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Giant cell granulomas (GCGs) of the jaws are non-neoplastic lesions that arise either peripherally in periodontal ligament, mucoperiosteum, or centrally in the bone. Histologically, both peripheral and central giant cell granuloma are characterized by the presence of numerous multinucleated giant cells in a prominent fibrous stroma. Peripheral giant cell granuloma is an infrequent reactive, exophytic lesion of the oral cavity, also known as giant-cell epulis, osteoclastoma, giant cell reparative granuloma, or giant cell hyperplasia. It is the most common giant cell lesion of the jaws and originates from the connective tissue of the periosteum or from the periodontal membrane, in response to local irritation or chronic trauma. The lesion develops mostly in adults, commonly in the lower jaw, with slight female predilection although is uncommon in children. Clinically, it shows resemblance to pyogenic granuloma, peripheral ossifying fibroma, and many other peripheral lesions seen in the oral cavity, but in our case it resembled a squamous cell carcinoma, thereby histopathology is mandatory for the diagnosis of this lesion. The lesion although being relatively common, still has a lot of ambiguity. The ambiguity is in terms of its etiology, growth potential, biological behavior (recurrence), histogenesis of its cells, and its treatment. The entity further holds significance because of its notorious behavior and high tendency to recur. This is a case report of a 30-year-old female patient with history of swelling in the lower anterior region of jaw since 1 year. After complete excision of lesion, lesion reoccurred after few months.

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Objective The purpose of this in vivo study was to evaluate pain using different intracanal medicaments. Materials and Methods Seventy-five permanent single-rooted mandibular premolars with acute apical periodontitis were selected for this study. After access cavity preparation and cleaning and shaping of canals, patients were randomly divided into five groups with different intracanal medicaments viz calcium hydroxide paste, calcium hydroxide points, triple antibiotic paste, and Ledermix paste. Interappointment pain was recorded by the patient using visual analog scale after 6 hours, 12 hours, 18 hours, 24 hours, 2 days, 3 days, 4 days, 5 days, and 6 days of intracanal medicament dressing. Results Ledermix paste showed highly significant results in reducing the interappointment pain as compared with calcium hydroxide paste, calcium hydroxide points, and triple antibiotic paste. Conclusion Patients with Ledermix as intracanal medicament had minimum interappointment pain.