International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2014, 2(3), 66-68
DOI: 10.12691/ijdsr-2-3-5
Open AccessCase Report

Pyogenic Granuloma- a Case Report and Review

Dr. Bobby Kurian1, , Dr. Sasirekha1 and Dr. Ebenezer1

1Department of Periodontics, Adhiparasakthi Dental College, Melmaruvathur, India

Pub. Date: June 03, 2014

Cite this paper:
Dr. Bobby Kurian, Dr. Sasirekha and Dr. Ebenezer. Pyogenic Granuloma- a Case Report and Review. International Journal of Dental Sciences and Research. 2014; 2(3):66-68. doi: 10.12691/ijdsr-2-3-5


Exophytic gingival lesions represent some of the more frequently encountered lesions in the oral cavity. Some of these lesions are reactive in nature. Pyogenic granuloma is a relatively common benign mucocutaneous lesion occurring intra orally or extra orally. The exact etiopathogenesis remains unknown, although contributory factors include trauma, inflammation and infectious agents. Intraoral lesions are sometimes associated with pregnancy. Typically, pyogenic granuloma presents as an exuberant, red painless mass that easily bleeds, ulcerates and grows rapidly and is frequently seen on the gingiva. Treatment is surgical excision to exclude angiomatous proliferation. The condition is frequently associated with recurrence, and has more predilections towards females. Here by, presenting a case of pyogenic granuloma in a 40 years old male patient.

exophytic benign mucocutaneous lesion inflammatory hyperplasia

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[1]  Ababneh KT. Biopsied gingival lesions in northern Jordanians: A retrospective analysis over 10 years. Int J Periodontics restorative Dent. 2006 Aug; 26: 387-93.
[2]  Bataineh A, Al-Dwairi ZN. A survey of localized lesions of oral tissues: a clinicopathological study. J Contemp Dent Pract. 2005 Aug 15; 6: 30-39.
[3]  Bhaskar SN, Jacoway JR. Pyogenic granuloma clinical features, incidence, histology and result of treatment: report of 242 cases. J Oral Surg. 1966; 24: 391-99.
[4]  Mubeen K, Vijayalakshmi KR, Abhishek RP. Oral pyogenic granuloma with mandible involvement: an unusual presentation. J Dent Oral Hyg. 2011; 3: 6-9.
[5]  Ramirez K, Bruce G, Carpenter W. Pyogenic granuloma: a case report in a 9 year old girl. Gen Dent. 2002; 50: 280-281.
[6]  Nevile BW, Damm DD, Allen CM, Bouquot JE. Oral and maxillofacial pathology. 2nd ed. W.B. Saunders; 2004. pp. 437-495.
[7]  Mac loed RL, Soames J. Ephillides: A Clinicopathologic study of 200 consecutive lesions. British Dental Journal. 1987: 163; 51-53.
[8]  Levy I, Rolain JM, Lepidi H. Is pyogenic granuloma associated with bartonella infection? J Am Acad Dermatol 2005; 55: 1065-1066.
[9]  Yuan K, Jin YT, Lin MT. Expression of tie-2, angiopoitin-1-2, ephrin B2, ephrin B4, in pyogenic granuloma of human gingival implicating inflammatory angiogenesis. J Periodontal Research. 2000: 35; 165-167.
[10]  Janier M. Infection and angiomatous cutaneous lesions. J Mal Vasc. 1999; 24 (2): 135-138.
[11]  Davies MG, Borton SP, Atai F. The abnormal dermis in pyogenic granuloma. J Am Acad Dermatol 2000; 35: 342-344.
[12]  Vilamnn A, Vilamnn P, Vilamnn H.Pyogenic granuloma: evaluation of oral conditions. Br J Oral Maxillofac Surg. 1986; 24: 376-382.
[13]  Ragezi JA, Sciubba, James J, Jordan Richors CK. Oral Pathology, Clinical pathologic correlation. Fourth. Sanders Company; 2003. pp. 115-176.
[14]  Akyol MU, Yalciner EG, Dolan AI. Pogenic granuloma of the tongue. Int J Pediatr Otorhinolaryngol. 2001; 58: 239-241.
[15]  Glorgi VD, Sestini S, Nardini P, Cali P.A 42yr old man with a rapidly growing lesion of the soft palate. CMAJ. 2005; 173: 367
[16]  Peter A, Reichert, Hans Peter Philipsen. Color atlas of oral medicine pathology. Stuttgart. Theme. 2000; pg 163.
[17]  Patil K, Mahima VG, Lahari K. Extragingival pyogenic granuloma. Indian J Dent Res 2006; 17: 199-202.
[18]  Eversole Lr. Clinical Outline Of Oral pathology:Diagnosis And Treatment, 3 Ed, Bc Decker, Hamilton, 2002; 113-114.
[19]  Greenberg MS, Glick M. Burket’s oral medicine:diagnosis and treatment. 10th ed, BC Decker, Hamilton, 2003: 141-2.
[20]  Graham RM. Pyogenic granuloma: an unusual presentation. Dent update. 1996; 26 (1): 240-241.
[21]  Bjork K, Hoede N, Korting GW, Burgdorf WHC, Young SK. Disease of the oral mucosa and the lips. Philadelphia: WB Sauders; 1996. Pp. 229-230.
[22]  Calonje E, Wilson-Jones E. Vascular tumors: tumor like conditions of blood vessels and lymphatics. In: Elder D, Elenitsas R, Jaworsky C, Johnson Bj, eds. Lever’s histopathology of skin. 8th ed. Philadelphia: Lippincott-Raven; 1997. P. 895.
[23]  Sils ES, Zegarelli DJ, Hoschander MM, Strider WE. Clinical diagnosis and management of hormonally responsive oral pregnancy tumor. J Reprod Med. 1996; 41: 467-470.
[24]  White JM, Chaudhry SI, Kudler JJ, Sekandari N, Schoelch ML, Silverman S Jr. Nd: Yag and cO2 laser therapy of oral mucosal lesions. J Clin Laser Med Surg. 1998; 16: 299-304.
[25]  Ishida CE, Ramos-E-Silva M. Cryosurgery in oral lesions. Int J Dermatol. 1998; 37: 283-285.
[26]  Ichimaya M, Yoshikawa Y, Hamamoto Y, Muto M. Successful treatment of pyogenic granuloma with absolute alcohol. J Dermatol. 2004; 31: 342-344.
[27]  Moon SE, Hwang EJ, Cho KH. Treatment of pyogenic granuloma by sodium tetradecyl sulphate sclerotherapy. Arch Dermatol. 2005; 141: 644-646.
[28]  Taira JW,Hill TL, Everett MA. Lobular capillary hemangioma with satellitosis. J Am Acad Dermatol. 1992; 27: 297-300.
[29]  Selvamuthukumar SC,Nalini Ashwath, Anand V. Unusual presentation of pyogenic granuloma of buccal mucosa. JIAOMR. 2010; 22 (4): S 45-47.