Management of a Pyogenic Granuloma Patient in The Anterior Maxillary Gingiva: A case study

Abstract

Background   : Pyogenic granuloma (PG) is a non-cancerous lesion often resulting from an exaggerated tissue response to local irritation or trauma. This condition usually manifests in the oral cavity and grows rapidly, often mistaken for more serious pathology.

 Study Objective: To present the clinical management of a patient diagnosed with PG located on the anterior maxillary gingiva          
Case Presentation : A 13-year-old girl visited the Public Health Center with a complaint of gingival growth in the front upper teeth region. The lesion, which initially appeared six months prior, increased in size and caused both functional and esthetic discomfort. Clinical inspection revealed an inflammatory mass between teeth 11 and 21, measuring approximately 14x8 mm. Result and discussion: The patient is diagnosed as pyogenic granuloma. The main treatment modalities of pyogenic granuloma is surgical excision. Excision of the pyogenic granuloma was a conventional surgical procedure by scalpel 15 under local anaesthesia with adrenaline. The tissue was placed into solution od 10% formaldehyde and the trauma was sutured. Hemostasis was achieved using pressure pack. The soft tissue sample was sent for histopathology which suggested it be pyogenic granuloma.     
Conclusion : Pyogenic granuloma, although benign can lead to considerable patient concern. Proper identification and surgical management typically result in favorable outcomes

Keyword : Pyogenic granuloma, excision, a conventional surgical procedure