Annals and Essences of Dentistry
Open Access

Abstract

ORAL PYOGENIC GRANULOMA: A REPORT OF TWO CASES

Veena Ashok Patil, Shivakumar TP

Background: Pyogenic granuloma is a benign hyper reactive inflammatory lesion that shows a fast growing focal reactive growth of fibrovascular or granulation tissue with extensive endothelial proliferation. Clinically, the lesion is a raised, red, peripheral growth with the base of the lesion either sessile or pedunculated and shows marked predilection for gingiva. This case reports describes two cases of Pyogenic granuloma ( P.G.) which were successfully treated by using surgical excision method.Methods: Two patients presented with a chief complaint of a gingival mass which were surgically excised under local anesthesia followed by a 4 months of reevaluation.Results: The initial diagnosis at presentation was Peripheral giant cell granuloma and Peripheral ossifying granuloma. Radiography showed marginal bone loss accompanying the lesions. Histopathology confirmed the diagnosis of PG.Conclusions: Although Pyogenic granuloma is a non - neoplastic growth in the oral cavity, proper diagnosis, prevention, management and treatment of the lesion are very important. Treatment planning for this condition should take into account the presence of recurrences to evaluate the necessity of an aggressive surgical approach that may involve advanced bone loss and explantation. Further research on the origin of this condition with a larger series of cases is necessary to provide a basis for adequate management.

Published Date: 2010-12-31;