Exophytic growth of the oral cavity often presents a diagnostic challenge because a diverse group of the pathologic process can produce such lesions. Inflammatory hyperplasia is one of the important etiology behind the exophytic growths of the oral cavity. The pyogenic granuloma (PG) is the most common type of inflammatory hyperplasia found in the oral cavity especially in the gingiva. Extragingival occurrence of PG is very rare. This case report has described an extragingival PG which occurred on the lower labial mucosa in a 54-year-old male patient.

Tobacco consumption, lack of dental visits and infrequent brushing are significantly associated with increased risk of oral cancer. There seems to be no association between dental caries and OSCC. However, periodontal disease experience is directly proportional to OSCC. Increased pathogenic flora may produce carcinogenic metabolites or post-operative infections.

Fusion is a sort of developmental alteration due to the union of 2 adjacent tooth buds. It can be either partial or complete fusion, depending on the stage of tooth development. It can occur in either deciduous or permanent dentition. Here, we report a rare case of fusion in both deciduous and permanent teeth that are in between deciduous maxillary central and lateral incisors and in between permanent mandibular central and lateral incisors in a 10-year-old boy.

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