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[This article belongs to Volume - 70, Issue - 9]
Published on : 2025-09-11 19:38:39
Article Code: AMJ-11-09-2025-12341
Title : An Atypical Clinical Presentation of a Chronic Calcifying Fibroblastic Granuloma in the Posterior Mandible
Author(s) : Evelyn Cho
Abstract :
A 14-year-old Malay female was referred in view of a five-year history of an enlarging swelling over her
lower right teeth, causing a disturbance in eating, speaking, and reciting Quranic verses. Clinical
examinations revealed a non-tender, pedunculated exophytic growth on the buccal site measuring
approximately 1.3 cm x 1.5 cm and the lingual site approximately 2.9 cm x 2.5 cm in size. The lesion
encompassed her right mandibular first molar and second premolars with pinkish-red overlying mucosa
and ulcerations on the lingual and occlusal aspects of the swelling. The right mandibular first molar had
grade I mobility and 5 mm periodontal pocket depth associated with grade I furcation involvement. Deep
scaling was performed on the involved area, and the excisional biopsy was performed under general
anaesthesia. Histopathological examination revealed cellular connective tissue with focal calcifications,
which gave a final diagnosis of Calcifying Fibroblastic Granuloma (CFG). The patient had an evaluation for
oral hygiene maintenance and phase I periodontal treatment, which included deep scaling and a
prescription for chlorhexidine mouthwash. No recurrence was observed one year post-operatively.