• Exuberant connective tissue proliferation
• Misnomer – No pus or granulation

• Etiology:
  • Trauma
  • Chronic irritation
  • Female reproductive hormones/drugs

• Epidemiology: Females of child bearing age

• Clinical:
  • Soft deep red purple swelling
  • Often ulcerated

• Location:
  • Predominantly gingival
  • Traumatized soft tissues

• Histology:
  • Solid sheets of endothelial cells ± canalization
  • Numerous small vessels + large dilated thin walled vascular spaces
  • Hyperplastic granulation tissue

• Management: Excision

Picture