Como Citar
Granuloma piogênico oral recorrente com perda óssea alveolar e mobilidade dental: Relato de um caso incomum. (2021). Odontoestomatología, 23(37), e404. https://doi.org/10.22592/ode2021n37a10
Resumo
O granuloma piogênico oral é uma lesão multifatorial benigna, caracterizada por apresentarse como um aumento gengival altamente vascularizado. Pode estar localizado em qualquer área da cavidade oral, mais frequentemente na gengiva marginal vestibular. Ocorre com maior incidência em mulheres adultas e em crianças do sexo masculino. Geralmente não compromete o tecido ósseo ou os dentes e seu tratamento mais seguro é a escisão cirúrgica, sendo alto o risco de recorrência. O objetivo do presente estudo é relatar o caso de uma paciente de 9 anos de idade, submetida a escisão de granuloma piogênico oral no maxilar e no ano seguinte apresentou uma recorrência da lesão com perda óssea alveolar e a mobilidade de umo de seus dentes adjacentes. Uma biópsia e uma curetagem completa foram realizadas, confirmando o diagnóstico de granuloma piogênico oral.
Referências
1.Al-Khateeb T, Abhabneh K. Oral pyogenic granuloma in Jordanians: a retrospective analysis of 108 cases. J Oral Maxillofac Surg. 2003; 61:1285-8.
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.