Adenomatoid odontogenic tumor (AOT) is a very rare odontogenic tumor with an incidence of 1%. Overall it accounts for 9% of all odontogenic tumors. In most of the cases, AOT is misdiagnosed as an odontogenic cyst. Permanent dentition is affected more than the deciduous dentition. Intraoral periapical radiographs play a major role in the diagnosis compared to orthopantomogram because of its increased contrast. On the other hand,  Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity. Clinically oral pyogenic granuloma is a smooth or lobulated Exophytic lesion pedunculated or sometimes sessile base, which is usually hemorrhagic. In both the cases younger individuals are commonly affected and particularly in females because of the vascular effects of female hormones where excisional surgery is the treatment of choice for it. The purpose of the article is to describe a case of Adenomatoid Odontogenic Tumor followed by Pyogenic Granuloma.