Erratum to the article published in The Open Dentistry Journal, 2012, volume (6): page 153-156

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.

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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.

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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.

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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

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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.

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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.

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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.

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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.

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The root coverage on lower anterior teeth using the tunnel technique and partial epithelized connective tissue graft

10.26226/morressier.5ac383252afeeb00097a465a ◽

2018 ◽

Author(s):

Kyeong-Ok Lim

Keyword(s):

Connective Tissue ◽

Root Coverage ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Anterior Teeth ◽

Tunnel Technique

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Validation of the Surgical Intervention for Traumatic Injury scale in the pediatric population

Journal of Neurosurgery Pediatrics ◽

10.3171/2020.2.peds19474 ◽

2020 ◽

Vol 26 (1) ◽

pp. 92-97

Author(s):

David Dornbos ◽

Christy Monson ◽

Andrew Look ◽

Kristin Huntoon ◽

Luke G. F. Smith ◽

...

Keyword(s):

Surgical Intervention ◽

Pediatric Population ◽

Traumatic Injury ◽

Pediatric Trauma ◽

Current Method ◽

Clinical Findings ◽

Surgical Decompression ◽

Operative Intervention ◽

Admission Diagnosis ◽

Communication Tool

OBJECTIVEWhile the Glasgow Coma Scale (GCS) has been effective in describing severity in traumatic brain injury (TBI), there is no current method for communicating the possible need for surgical intervention. This study utilizes a recently developed scoring system, the Surgical Intervention for Traumatic Injury (SITI) scale, which was developed to efficiently communicate the potential need for surgical decompression in adult patients with TBI. The objective of this study was to apply the SITI scale to a pediatric population to provide a tool to increase communication of possible surgical urgency.METHODSThe SITI scale uses both radiographic and clinical findings, including the GCS score on presentation, pupillary examination, and CT findings. To examine the scale in pediatric TBI, a neurotrauma database at a level 1 pediatric trauma center was retrospectively evaluated, and the SITI score for all patients with an admission diagnosis of TBI between 2010 and 2015 was calculated. The primary endpoint was operative intervention, defined as a craniotomy or craniectomy for decompression, performed within the first 24 hours of admission.RESULTSA total of 1524 patients met inclusion criteria for the study during the 5-year span: 1469 (96.4%) were managed nonoperatively and 55 (3.6%) patients underwent emergent operative intervention. The mean SITI score was 4.98 ± 0.31 for patients undergoing surgical intervention and 0.41 ± 0.02 for patients treated nonoperatively (p < 0.0001). The area under the receiver operating characteristic (AUROC) curve was used to examine the diagnostic accuracy of the SITI scale in this pediatric population and was found to be 0.98. Further evaluation of patients presenting with moderate to severe TBI revealed a mean SITI score of 5.51 ± 0.31 in 40 (15.3%) operative patients and 1.55 ± 0.02 in 221 (84.7%) nonoperative patients, with an AUROC curve of 0.95.CONCLUSIONSThe SITI scale was designed to be a simple, objective communication tool regarding the potential need for surgical decompression after TBI. Application of this scale to a pediatric population reveals that the score correlated with the perceived need for emergent surgical intervention, further suggesting its potential utility in clinical practice.

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