Pyogenic Granuloma of the Gingiva

Abstract

Pyogenic granuloma is a benign vascular lesion that usually occurs in response to various stimuli caused by chronic irritation, trauma and hormonal factors. These lesions generally occur on the gingiva but can also occur on the lips, tongue and buccal mucosa. A 22 year old female patient came with complaints of a lump on the gingiva between teeth 35 and 36 and felt uncomfortable. I have had complaints since 7 months ago after a filling was made on the left back molar tooth, then 1 day later a lump appeared. Complaints are not accompanied by pain. The treatment plan in this case is to carry out information education communication, scaling, gingivectomy and a histopathological examination to confirm the diagnosis and carry out control and evaluation. Pyogenic granuloma is a benign, non-neoplastic lesion. The clinical picture of this lesion is generally a mass with a soft consistency, painless, and dark red to reddish purple in colour which usually appears as a solitary lesion with a diameter of 5-10 mm and is very fragile, so it bleeds easily due to minor trauma. Management of this lesion can be done with a surgical procedure to completely remove the lesion and then carry out an anatomical histopathological examination to confirm the diagnosis of this lesion. This lesion has no signs of malignancy