Lobular capillary haemangioma of the gingiva: Clinical management and a review of the literature

Abstract

Introduction: Lobular capillary hemangioma, otherwise called pyogenic granuloma represents an exuberant connective tissue proliferation to a known stimulus or injury. The aim of this paper is to present a case in our clinical practice, discuss the differential diagnosis and review the literature. Materials and Methods: A narrative review of the literature was performed to evaluate recent information as regards etiopathogenesis, clinical presentation as well as management of pyogenic granuloma. A search of the literature was performed on PubMed using the following keys terms: lobular capillary hemangioma, pyogenic granuloma, etiopathognenesis, clinical features and management. The search criteria were filtered to include articles on human studies, which were published in English Language. Results: We present a clinical case of pyogenic granuloma demonstrating positivity for estrogen receptor and a narrative review of the English Literature and management of a large case of lobular capillary hemangioma of the gingiva. Conclusion: The conventional deep scaling and polishing and root plaining, in addition to surgical excision of the lesion is still the acceptable treatment option of lobular capillary hemangioma of the gingiva. However, there is need to consider other less aggressive and less morbid methods of treatment such as cryosurgery and laser therapy.