How to Cite
Recurrent oral pyogenic granuloma with alveolar bone loss and tooth mobility: report of an unusual case. (2021). Odontoestomatología, 23(37), e404. https://doi.org/10.22592/ode2021n37a10
Abstract
Oral pyogenic granuloma is a benign multifactorial lesion that appears as a highly vascular gingival enlargement. It can be located anywhere in the oral cavity, most often in the vestibular marginal gingiva. It occurs most frequently in adult women and male children. It does not usually compromise bone tissue or teeth; its safest treatment is surgical excision, with a high recurrence risk. This study aims to report the case of a 9-year-old female patient who underwent oral pyogenic granuloma excision in the maxilla. The following year, she presented a possible lesion recurrence with alveolar bone loss and the mobility of an adjacent tooth. A biopsy and thorough curettage were performed, confirming the diagnosis of oral pyogenic granuloma.
References
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2.García I, Hinojosa A, Aldape B, Valenzuela E. Hemangioma lobular capilar (granuloma piógeno) asociado a la erupción: reporte de dos casos clínicos. Rev Odont Mex. 2004; 8(4):127- 32.
3.Sharma S, Chandra S, Guptya S, Srivastava S. Heterogeneous conceptualization of etiopathogenesis. Oral pyogenic granuloma. Natl J Maxillofac Surg. 2019; 10:3-7.
4.Concepción L, Belmonte R, Acosta M, Torres E, Infante P, Torres D, Gutierrez JL. Manejo del granuloma piógeno gigante. Revista SECIB. 2005; 4: 74-89.
5.Kamal R, Dahiya P, Puri A. Oral pyogenic granuloma: Various concepts of etiopathogenesis. J Oral Maxillofac Pathol. 2012; 16(1):79.
6.Papageorge MB, Doku HC. An exaggerated response of intraoral pyogenic granuloma during puberty. J Clin Pediatr Dent. 1992;16(3):213–6
7.Chandrashekar B. Minimally invasive approach to eliminate pyogenic granuloma: A case report. Case Reports in Dentistry. 2012; 26. doi:10.1155/2012/909780
8.Isola G, Matarese G, Cervino G, Matarese M, Ramaglia L, Cicciù M. Clinical Efficacy and Patient Perceptions of Pyogenic Granuloma Excision Using Diode Laser Versus Conventional Surgical Techniques. J Craniofac Surg. 2018; 29(8):2160-3.
9.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: 391-7.
10.Thada SR, Pai KM, Agarwal P. A huge oral pyogenic granuloma with extensive alveolar bone loss and ‘sun-ray’ appearance mimicking a malignant tumour. BMJ Case Rep. 2014; 3:101-36.
11.Dojcinovic I, Richter M, Lombardi T. Occurrence of a pyogenic granuloma in relation to a dental implant. J Oral Maxillofac Surg. 2010; 68 (8): 1874-6.
12.Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician. 2008; 77 (8): 1139-44.
13.Saravana GH. Oral pyogenic granuloma: a review of 137 cases. Br J Oral Maxillofac Surg. 2009; 47(4):318-9.
14.Santa Cruz D, Plaza JA, Wick MR, Gru AA. Inflammatory lobular hemangioma (ILH): a vascular proliferation with a prominent lymphoid component. Review of a series of 19 cases. J Cutan Pathol 2020. Doi: 10.1111/cup.13844.
15.Kaya A, Kaya B. Oral pyogenic granuloma. Review of 10 cases. Indian J Med Res Pharm Sci. 2015; 2:44-8.
16.Tiwari S, Neelakanti A, Sathyanarayana S. An innovative and less invasive management of recurrent pyogenic granuloma in the esthetic zone: A case report with 18-month follow-up. J Indian Soc Periodontol. 2017; 21:241-4.
17.Hasanoglu GN, Senguven B, Gultekin SE, Cetiner S. Management of a recurrent pyogenic granuloma of the hard palate with diode laser: A case report. J Lasers Med Sci. 2016; 7:56-61.
18.Al-Noaman AS. Pyogenic granuloma: Clinicopathological and treatment scenario. J Indian Soc Periodontol. 2020; 24:233-6.
19.Rebolledo M, Harris J, Cantillo O, Carbonell Z, Díaz A. Granuloma telangiectásico en cavidad oral. Av. Odontoestomatol. 2010; 26 (5): 249-53.
20.Mohapatra S, Singh K, Singh L, Kumar P. Oral pyogenic granuloma: A review. Journal of Odisha Dental Association. 2014; 3(1): 5-9.
21.Angelopoulos AP. Pyogenic granuloma of the oral cavity: Statistical analysis of its clinical features. J Oral Surg. 1971; 29:840–7.
22.Silverstein L, Burton CH. Jr, Singh B. Oral pyogenic granuloma in pregnancy. Int. J. Gynaecol. Obstet. 1995; 49:331-2.
23.Shenoy SS, Dinkar AD. Pyogenic granuloma associated with bone loss in an eight-year-old child: a case report. J. Indian Soc. Pedod. Prev. Dent. 2006; 24:201-3.
24.Goodman-Topper ED, Bimstein E. Pyogenic granuloma as a cause of bone loss in a twelve-year-old child: report of a case. ASDC J. Dent. Child. 1994; 61:65-7.
25.Ababneb K, Al-Khateeb T. Aggressive pregnancy tumor mimicking a malignant neoplasm: a case report. J. Contemp. Dent. Pract. 2009; 10: E072-8, 2.
26.Singh RK, Kaushal A, Kumar R, Pandey RK. Profusely bleeding oral pyogenic granuloma in a teenage girl. BMJ Case Rep. 2013. Doi:10.1136/bcr-2013-008583.
2.García I, Hinojosa A, Aldape B, Valenzuela E. Hemangioma lobular capilar (granuloma piógeno) asociado a la erupción: reporte de dos casos clínicos. Rev Odont Mex. 2004; 8(4):127- 32.
3.Sharma S, Chandra S, Guptya S, Srivastava S. Heterogeneous conceptualization of etiopathogenesis. Oral pyogenic granuloma. Natl J Maxillofac Surg. 2019; 10:3-7.
4.Concepción L, Belmonte R, Acosta M, Torres E, Infante P, Torres D, Gutierrez JL. Manejo del granuloma piógeno gigante. Revista SECIB. 2005; 4: 74-89.
5.Kamal R, Dahiya P, Puri A. Oral pyogenic granuloma: Various concepts of etiopathogenesis. J Oral Maxillofac Pathol. 2012; 16(1):79.
6.Papageorge MB, Doku HC. An exaggerated response of intraoral pyogenic granuloma during puberty. J Clin Pediatr Dent. 1992;16(3):213–6
7.Chandrashekar B. Minimally invasive approach to eliminate pyogenic granuloma: A case report. Case Reports in Dentistry. 2012; 26. doi:10.1155/2012/909780
8.Isola G, Matarese G, Cervino G, Matarese M, Ramaglia L, Cicciù M. Clinical Efficacy and Patient Perceptions of Pyogenic Granuloma Excision Using Diode Laser Versus Conventional Surgical Techniques. J Craniofac Surg. 2018; 29(8):2160-3.
9.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: 391-7.
10.Thada SR, Pai KM, Agarwal P. A huge oral pyogenic granuloma with extensive alveolar bone loss and ‘sun-ray’ appearance mimicking a malignant tumour. BMJ Case Rep. 2014; 3:101-36.
11.Dojcinovic I, Richter M, Lombardi T. Occurrence of a pyogenic granuloma in relation to a dental implant. J Oral Maxillofac Surg. 2010; 68 (8): 1874-6.
12.Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician. 2008; 77 (8): 1139-44.
13.Saravana GH. Oral pyogenic granuloma: a review of 137 cases. Br J Oral Maxillofac Surg. 2009; 47(4):318-9.
14.Santa Cruz D, Plaza JA, Wick MR, Gru AA. Inflammatory lobular hemangioma (ILH): a vascular proliferation with a prominent lymphoid component. Review of a series of 19 cases. J Cutan Pathol 2020. Doi: 10.1111/cup.13844.
15.Kaya A, Kaya B. Oral pyogenic granuloma. Review of 10 cases. Indian J Med Res Pharm Sci. 2015; 2:44-8.
16.Tiwari S, Neelakanti A, Sathyanarayana S. An innovative and less invasive management of recurrent pyogenic granuloma in the esthetic zone: A case report with 18-month follow-up. J Indian Soc Periodontol. 2017; 21:241-4.
17.Hasanoglu GN, Senguven B, Gultekin SE, Cetiner S. Management of a recurrent pyogenic granuloma of the hard palate with diode laser: A case report. J Lasers Med Sci. 2016; 7:56-61.
18.Al-Noaman AS. Pyogenic granuloma: Clinicopathological and treatment scenario. J Indian Soc Periodontol. 2020; 24:233-6.
19.Rebolledo M, Harris J, Cantillo O, Carbonell Z, Díaz A. Granuloma telangiectásico en cavidad oral. Av. Odontoestomatol. 2010; 26 (5): 249-53.
20.Mohapatra S, Singh K, Singh L, Kumar P. Oral pyogenic granuloma: A review. Journal of Odisha Dental Association. 2014; 3(1): 5-9.
21.Angelopoulos AP. Pyogenic granuloma of the oral cavity: Statistical analysis of its clinical features. J Oral Surg. 1971; 29:840–7.
22.Silverstein L, Burton CH. Jr, Singh B. Oral pyogenic granuloma in pregnancy. Int. J. Gynaecol. Obstet. 1995; 49:331-2.
23.Shenoy SS, Dinkar AD. Pyogenic granuloma associated with bone loss in an eight-year-old child: a case report. J. Indian Soc. Pedod. Prev. Dent. 2006; 24:201-3.
24.Goodman-Topper ED, Bimstein E. Pyogenic granuloma as a cause of bone loss in a twelve-year-old child: report of a case. ASDC J. Dent. Child. 1994; 61:65-7.
25.Ababneb K, Al-Khateeb T. Aggressive pregnancy tumor mimicking a malignant neoplasm: a case report. J. Contemp. Dent. Pract. 2009; 10: E072-8, 2.
26.Singh RK, Kaushal A, Kumar R, Pandey RK. Profusely bleeding oral pyogenic granuloma in a teenage girl. BMJ Case Rep. 2013. Doi:10.1136/bcr-2013-008583.