Oral Tuberculosis In Disguise : Diagnostic Dilemma Of Gingival Enlargement

Diagnostic Dilemma Of Gingival Enlargement

Abstract

Background: Tuberculosis (TB) is a chronic specific granulomatous disease and a major cause of death in developing countries. The clinical presentation of TB lesions of the oral cavity varies widely and can manifest as ulcerations, diffuse inflammatory lesions, granulomas and fissures. We hereby report a case of primary TB of the gingiva manifesting as gingival enlargement. Diagnosis was based on histopathological examination, complete blood count, X-ray chest and Ultra sonography of neck, and Sputum AFB test. Anti-tuberculous therapy was carried out for over 6 months. This case report emphasizes the need for dentists to include TB in the differential diagnosis of various types of gingival enlargements.[Patel V Natl J Integr Res Med, 2026; 17(1): 41-44, Published on Dated: 07/07/2026]