Abstract
Purpose: The purpose of this study is to evaluate the treatment and pursuit process of the pyogenic granuloma which has seen on 12 years old girl patient. Case Presentation: Pyogenic granuloma is a lesion which classified in vascular tumors which constitute 30-60% of all the reactive lesions of gingival tissue. Trauma, infections of capillary wall, hormonal factors, foreign materials, hypertension and poor oral hygiene are accused for development of pyogenic granuloma. It may occur at all age groups and in both sexs. In the oral cavity, pyogenic granuloma lesions are most frequently encountered on the gingiva. Definitive diagnosis can only be made by histopathologic examination of biopsied tissue. The treatment of this lesion is surgical excision. If surgical excision removal is incomplete, the lesion has got the risk of the recurrence. A twelve years old female child applied to our clinic with complaints like on anterior palatinal region gingival bleeding and swollen condition on the same region. As beginning treatment oral hygiene education was given to the patient and plaque and calculus were removed. Under local anesthesia the lesion was taken with excisional biopsy for doing distinctive diagnosis from the other pathological lesions which can be seen in oral cavity. In addition frenectomy surgery in the maxilla and ridge augmentation operation in the mandible is performed to provide more comfortable oral hygiene. Three-month follow-up results of the patients were found to occur again in the region of the palatal gingival enlargement. As a result, it was decided to re-operations performed gingivectomy. Patient after operations carried out gingivectomy was called to the appointment checked and encourage oral hygiene. Conclusion: After taking of the excisional biopsy, the diagnose was made shaping “The Pyogenic Granuloma” to the mass which was examined histopathologically under the light microscope. In the control inspection, there was not any recurrence clinically. Keywords: Pyogenic granuloma, excisional biopsy.
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