Gingival Pyogenic Granuloma -Clinical Case Report

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.

Lobular capillary haemangioma arising from a vascular malformation

<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>

AN UNUSUAL CASE OF EXTRAGINGIVAL PYOGENIC GRANULOMA ASSOCIATED WITH A FENESTRATION DEFECT

Pyogenic granulomas are relatively common benign mucocutaneous lesions found in the oral cavity or extra orally; The first case was reported in 1844 by Hullihen and the term “pyogenic granuloma” or “granuloma pyogenicum” was coined only in 1904 by Hartzell. It is a reactive tumor like lesion which arises in response to various stimuli such as chronic low grade irritation[1], trauma and hormonal imbalance[2]. It's an inflammatory hyperplasia commonly seen in the oral cavity caused due to chronic irritation and trauma. In this case report we present a case of pyogenic granuloma associated with gingival/bony fenestration caused due to chronic irritation by exposed root tip.