Pyogenic granuloma-a 19 months follow up case report

Fayeza Afrin,Jesmin Mohol,Md Ashif Iqbal,Md Saifur Rahman

doi:10.3329/updcj.v5i1.25825

Abstract

Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low- grade local irritation, traumatic injury or hormonal factors. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple, depending on the age of the lesion. Because of the high frequency of pyogenic granuloma in the oral cavity, especially during pregnancy, and necessity for proper diagnosis and treatment, a complete information and investigations about this lesion, in addition its treatment is presented. The study emphasizes the clinical follow-up after the treatment of patients that present pyogenic granuloma. Follow-up over 19 months of surgical procedures demonstrated the maintenance of a periodontal health decreases the chances of recurrence.Update Dent. Coll. j: 2015; 5 (1): 26-29

Highlights

The pyogenic granuloma is a benign lesion of the gingival mucosa
Fig: Clinical intraoral examination revealed an area with gingival hyperplasia of a reddish color with irregular surface and sessile mass lesion extending to the labial and slight to palatal area in between the teeth no 22 and 23 (Figure 1-3). spontaneous bleeding on probing (Figure 4)
After two months of the periodontal surgery, Gingival tissue show approximately normal in feature and was noted the symmetry with right side . (Figure 11-13)

Summary

Introduction

The pyogenic granuloma is a benign lesion of the gingival mucosa. These are generally associated with periodontal disease inflammatory and hormonal factors such as pregnancy[1,2,3,4]. The treatment usually used is surgical excision of the lesion, including all tissue where the disease appears This is performed in combination with the removal of local irritating factors such as dental plaque and calculus[4,5,7,8,9]. Fig: Clinical intraoral examination revealed an area with gingival hyperplasia of a reddish color with irregular surface and sessile mass lesion extending to the labial and slight to palatal area in between the teeth no 22 and 23 (Figure 1-3). Such changes can enhance the response of gingival tissues to local irritants such as plaque and calculus In this case, the clinical examination showed low, present, accumulation of plaque and a small amount of tartar on the teeth, mainly related to the lesion. After two months of the periodontal surgery, Gingival tissue show approximately normal in feature and was noted the symmetry with right side . (Figure 11-13)

Findings

Discussion

Conclusion