Epivatianos A, Antoniades D, Zaraboukas T, Zairi E, Poulopoulos A, Kiziridou A, Iordanidis S. Pyogenic granuloma of the oral cavity: comparative study of its clinicopathological and immunohistochemical features. Pathol Int. 2005; 55:391-397
Vilmann A, Vilmann P, Vilmann H. Pyogenic granuloma: evaluation of oral conditions. Br J Oral Maxillofac Surg. 1986; 24:376-382
Yao T, Nagai E, Utsunomiya T, Tsuneyoshi M. An intestinal counterpart of pyogenic granuloma of the skin. A newly proposed entity. Am J Surg Pathol. 1995; 19:1054-1060
Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J Oral Sci. 2006; 48:167-175
Thada SR, Keerthilatha MP, Agarwal P. A huge oral pyogenic granuloma with extensive alveolar bone loss and ‘sun-ray’ appearance mimicking a malignant tumour. BMJ Case Reps. 2014; https://doi.org/10.1136/bcr-2013-202367
Parajuli R, Maharjan S. Unusual presentation of oral pyogenic granulomas: a review of two cases. Clin Case Reps. 2018; 6:690-693
Bhaskar SN, Jacoway JR. Pyogenic granuloma – Clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg. 1966; 24:391-398
Kadeh H, Saravani S, Tajik M. Reactive hyperplastic lesions of the oral cavity. Iran J Otorhinolaryngol. 2015; 27:(79)137-144
Amirchaghmaghi M, Falaki F, Mohtasham N, Mozafari PM. Extragingival pyogenic granuloma: a case report. Cases J. 2008; 1
Aguilo L. Pyogenic granuloma subsequent to injury of a primary tooth. A case report. Int J Paediatr Dent. 2002; 12:438-441
Gomes SR, Shakir QJ, Thaker PV, Tavadia JK. Pyogenic granuloma of the gingiva: a misnomer? – a case report and review of the literature. J Indian Soc Periodontol. 2013; 17:514-519
Powell JL, Bailey CL, Coopland AT, Otis CN, Frank JL, Meyer I. Nd:YAG laser excision of a giant gingival pyogenic granuloma of pregnancy. Lasers Surg Med. 1994; 14:178-183
Meffert JJ, Cagna DR, Meffert RM. Treatment of oral granulation tissue with the flashlamp pulsed dye laser. Dermatol Surg. 1998; 24:845-848
Ishida CE, Ramos-e-Silva M. Cryosurgery in oral lesions. Int J Dermatol. 1998; 37:283-285
Al-Khateeb T, Ababneh K. Oral pyogenic granulomas in Jordanians: a retrospective analysis of 108 cases. J Oral Maxillofac Surg. 2003; 61:1285-1288
A 6-year-old girl was referred for assessment of an oral soft tissue swelling in the anterior maxilla. An asymptomatic, large, erythematous soft tissue mass developed on the alveolar ridge following the loss of the deciduous upper central incisor. Following excision of the lesion, a diagnosis of pyogenic granuloma was confirmed. This case demonstrates the unusual presentation of a pyogenic granuloma in a younger child. These lesions can arise as a reactive response to various stimulating factors and can grow rapidly. Management often involves excision but recurrence risk can be high.
CPD/Clinical Relevance: Dentists should not only be aware of the common oral soft tissue changes but should also familiarize themselves with lesions that can occur atypically in children.
Article
A pyogenic granuloma (PG) is a benign, vascular growth of the skin and mucous membranes.1,2 They are commonly found on the skin but rarely in the gastrointestinal tract, with the exception of the oral cavity,3 where they usually arise on the gingiva.4 PGs are typically soft, red-purple swellings which can display ulceration and bleed readily. They often present as smooth or lobulated lesions and can be either sessile or pedunculated.1 PGs are more likely to occur in the maxilla than the mandible, and anteriorly more often than posteriorly.5 They can increase in size rapidly and some have reported significant bone loss in the area of the lesion,6 with no malignant potential.
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