DIAGNOSTIC DILEMMA PLASMA CELL GINGIVITIS: A RARE CLINICAL ENTITY: A CASE REPORT

Gingival inflammation is the most common finding due to various etiogical factors, plaque and calculus being commonest amongst all. Inflammation leads to redness, bleeding on probing, hypertrophy and hyperplasia of gingival. But its a diagnostic dilemma in absence of other factors. As diagnosis is one of important aspects for treatment planning. Hence the present clinical condition highlights plasma cell gingivitis due to the application of herbal tooth powder. Plasma cell gingivitis is rare benign condition which is characterised by erythematous and oedematous gingival due to diffuse and massive infiltration of plasma cells into the sub-epithelial connective tissue due to a hypersensitivity reaction to ingredients of herbal toothpowder. This case reports aims to acquaint clinicians with a rare clinical entity plasma cell gingivitis so that this should be considered as differential diagnosis with the similar appearing entities like leukemia, HIV infection, discoid lupus erythematosis, atrophic lichen planus. Clinician’s should be well versed with the allergic components present not only in eatables but also in the oral hygiene products which can ellict an allergic reaction. Hence eliminating and weekly charting of the products consumed will be useful.