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Pyogenic Granuloma

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Pyogenic granuloma
Study guide
Classification of lesion: benign reactive connective tissue hyperplasia, tumor like, an inflammatory lesion.
Clinical description: red-purple, exophytic, ulcerated lesion which is soft and bleeds easily. Develops rapidly, may be sessile or pedunculated, different sizes.
Radiographic description: no radiographic findings in pyogenic granuloma.
Common locations: most common: gingiva. Also other areas: lips, tongue, buccal mucosa, and hard palate.
Etiology (cause):
1. Response to an injury (trauma) or irritation (ex/calculus)
2. Puberty.
3. Pregnancy.
Prognosis: excellent prognosis, there is no recurrence if it is removed adequately. The gingival cases and lesions removed during pregnancy have a high recurrence
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Many factors play a significant role in the development of pyogenic granuloma like traumatic injury, chronic oral irritation (ex. calculus, and overhanging restorations), hormonal changes, and pregnancy (Svirsky, &James, 2016).
Proper removal of pyogenic granuloma will minimize recurrence rate, and reveal a good prognosis. Removal of pregnancy tumors has a high recurrence rate (Svirsky, &James, 2016).
Excisional surgery is the treatment of choice for pyogenic granuloma, followed by curettage of underlying tissue. The lesion removed with two mm of the peripheral margins, deeply penetrated to the periosteum or to the irritant factors like calculus or overhanging restorations to remove them properly (Kamal, Dahiya, & Puri, 2012).
Generally, pyogenic granuloma occurs between 4.5 - 93 years, but females in 20s and 50s most commonly affected than males. Pregnant woman is at a high risk of developing pyogenic granuloma in the term of “pregnancy tumor” (Kamal, Dahiya, & Puri, 2012). In addition, patients with poor oral hygiene, and hormonal changes will show a high incidence of pyogenic granuloma (Ibsen, & Phelan, sixth edition,
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