A Case Report: Aggressive Pyogenic Granuloma

Kumar, Dipanshu; Agarwal, Tanya

doi:10.1055/s-0039-1688102

“…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.…”

Section: Discussionmentioning

confidence: 70%

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

Akkarapatum

¹

,

Klanrit²,

Sattayut³

2022

F1000Res

0

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Background: A pyogenic granuloma (PG) is a common benign vascular lesion found in the oral cavity. The gold standard treatment of this lesion, comprising surgical excision and the elimination of etiological factors, cannot avoid tooth loss in the case of an aggressive pyogenic granuloma. Because of the prominent properties of 980 nm and 635 nm diode lasers in photocoagulation and photobiomodulation, we applied these wavelengths in the treatment of a large pyogenic granuloma with alveolar bone loss. Case presentation: Our objective was to use a combination of interstitial-intralesional laser therapy, photocoagulation and laser-assisted new attachment procedure (LANAP) to preserve the teeth and periodontal tissue in a case of an aggressive pyogenic granuloma. Results: The patient was a 13-year-old Thai male with a pyogenic granuloma involving the interdental papilla and lingual gingiva of the lower left first and second molars. The teeth were also displaced by the lesion. After treatment with three sessions of photocoagulation, three sessions of interstitial-intralesional laser therapy and two sessions of LANAP, the lesion was completely resolved. The periodontal status of the teeth was improved at the six-month follow-up. Conclusion: The combination of interstitial-intralesional laser therapy, photocoagulation and LANAP was able to treat an aggressive pyogenic granuloma with tooth preservation.

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“…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.…”

Section: Discussionmentioning

confidence: 73%

“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Gera

¹

,

Tanwar

²

,

Nigam

³

et al. 2023

Int J Contemp Pediatr

1

0

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The gingiva, also known as the gums, is the pink-coloured keratinized mucosa that surrounds and protects the teeth. Gingival enlargement or gingival overgrowth, a common trait of gingival disease, is characterized by an increase in the size of gingiva. Irritation fibroma is an exophytic soft tissue mass in the oral mucosa. Indeed, it is not a real neoplasm, but a focal hyperplasia of fibrous connective tissue induced by local trauma or chronic irritation. Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity, majority are found on the marginal gingiva with only 15% of the tumours on the alveolar part. It predominantly occurs in the second decade of life in young females, male to female ratio is 1:99, and size of lesion varies in diameter from few millimetres to several centimetres. This article presents a case of pyogenic granuloma in an 6year old boy who presented with a gingival overgrowth in his mandibular left buccal surface region i.r.t 31 including marginal and attached gingiva. He had discomfort during mastication, interferes with occlusion there was episode of bleeding during brushing. The lesion was excised and histopathological report confirmed the diagnosis. Case was followed up for six months and no recurrence of the lesion. Etiological factors, clinical features, differential diagnosis and different treatment options are discussed based on the review of current literature available.

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

Akkarapatum

¹

,

Klanrit²,

Sattayut³

2022

F1000Res

0

View full text Add to dashboard Cite

Background: A pyogenic granuloma (PG) is a common benign vascular lesion found in the oral cavity. The gold standard treatment of this lesion, comprising surgical excision and the elimination of etiological factors, cannot avoid tooth loss in the case of an aggressive pyogenic granuloma. Because of the prominent properties of 980 nm and 635 nm diode lasers in photocoagulation and photobiomodulation, we applied these wavelengths in the treatment of a large pyogenic granuloma with alveolar bone loss. Case presentation: Our objective was to use a combination of interstitial-intralesional laser therapy, photocoagulation and laser-assisted new attachment procedure (LANAP) to preserve the teeth and periodontal tissue in a case of an aggressive pyogenic granuloma. Results: The patient was a 13-year-old Thai male with a pyogenic granuloma involving the interdental papilla and lingual gingiva of the lower left first and second molars. The teeth were also displaced by the lesion. After treatment with three sessions of photocoagulation, three sessions of interstitial-intralesional laser therapy and two sessions of LANAP, the lesion was completely resolved. The periodontal status of the teeth was improved at the six-month follow-up. Conclusion: The combination of interstitial-intralesional laser therapy, photocoagulation and LANAP was able to treat an aggressive pyogenic granuloma with tooth preservation.

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A Case Report: Aggressive Pyogenic Granuloma

Cited by 6 publications

References 10 publications

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

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

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

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

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