Uncommon location of Oral Telangiectatic Granuloma – Case report

Introduction: The aim of the study is to describe an uncommon location of Telangiectatic Granuloma with intra bony defect. Etiology of the it has been associated with chronic irritation, trauma. Synergistic effects seen with presence of plaque, calculus, regular use of orthodontic appliances, iatrogenic factors is also attributed. The Telangiectic granuloma is most frequently located in the vestibular gingiva of the maxillary anterior region. This article presents with the clinicopathologic findings of a male patient, with a chief complaint of spontaneous bleeding from a gingival overgrowth. An excisional biopsy was taken and sent for histopathologic evaluation. It revealed numerous small newly forming bloodvascular channels to multiple large blood filled endothelium lined blood vascular channels. There was presence of diffuse areas of chronic inflammatory cell infiltrate and areas of haemorrphage. Clinical Significance: OTG appear to have a female predilection and are commonly seen as red tumorous lesions affecting the vestibular gingiva of the maxillary anterior segment (Jafarzadeh et al., 2016). The case presented is of a male patient, 19 years old, with OTG in mandibular anterior region with intra bony defect.