A Case Report: Aggressive Pyogenic Granuloma

Abstract

Soft-tissue growths of the oral cavity offer a diagnostic dilemma because of the pathologic processes produced by such lesions. Pyogenic granuloma (PG) is one such soft-tissue swelling that originates from the reactive inflammatory course in which an exuberant fibrovascular expansile growth of the connective tissue of the skin or mucous membrane occurs. This case report documents a rare case in which the size and the site of the PG were different from the usual. The treatment included the extraction of the involved tooth in addition with the surgical removal of the lesion. The present case report demonstrates that the treatment of choice varies according to individual case after the adequate analysis of clinical and radiographic findings and should be managed appropriately to minimize further reoccurrence of the lesion and postsurgical complications. AbstractKeywords ► pyogenic granuloma ► oral cavity ► posterior teeth ► reactive hyperplasia Dent J Adv Stud 2019;7:46-50

Case Report: Interstitial-intralesional laser therapy and laser-assisted new attachment procedure for the treatment of an aggressive pyogenic granuloma

“…46 near the lesion had to be extracted. 7 While in our patient, who was treated by a combination of interstitial-intralesional laser therapy, photocoagulation and LANAP, we were able to preserve the teeth and eliminate the lesion.…”

Pyogenic granuloma in a 6-year-old boy - a rare case report

“…The etiological factors for pyogenic granuloma are injury to the gingiva, vigorous tooth brushing habits which may lead to repeated trauma to gingiva, prolong use of cyclosporin and improper occlusal interferences. [10][11][12]14 In this case local trauma due to habit of nail biting was the probable cause.…”

“…Hence there will be release of endogenous and angiogenic factors leading to the increased blood supply to the affected area which tends to bleed. 11,14 Estrogen and progesterone hormones levels are increased during second decade of life, especially in females. Hence, they were more prone for occurrence of pyogenic granuloma rather than children, but it can be seen in all age groups.…”

Pyogenic Granuloma in a One-Year-Old Child: A Rare Entity

“…We presented the case of a one-year-old female child with PG, a very unusual entity. While PG is associated with diverse etiological factors, including chronic trauma, cyclosporine use, and occlusal interferences [10][11][12][13][14][15][16][17], this case was notably attributed to local trauma that could have occurred during tooth-brushing, as seen in the case report by Gera et al ( 2023) [18]. Histological examination of the excised tissue revealed characteristic features consistent with PG, such as discontinuous thin, nonkeratinized stratified squamous epithelium and a profusion of endothelium-lined vascular channels.…”