scholarly journals Gingival Pyogenic Granuloma -Clinical Case Report

Author(s):  
Dr. Priyanka Aggarwal ◽  

Pyogenic granuloma is a vascularized non neoplastic lesion, in the oral cavity, caused by trauma, local irritants or hormonal factors, with a higher prevalence in women, present more frequently in the mandible than in the maxilla. It is not associated with pus as its name suggests and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. It is known by a variety of names such as Crocker and Hartzell’s disease, granuloma pyogenicum, granuloma pediculatum benignum, benign vascular tumor and during pregnancy as granuloma gravidarum Treatment consists of removal of local irritant, if any followed by excisional biopsy. This clinical case report presents the clinical and histopathological characteristics of the large pyogenic granuloma in a 36-year-old female, who reported to the Department of Santosh Dental College, Ghaziabad. Intraoral examination revealed a lesion mainly non tender, sessile, soft in consistency and measuring approximately 16by 9 mm in diameter in the posterior side of maxillary first quadrant. Keeping in view the characteristics of the lesion, anamnesis and the literature, the pyogenic granuloma and giant cell granuloma were defined as diagnostic hypotheses. Excisional biopsy was done and specimen was sent for histopathological evaluation.

2017 ◽  
Vol 5 (2) ◽  
pp. 112
Author(s):  
Gaurav Mahajan ◽  
Aditi Gautam

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.


2016 ◽  
Vol 04 (03) ◽  
pp. 204-207
Author(s):  
Puneet Bajaj ◽  
Deepti Garg ◽  
Robin Sabharwal ◽  
Sonia Joshi ◽  
Ruchi Sharma

AbstractPeripheral odontogenic fIbroma (POF) is a rare odontogenic tumor. It resembles clinically with other peripheral exophytic lesions like pyogenic granuloma, peripheral ossifying fibroma, and peripheral giant cell granuloma. Hence, needs to be differentiated from such other lesions. Histopathological examination being the only diagnostic approach for peripheral odontogenic fibroma, which can provide a basis for treatment and prognosis evaluation. This case report presents a rare clinical case of a 14-year-old female patient with a palatal overgrowth along the maxillary incisors, which was diagnosed as peripheral odontogenic fibroma.


Author(s):  
K. V. Udhayini ◽  
Shreya Srinivasan ◽  
Celestin Geo Danny ◽  
D. Manoharan

<p class="abstract">Lobular capillary haemangioma also known as granuloma pyogenicum or pyogenic granuloma, refers to a common, acquired, benign, vascular tumor that arises in tissues such as the skin and mucous membranes. The occasional eruption of a lobular capillary haemangioma from vascular lesions like haemangiomas or existing port-wine stains suggests abnormalities in blood flow.</p>


2018 ◽  
Vol 30 (3) ◽  
pp. 1-4
Author(s):  
Ahmed Al-Qattan

Central giant cell granuloma (CGCG) is an infrequent benign bony lesion of unpredictably aggressive behavior. The precise lesion character is debatable and remains inconclusive. However, three main theories were proposed: a sensitive lesion, a kind of neoplasm, or a developmental anomaly. This is a case presentation of a 16-year-old boy with a dental history of extraction of the lower right first molar, presented to hospital with two months history of swelling in the aforementioned area after the procedure. First biopsy of the swelling was performed outside the Kingdom of Bahrain. As per histopathological findings, the swelling was described as pyogenic granuloma. Second biopsy with necessary workup was conducted in the Kingdom of Bahrain and was confirmed as central giant cell granuloma through histopathological analysis; it was removed surgically.


2014 ◽  
Vol 8 (3) ◽  
pp. 169-171
Author(s):  
A Agarwal ◽  
HS Bhattacharya ◽  
Manjunath RG Shiva ◽  
ST Gokhle

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.


2017 ◽  
Vol 13 (2) ◽  
pp. 290-292 ◽  
Author(s):  
Pragya Regmee ◽  
Jyotsna Rimal ◽  
Iccha Kumar Maharjan ◽  
Sushma Pandey ◽  
Deepa Niroula ◽  
...  

First described by Hullihen in 1844, Pyogenic granuloma (PG) is a benign, exophytic vascular tumor. It is not infective, purulent or granulomatous but a reactive inflammatory mass of blood vessels with few fibroblasts within the mucosa or skin. Without any general agreement, there exist a variety of treatment options (complete surgical resection, cryosurgery, curettage, lasers etc). However, recurrence has been frequently reported.  Sclerotherapy in PG (a vascular tumor) is not as commonly reported as in cases of hemangioma.Herein, we present a case of twenty-eight years old female with a clinical diagnosis of PG, treated with intralesional sodium tetradecyl sulfate (STS). Intralesional injection of 0.2 ml of undiluted STS was given for three visits between 10th of January and 21st of February 2016. The lesion healed completely at the patient’s fourth visit and recurrence was not reported till the patient was followed up for one year, i.e February 2017. 


2014 ◽  
Vol 43 (2) ◽  
pp. 148-152 ◽  
Author(s):  
Cleverson Luciano Trento ◽  
Vanessa Cristina Veltrini ◽  
Rivelino Nímio Marques dos Santos ◽  
Vanessa Tavares de Gois Santos

Introduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non-neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.


Author(s):  
Rithul P ◽  
◽  
Rao PK ◽  
Kini R ◽  
Gonsalvis N ◽  
...  

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.


2005 ◽  
Vol 29 (3) ◽  
pp. 259-262 ◽  
Author(s):  
Adriano Mota Loyola ◽  
Alexandre Vieira Fernandes ◽  
Aparecido Onorio Magalhaes ◽  
Marilia Rodrigues Moreira

This report reviews the literature involving the central giant cell granuloma. Diagnosis and treatment are presented. The article reports the case of central giant cell granuloma, affecting the anterior region maxillary of a child, whom a conservative treatment, with cryotherapy, helped the preservation of anterior permanent teeth germs.


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