Uncommon pyogenic granuloma in lower lip of Orthodontic patient- Case report (original) (raw)
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Oral Pyogenic Granuloma : Series of 3 Case Reports
2014
Oral pyogenic granuloma is a common benign (non-cancerous) growth of blood vessels on the oral tissue. It usually appears as a fast growing red nodule and commonly bleeds. They are neither infective, purulent nor granulomatous as the name might suggest, rather they are reactive enlargement that is an inflammatory response to local irritation such as calculus,fractured tooth, minor trauma, rough dental restorations and foreign materials. Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. It overlies a mass of dense connective tissue composed of significant amounts of mature collagen. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. Surgery is the most common conventional modality of treatment of this lesion, but with advancing time cryosurgery has evolved as a newer treatment which involves the use of either liquid nitrogen spray or a cryoprobe.Nd: YAG, CO2 and flash lamp pulsed ...
Oral pyogenic granuloma: a review
Journal of Oral Science, 2006
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. It predominantly occurs in the second decade of life in young females, possibly because of the vascular effects of female hormones. 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. Although excisional surgery is the treatment of choice for it, some other treatment protocols such as the use of Nd:YAG laser, flash lamp pulsed dye laser, cryosurgery, intralesional injection of ethanol or corticosteroid and sodium tetradecyl sulfate sclerotherapy have been proposed. Because of the high frequency of pyogenic granuloma in the oral cavity, especially during pregnancy, and necessity for proper diagnosis and treatment, a complete review of published information and investigations about this lesion, in addition to knowledge about new approaches for its treatment is presented.
Oral Pyogenic Granuloma: An Insight into its Etipathogenesis and Treatment Modalities
2018
Abstact: Exophytic gingival lesions are frequently seen in the oral cavity.Pyogenicgranuloma,an inflammatory hyperplasia of the oral cavity is commonly seen in the gingiva though other areas like lips ,tongue,buccal mucosa and palate are also affected.The term pyogenic granuloma is a misnomer since the condition is not associated with pus and shows no histologic evidence of granuloma.Current concepts point to low grade local irritation, trauma and hormonal influences as possible etiologies.Pyogenic granuloma usually occur in young females predominantly in second decade due to effect of female hormones on the vasculature.The lesion is usually pink to red to purple in color.It is a smooth or lobulated exophytic lesion on a sessile or pedunculated base which is occasionally hemorrhagic.Excision was the treatment of choice though currentlylasers,cryosurgery and sodium tetradecylsclerotherpy are used.Due to high frequency of this lesion in oral cavity during pregnancy ,a review of the cu...
ORAL PYOGENIC GRANULOMA. REVIEW OF 10 CASES
Pyogenic granuloma is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa. It is not associated with pus as its name suggests and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. The present study reports 10 cases on patients that visited Dicle University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery. We report the location, size, course and treatment of each lesion, comparing the results obtained to those reported in the literat ure. We discuss differential diagnosis with respect to other entities, peripheral ossifying fibroma, peripheral giant cell granuloma, hemangioma and fibroma, all of which show very similar histological appearance to pyogenic granuloma.
Overview of Oral Pyogenic Granuloma
Saudi Medical Horizons Journal, 2022
Enlargement of the soft tissues located within the oral cavity frequently provides diagnostic difficulties since they can be caused by a wide range of pathologic diseases. An expansion can be caused by neoplasms, inflammation, cysts, developmental defects, or many types of normal anatomical structures. When a prolonged tissue injury triggers an excessive tissue healing response, reactive hyperplasias develop, which are a subset of these lesions. One of the most typical conditions that result in the enlargement of the soft tissues is pyrogenic granuloma [1]. A benign Vascular tumor is characterized as a pyrogenic granuloma (PG), also referred to as a lobular capillary hemangioma. It develops as a result of cutaneous or mucosal inflammation-induced hyperplasia. Its name is misleading because it neither has anything to do with pus generation nor is it histologically made up of real granulomas. The development of PG's neoplastic tumor is thought to be a response to a variety of stimuli, including prolonged localized inflammation, trauma, hormonal effect, and medications. Poor oral hygiene is thought to be the leading cause of its frequent appearance in the oral cavity [2, 3].
An Unusual Case of Extra-oral Pyogenic Granuloma
British Journal of Medicine and Medical Research, 2017
Pyogenic granuloma is a moderately common, benign mucocutaneous lesion. It is a tumor-like proliferation to a non specific infection. It is non-neoplastic in nature and presents in different clinical and histological forms. In appearance, they are typically solitary and vascular usually seen in the oral cavity. It is an oral disease which appears in the mouth as an overgrowth of tissue in response to irritation, physical trauma or hormonal factors. The name for pyogenic granuloma is misnomer because of the fact that it is not a true granuloma. Skin of the face and neck, upper and lower extremities, and mucous membranes of nose and eyelids are common areas for extraoral involvement. The clinical diagnosis of extraoral variant of this lesion being an uncommon occurrence can be quite challenging and misleading as they sometimes may mimic more serious lesions. The purpose of this article is to report an unusual case of pyogenic granuloma occurring on lower lip.
Pyogenic Granuloma of Lower Lip: An Unusual Presentation
Journal of Nepalese Association of Pediatric Dentistry
Pyogenic granuloma is a benign inflammatory hyperplasia of connective tissue. It depicts an overzealous tissue response to a known stimulus or injury and is commonly found in the gingiva, especially in the anterior maxilla, and rarely on lips, oral mucosa, and tongue. It is commonly seen during the second, third, and fourth decade in females, with predilection in the third decade. This case report depicts the unusual presentation of pyogenic granuloma of the lower lip in an 11-year-old male child following a positive history of trauma and lip biting, which was successfully managed by excision under local anesthesia.
Pyogenic Granulomas in the Oral Cavity: A Series of Cases
Journal of IMAB - Annual Proceeding (Scientific Papers)
Introduction: Pyogenic granulomas represent tumorlike lesions affecting skin and the oral cavity. This classic definition can be somewhat misleading because such lesion is not associated with infection and lacks any clinical evidence of pus or histological evidence of actual granulation tissue. Scientific literature sources estimate its prevalence to 1:25000 per capita, affecting females twice as often. Pyogenic granuloma in the oral cavity affects the interdental papilla in 70% of the cases. Purpose: The authors present a case series of pyogenic granulomas in the oral cavity with varying localization and therapeutic approach. Materials and methods: This article presents six clinical cases of PG. Diagnosis is challenging due to similarities with number of tumorous and non-tumorous neoplasms (formations) in the oral cavity. Two histological types of pyogenic granuloma can be identified: lobular and nonlobular capillary hemangioma. Surgical excision is treatment method of choice, followed by deep curettage of the lesion toward the underlying bone. Such precautions are necessary because 15,8% of the lesions tend to recur over time. Results: Alternative therapeutic approaches for removal of PG are explored, which are aimed at reducing the recurrences after surgical treatment. Such opportunity is provided by utilization of Er:Yag laser, because its effect can reach the underlying bone. Conclusion: Pyogenic granuloma represents a diagnostic challenge, specifically in cases of atypical localization. Effective surgical approach requires complete removal of the pathological process from the surrounding healthy structures in order to prevent recurrences.
Pyogenic granuloma (PG) is one of the inflammatory hyperplasias seen in the oral cavity. It is a tumor like gingival enlargement that is considered an exaggerated conditioned response to minor trauma. It predominantly occurs in second decade of life in young females, possible because of the vascular effects of female hormones. Clinically it is a smooth or lobulated exophytic lesion, pedunculated or sometimes sessile base, which is usually hemorrhagic. Treatment consists of removal of the lesions plus the elimination of irritating local factors. This article describes a case of 60 year old nonpregnant female with a large oral pyogenic granuloma.
Recurrent Pyogenic Granuloma in Maxillary Gingiva-a Case Report
Pyogenic granuloma is an inflammatory hyperplasia seen in oral cavity. It most commonly occurs in second decade of life. It occurs in response to some underlying irritating factor. Clinically, it depicts a sessile or pedunculated, smooth or lobulated growth which bleeds easily on provocation. We present a recurrent multilobulated, pedunculated lesion in maxillary left anterior gingiva of a 42-year old female patient.