“Pyogenic Granuloma - Hyperplastic Lesion of the Gingiva: Case Reports”

Pyogenic granuloma is a reactive hyperplasia of connective tissue in response to local irritants. It is a tumourlike growth of the oral cavity, frequently located surrounding the anterior teeth or skin that is considered to be neoplastic in nature. It usually arises in response to various stimuli such as low-grade local irritation, traumatic injury, hormonal factors, or certain kinds of drugs. Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. It overlies a mass of dense connective tissue composed of significant amounts of mature collagen. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. Pyogenic granuloma in general, does not occur when excised along with the base and its causative factors. This paper presents some cases of a pyogenic granuloma managed by surgical intervention.

Download Full-text

Pyogenic Granuloma – Red Mass Lesion: A Case Report

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-8-3-169 ◽

2014 ◽

Vol 8 (3) ◽

pp. 169-171

Author(s):

A Agarwal ◽

HS Bhattacharya ◽

Manjunath RG Shiva ◽

ST Gokhle

Keyword(s):

Case Report ◽

Surgical Intervention ◽

Traumatic Injury ◽

Pyogenic Granuloma ◽

Surface Epithelium ◽

Low Grade ◽

Common Site ◽

Hormonal Factors ◽

Anterior Teeth ◽

Causative Factors

ABSTRACT Pyogenic granuloma is a reactive lesion. It usually arises in response to various stimuli such as low-grade local irritation, traumatic injury, hormonal factors, or certain kinds of drugs hyperplasia of connective tissue in response to local irritants. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. It is a tumourlike growth of the oral cavity, frequently located surrounding the anterior teeth Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. Pyogenic granuloma should be excised along with the base and its causative factors. This paper presents a case of a pyogenic granuloma managed by surgical intervention.

Download Full-text

diode laser for excisional biopsy of pyogenic granuloma: a case series

International Journal of Dental Research ◽

10.14419/ijdr.v5i2.7837 ◽

2017 ◽

Vol 5 (2) ◽

pp. 112

Author(s):

Gaurav Mahajan ◽

Aditi Gautam

Keyword(s):

Diode Laser ◽

Traumatic Injury ◽

Case Series ◽

Surgical Excision ◽

Excisional Biopsy ◽

Pyogenic Granuloma ◽

Low Grade ◽

Giant Cell Granuloma ◽

Hormonal Factors ◽

Peripheral Giant Cell Granuloma

Pyogenic granuloma is one of the inflammatory hyperplasias 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. The clinical diagnosis of such lesion can be quite challenging because of its close resemblance to certain malignancies like peripheral giant cell granuloma, kaposi’s sarcoma, non hodgkin’s lymphoma etc. for excisional biopsy, options available are conventional surgical excision, electrocautery or lasers. In this report, we seek to highlight the therapeutic advantages achieved with a soft tissue diode laser in the treatment of pyogenic granuloma.

Download Full-text

Pyogenic granuloma-a 19 months follow up case report

Update Dental College Journal ◽

10.3329/updcj.v5i1.25825 ◽

2015 ◽

Vol 5 (1) ◽

pp. 26-29

Author(s):

Md Ashif Iqbal ◽

Jesmin Mohol ◽

Md Saifur Rahman ◽

Fayeza Afrin

Keyword(s):

Oral Cavity ◽

High Frequency ◽

Traumatic Injury ◽

Complete Information ◽

Pyogenic Granuloma ◽

Low Grade ◽

Periodontal Health ◽

Hormonal Factors ◽

Proper Diagnosis

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

Download Full-text

Management of a Complex Dentoalveolar Traumatic Injury with Multiple Avulsions

Case Reports in Dentistry ◽

10.1155/2021/2373785 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Anita Thakur ◽

Seema Thakur

Keyword(s):

Alveolar Bone ◽

Case Reports ◽

Traumatic Injury ◽

Radiographic Evaluation ◽

Root Fracture ◽

Anterior Teeth ◽

Removable Prosthesis ◽

Tooth Number ◽

Dentoalveolar Trauma ◽

Mouth Rinsing

Background. Dentoalveolar trauma is a major cause of tooth loss in children. Avulsion, luxation, crown, and root fracture are the injuries to primary and permanent dentition. The incidence of trauma for maxillary anterior teeth ranges for 4%-91%. Many case reports have been published regarding the treatment of trauma to anterior teeth; however, case reports comprising multiple avulsions including canines and premolars are rare in literature. Method. After mouth rinsing was done with 2% betadine solution, the luxated teeth numbers 31 and 42 were repositioned into the tooth socket and were secured with the composite resin-wire splint. Tooth number 32 was extracted because it was disarticulated from the socket, and the socket was disrupted because of the alveolar fracture. The maxillary avulsed teeth could not be reimplanted because of the alveolar socket damage which was due to the alveolar bone fracture. Results. The patient was reevaluated for the removable prosthesis in recall visits; the patient was well adapted to the appliance with no complaints regarding mastication and speech. The patient was advised to report periodically for further adjustments in the prosthesis and for radiographic evaluation. Conclusions. This case report includes proper history taking, diagnosis, and treatment of a complex dentoalveolar trauma along with short-term prosthetic rehabilitation for improvement of aesthetics, phonetics, and mastication of growing child.

Download Full-text

RARE OCCURRENCE OF LOBULAR CAPILLARY HAEMANGIOMA IN MAXILLARY POSTERIOR SEGMENT INVOLVING THE ALVEOLAR MUCOSA

UNIVERSITY JOURNAL OF DENTAL SCIENCES ◽

10.21276/ujds.2020.6.1.14 ◽

2020 ◽

Vol 6 (1) ◽

pp. 56-59

Author(s):

Suraj Pandey ◽

Ashish Saini ◽

Sunil Chandra Verma ◽

Pranav Kumar Singh

Keyword(s):

Traumatic Injury ◽

Pyogenic Granuloma ◽

Capillary Hemangioma ◽

Intralesional Injection ◽

Low Grade ◽

Diagnostic Dilemma ◽

Treatment Protocols ◽

Lobular Capillary Hemangioma ◽

Capillary Haemangioma ◽

Attached Gingiva

Pyogenic granuloma (PG) is one of the inflammatory hyperplasias 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. PG is predominantly seen in the second decade of life in young adult females. PGs generally are soft, painless, and deep red to reddish-purple in colour. It shows a striking predilection for the maxillary anterior area. Also, the majority of PGs are found on the marginal gingiva with only 15% of the tumours on the alveolar part. There are two kinds of PG namely lobular capillary hemangioma (LCH type) and non-LCH type, which manifest as distinct entities and differ in many aspects. Although excisional surgery is the treatment of choice for it, some other treatment protocols such as the use of Nd:YAG laser, flash lamp pulsed dye laser, cryosurgery, intralesional injection ofethanol or corticosteroid and sodium tetradecylsulfatesclerotherapy have been proposed. We hereby present a rare case report of lobular capillary hemangioma occurring in the maxillary posterior region. Also, contrary to its site specificity, it involved the attached gingiva and alveolar mucosa, thereby presenting a diagnostic dilemma. The various differences between the LCH and Non-LCH type PG are also discussed emphasising their different pathways of evolution.

Download Full-text

Minimally Invasive Approach to Eliminate Pyogenic Granuloma: A Case Report

Case Reports in Dentistry ◽

10.1155/2012/909780 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3

Author(s):

B. Chandrashekar

Keyword(s):

Minimally Invasive ◽

Traumatic Injury ◽

Invasive Procedure ◽

Pyogenic Granuloma ◽

Low Grade ◽

Minimally Invasive Procedure ◽

Minimally Invasive Approach ◽

Vascular Effects ◽

Invasive Approach ◽

Excisional Surgery

Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity. The term is a misnomer because it is not related to infection and arises in response to various stimuli such as low-grade local irritation, traumatic injury, or hormonal factors. It is most commonly seen in females in their second decade of life due to vascular effects of hormones. Although excisional surgery is the treatment of choice for it, this paper presents the safest and most minimally invasive procedure for the regression of pyogenic granuloma.

Download Full-text

Chronic Recurrent Traumatic Tongue Ulcer

Medical Science Journal for Advance Research ◽

10.46966/msjar.v2i2.19 ◽

2021 ◽

Vol 2 (2) ◽

pp. 45-50

Author(s):

Dr. Nanda Kishore Ghoshal

Keyword(s):

Connective Tissue ◽

Case Reports ◽

Treatment Protocols ◽

Causative Factors ◽

Unknown Reason ◽

Ulcerative Lesions

Ulcerations are characterized by defects in the epithelium, underlying connective tissue, or both. Due to diversity of causative factors and presenting features, diagnosis of oral ulcerative lesions might be quite challenging. Tongue ulcers are open sores or cuts on the tongue. Tongue ulcers can be painful and raw and can be irritated by eating and drinking. One of the most common types of tongue ulcers is the canker sore, which may arise for an unknown reason or be linked to a number of different irritants. This article is an attempt to elaborate the treatment protocols with couple of case reports

Download Full-text

Clinical Nature and Treatment with Sclerotherapy of Pyogenic Granuloma: A Case Series

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/43567.14047 ◽

2020 ◽

Author(s):

Jigna S Shah ◽

Anand Patel ◽

Nutan Lunagariya

Keyword(s):

Laser Therapy ◽

Traumatic Injury ◽

Case Series ◽

Surgical Excision ◽

Pyogenic Granuloma ◽

Low Grade ◽

Treatment Protocols ◽

Carbon Dioxide Co2 ◽

Almost All ◽

Excisional Surgery

Pyogenic granuloma is a misnomer, as in reality it arises in response to various irritating factors such as low-grade local irritation or hormonal factors, traumatic injury as well as presented as inflammatory hyperplasia that is not related to infection. Oral pyogenic granuloma is a lobulated or smooth exophytic lesion with pedunculated or sometimes sessile base, haemorrhagic in tendency. Although excisional surgery is the treatment of choice for it, some other treatment protocols such as laser therapy, sclerotherapy with 3% polidocanol, cryotherapy and steroid therapy have also been proposed. Here, Authors present a case series of gingival as well as extra gingival pyogenic granulomas which were diagnosed and treated by various therapies i.e., surgical excision, Carbon Dioxide (CO2) laser therapy and sclerotherapy. Regression period of lesion with different therapies was evaluated in detail. Maximum patients were female in the age group of 26-50 years in present case series. Almost all cases of pyogenic granuloma had typical clinical characteristic without bony alteration. Amongst all therapies sclerotherapy had the biggest advantage of less regression period for any case of pyogenic granuloma i.e., 7-8 days only.

Download Full-text

Gingival Tumor in Young Female Patient: A Case Report

Austin Journal of Clinical Case Reports ◽

10.26420/austinjclincaserep.2021.1204 ◽

2021 ◽

Vol 8 (4) ◽

Author(s):

Rithul P ◽

◽

Rao PK ◽

Kini R ◽

Gonsalvis N ◽

...

Keyword(s):

Case Report ◽

Oral Cavity ◽

Female Patient ◽

Traumatic Injury ◽

Surgical Excision ◽

Pyogenic Granuloma ◽

Young Female ◽

Low Grade ◽

Hormonal Factors ◽

Local Irritation

Pyogenic granuloma is one of the inflammatory hyperplasias 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 Conservative surgical excision is usually curative but recurrence is not unusual. Lasers and cryotherapy may also be employed.

Download Full-text