| Ayurveda conceptualizes diseases as imbalances within the dosha–dhatu–mala system rather than pathological entities. Adhimamsa represents abnormal proliferation of Mamsa Dhatu, commonly categorized as Granthi or Arbuda.Pericoronitis, an inflammation of the soft tissues around a partially erupted mandibular third molar, arises when insufficient space forms a pericoronal flap, predisposing to food impaction and microbial colonization.This study correlates the Ayurvedic understanding of Adhimamsa with pericoronitis and employs Orthopantomogram (OPG) to evaluate associated soft tissue and bony changes. Integrating classical knowledge with radiological evidence enhances diagnostic precision and promotes a holistic approach to managing localized oral tissue proliferations |