Fibrosed pyogenic granuloma on the mandibular anterior region – A case report (original) (raw)

Gingival Pyogenic Granuloma -Clinical Case Report

International Journal of Current Science Research and Review, 2021

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 di...

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.

Pyogenic granuloma of posterior mandible – A case report

Journal of Medicine, Radiology, Pathology and Surgery, 2017

Pyogenic granuloma (also known as an "eruptive hemangioma," "granulation tissue-type hemangioma," "granuloma gravidarum," "lobular capillary hemangioma," "pregnancy tumor," and "tumor of pregnancy") is a vascular lesion. It occurs on both skin and mucosa and appears as an overgrowth of tissue due to irritation, hormonal factors, physical trauma, etc. It is often involved with the gingiva, the skin and nasal septum, and has also been observed far from the head region, such as in the thigh. This article reports a case of pyogenic granuloma in a male patient aged 25 years with a small swelling in his posterior mandible region since 1 week. Histopathological examination of the biopsy specimen confirmed the diagnosis of lobular capillary hemangioma. The patient had undergone extraction of 35. Prognosis was good.

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.

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].

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: A Literature Review and A Case Report

European Journal of Dental and Oral Health

Pyogenic granuloma of the oral cavity is a common, non-neoplastic, vascular tumor. The etiology is not clear and it is suggested to be attributed to different factors. It might be caused by a reaction to a stimulus such as trauma, viruses such as HSV-1, hormonal changes, as well as other factors such as tooth eruption or medication. Clinically it appears as a painless tumor that tends to bleed easily, with red color and rarely may be accompanied by a periodontal abscess and bone loss. Biopsy is the most common tool used for the diagnosis. Its treatment is usually surgical excision and lately the use of lasers for its excision has emerged. Special care should be given to pregnant women where the treatment varies. The aim of this review is to present the background of oral pyogenic granuloma and the case report presents the situation, histological image and treatment of an adult woman patient.

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...

Pyogenic granuloma: Report of two cases with review of literature

Journal of Periodontology & Implant Dentistry

Pyogenic granuloma (PG) is a reactive inflammatory hyperplastic oral lesion in response to local irritants. It is the most commonly occurring and a well-known oral lesion by oral physicians that most commonly affects gingiva, followed by lips, buccal mucosa, palate and tongue. "Pyogenic granuloma" term itself is a misnomer. This article presents a report of 2 cases of pyogenic granuloma of the gingiva and their management with a review of literature and also discusses why the term "pyogenic granuloma" is a misnomer.

Pyogenic Granuloma ( PG )-Common Lesion at Uncommon Site Case Report

2019

Pyogenic tumor or pregnancy tumor or lobular capillary hemangioma is an inflammatory hyper plasia occurs in oral cavity, due to hormonal effects on blood vessels. It is not a true granuloma or infection, and caused by localised irritation, hormones, trauma seen in between 2nd to 5th decade, more common in pregnant females occurs in gingiva most commonly, then lip, buccal mucosa, tongue, floor of mouth and rarely in hard palate. In this we are going to present a rare case of pyogenic granuloma of hard palate and detailed review in correlation with pregnant females.