFT LATERAL BORDER OF TONGUE.ON PALPATION INSPECTORY FINDING ARE CONFIRMED.

• [v]FLOOR OF MOUTH-NOABNORMALITY DETECTED.

• [vi]RETRO MOLAR AREA-NO ABNORMALITY DETECTED.

• [vii]HARD PALATE-NO ABNORMALITY DETCTED.

• [viii]SOFT PALATE AND UVULA-NO ABNORMALITY DETECTED.

• EXAMINATION OF SPECIAL LESIONS[SWELLING/ULCER/PATCH/RED OR WHITE LESIONS,ETC]

• FIRM SWELLING ON LEFT SIDE OF DORSUM OF TONGUE,SESSILE.FISSURES PRESENT ON LEFT

LATERAL BORDER OF TONGUE.ON PALPATION INSPECTORY FINDING ARE CONFIRMED.
 • DIAGNOSIS-

• CHRONIC GENERALISED MARGINAL GINGIVITIS.

• FIBROMA OF TONGUE.

• CRENATED TONGUE.

TREATMENT PLAN-

• SURGICAL EXCISION

• LASER THERAPY