Unusual clinical presentation of oral pyogenic granuloma with severe alveolar bone loss: A case report and review of literature

Pyogenic granuloma (PG) is a localized, reddish and vascularized hyperplastic lesion of the connective tissue which occurs in the oral cavity. In most cases, the presence of this lesion does not show alveolar bone resorption. The pathology is diagnosed clinically with some caution. However, the diag...

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Bibliographic Details
Published in:World journal of clinical cases 2023-06, Vol.11 (16), p.3907-3914
Main Authors: Lomelí Martínez, Sarah Monserrat, Bocanegra Morando, Dennisse, Mercado González, Ana Esther, Gómez Sandoval, Juan Ramón
Format: Article
Language:English
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Case Report
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Summary:Pyogenic granuloma (PG) is a localized, reddish and vascularized hyperplastic lesion of the connective tissue which occurs in the oral cavity. In most cases, the presence of this lesion does not show alveolar bone resorption. The pathology is diagnosed clinically with some caution. However, the diagnosis and treatment are usually corroborated with histopathological evidence. Three clinical cases of PG associated with bone loss were described in this study. The three patients presented tumor-like growth which bled on touch, and were associated with local irritant factors. Radiographs showed bone loss. All cases were treated with conservative surgical excision. The scarring was satisfactory, and there was no case of recurrence. The diagnoses were based on clinical findings, and were confirmed histopathologically. The occurrence of oral PG with bone loss is unusual. Therefore, clinical and radiographic evaluations are important for the diagnosis.
ISSN:2307-8960
2307-8960
DOI:10.12998/wjcc.v11.i16.3907