Pyogenic granuloma subsequent to injury of a primary tooth. A case report

Aguiló, L

doi:10.1046/j.1365-263x.2000.00388.x

Cited by 22 publications

(24 citation statements)

References 2 publications

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“…[18][19][20][21] Poor oral local hygiene may be a precipitating factor in most of these cases. 22 Aguilo 23 and Aguilo and Bagan 24 reported the occurrence of PG as a result of an injury to a primary tooth, as well as 2 cases of PG in the maxillary labial mucosa, which were related to an apical fenestration of a primary incisor tooth. Milano et al 25 described a case of PG in relation to aberrant tooth development.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of a Pyogenic Granuloma in Relation to a Dental Implant

Dojcinovic¹,

Richter²,

Lombardi³

2010

Journal of Oral and Maxillofacial Surgery

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Pyogenic granuloma is an inflammatory vascular hyperplasia often occurring in the oral cavity. It appears in response to various stimuli such as low-grade local irritation, trauma, or female steroid hormones. A 32-year-old man sought care for a tender and bleeding lesion of the left posterior maxillary gingiva. The intraoral examination showed an exophytic ulcerated nodule measuring 1.0 cm, related to a dental implant placed in the upper left second premolar position. Radiographic examination showed an oversized healing cap. A provisional diagnosis of reactive inflammatory hyperplasia was made, and the lesion was excised and submitted for histologic examination. On microscopy, the surgical specimen showed an ulcerated nodule consisting of a delicate connective tissue stroma containing numerous blood vessels with plump endothelial cells, intermingled with abundant polymorphonuclear lymphocytes. A diagnosis of pyogenic granuloma associated with a dental implant was made. In this case it was the result of an inappropriate choice of a healing cap, thus allowing an accumulation of dental plaque and sustained chronic inflammation of the peri-implant tissue. A conservative excision and replacement of the healing cap were sufficient for definitive treatment.

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Section: Discussionmentioning

confidence: 99%

Occurrence of a Pyogenic Granuloma in Relation to a Dental Implant

Dojcinovic¹,

Richter²,

Lombardi³

2010

Journal of Oral and Maxillofacial Surgery

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“…16 Other traumas, which are associated with developing pyogenic granulomas, encompass iatrogenic dental injuries. 17 Microtraumas due to tooth brushing, 18 some orthodontic appliances 19,20 and tooth extractions 21 are, sometimes, causative as well.…”

Section: Discussionmentioning

confidence: 99%

Recurrent pyogenic granuloma: an update

Al-Shiaty

Ottoman

2015

Int J Sci Rep

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Background: Given the fierce controversy about the nature of pyogenic granulomas, starting with its unfitting name and ending up with its ideal treatment modality, this paper tries to numerically identify some predisposing factors of recurrence.Methods: The literature was initially reviewed and a total of twenty recurrent cases of pyogenic granuloma were contrasted, on one hand, to their initial appearance. On the other hand, all are contrasted to a similar number of normal mucosa using three histochemical stains: Alcian blue, periodic acid-Schiff and Masson’s trichrome.Results: For all recurrent lesions, all specimens showed myxoid structure histologically even if their initial appearance had possessed a sparse myxoid structure. The age of recurrence has been correlated to the histochemical findings. For the Alcian Blue stain (AB), the value of t-test was 3.808840. The pertaining value of P was 0.000593. The result was significant at P ≤0.05. For the PAS stain, the value of t-test was 3.640327. The value of P was 0.000871. The result was significant at P ≤0.05. In Masson’s trichrome staining, the value of t-test was 3.100816. The value of P was 0.002942. The result was significant at P ≤0.05. Accordingly, all stains showed significant difference in fibrous content in the initial and recurrent lesions. Conversely, the count of both endothelial vessels and inflammatory infiltrates in the recurrent lesions were significantly lower than the primary precursors.Conclusions: Given that collagen fibers are continually degraded and resynthesized while proteolytic degradation occur outside the cells through the activity of enzymes called matrix metalloproteinases (MMPs), it is suggested that MMPs -positively expressed by PAS reactions- account for the spacing of the fibrous stroma, allowing for reshaping the three dimensional structure of the connective tissue. Myxoid structures are certainly promoting recurrence either via excessive secretion of hyaluronic acids or unknown mechanisms. The undisputed fact is the presence of myxoid structures in all our reported recurrent cases. Both inflammatory cascade and endothelial proliferation have no vital role in the recurrence according to our morphometric results. Finally, PAS stain should give more details in examining PGs than the other recruited counterparts.Keywords: Recurrent pyogenic granuloma, PAS stain, Myxoid structures, Etiopathogensis

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“…7,8 In second and third decades of the life it is encountered more frequently (3/2) in females than in males. 9,10 It is generally believed that sex hormones in females play an important role in pathogenesis of the lesion. 11 Low-degree local irritation, traumatic injury, hormonal factors and use of various drugs play roles in.…”

Section: Introductionmentioning

confidence: 99%

Pyogenic Granuloma: A Case Report

Cartı¹,

Görgün²,

Öznurhan³

et al. 2017

Cumhuriyet Dental Journal

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Purpose: The purpose of this study is to evaluate the treatment and pursuit process of the pyogenic granuloma which has seen on 12 years old girl patient. Case Presentation: Pyogenic granuloma is a lesion which classified in vascular tumors which constitute 30-60% of all the reactive lesions of gingival tissue. Trauma, infections of capillary wall, hormonal factors, foreign materials, hypertension and poor oral hygiene are accused for development of pyogenic granuloma. It may occur at all age groups and in both sexs. In the oral cavity, pyogenic granuloma lesions are most frequently encountered on the gingiva. Definitive diagnosis can only be made by histopathologic examination of biopsied tissue. The treatment of this lesion is surgical excision. If surgical excision removal is incomplete, the lesion has got the risk of the recurrence. A twelve years old female child applied to our clinic with complaints like on anterior palatinal region gingival bleeding and swollen condition on the same region. As beginning treatment oral hygiene education was given to the patient and plaque and calculus were removed. Under local anesthesia the lesion was taken with excisional biopsy for doing distinctive diagnosis from the other pathological lesions which can be seen in oral cavity. In addition frenectomy surgery in the maxilla and ridge augmentation operation in the mandible is performed to provide more comfortable oral hygiene. Three-month follow-up results of the patients were found to occur again in the region of the palatal gingival enlargement. As a result, it was decided to re-operations performed gingivectomy. Patient after operations carried out gingivectomy was called to the appointment checked and encourage oral hygiene. Conclusion: After taking of the excisional biopsy, the diagnose was made shaping "The Pyogenic Granuloma" to the mass which was examined histopathologically under the light microscope. In the control inspection, there was not any recurrence clinically.

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Pyogenic granuloma subsequent to injury of a primary tooth. A case report

Cited by 22 publications

References 2 publications

Occurrence of a Pyogenic Granuloma in Relation to a Dental Implant

Occurrence of a Pyogenic Granuloma in Relation to a Dental Implant

Recurrent pyogenic granuloma: an update

Pyogenic Granuloma: A Case Report

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