Granuloma pyogenicum of the oral cavity: Report of a case

Abstract

1. 1. A discussion of granuloma pyogenicum is presented with a case report of an extensive oral lesion. 2. 2. Granuloma pyogenicum is of dental interest inasmuch as it can make a frightful appearance in the mouth and cause undue alarm to the patient and dentist alike if it is not recognized and completely removed. 3. 3. Granuloma pyogenicum is initiated by minor trauma. Its close resemblance to the pregnancy tumor indicates the possible presence of an endocrine factor stimulating vascularization of the lesion. The presence of various invading organisms is of secondary importance. 4. 4. Granuloma gravidarum cannot be distinguished from granuloma pyogenicum except on the basis of knowledge that the patient is or is not pregnant. 5. 5. Granuloma pyogenicum must be differentiated from infected hemangioma, hemangiosarcoma, Kaposi's sarcoma, and simple granulation tissue. 6. 6. A case of granuloma pyogenicum has been reported. It was an extensive oral lesion involving the left maxillary sinus. Although there was recurrence of the granuloma after the first removal, it was successfully treated by means of a Caldwell-Luc operation. 7. 7. There was an improvement of the patient's mental attitude once he was assured the lesion was not malignant. 8. 8. It is believed that the vitamin therapy used in this case had merit.