scholarly journals diode laser for excisional biopsy of pyogenic granuloma: a case series

2017 ◽  
Vol 5 (2) ◽  
pp. 112
Author(s):  
Gaurav Mahajan ◽  
Aditi Gautam
Keyword(s):  
Diode Laser ◽  
Traumatic Injury ◽  
Case Series ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Low Grade ◽  
Giant Cell Granuloma ◽  
Hormonal Factors ◽  
Peripheral Giant Cell Granuloma

Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low- grade local irritation, traumatic injury or hormonal factors. The clinical diagnosis of such lesion can be quite challenging because of its close resemblance to certain malignancies like peripheral giant cell granuloma, kaposi’s sarcoma, non hodgkin’s lymphoma etc. for excisional biopsy, options available are conventional surgical excision, electrocautery or lasers. In this report, we seek to highlight the therapeutic advantages achieved with a soft tissue diode laser in the treatment of pyogenic granuloma.

scholarly journals Clinical Nature and Treatment with Sclerotherapy of Pyogenic Granuloma: A Case Series

2020 ◽  
Author(s):  
Jigna S Shah ◽  
Anand Patel ◽  
Nutan Lunagariya
Keyword(s):  
Laser Therapy ◽  
Traumatic Injury ◽  
Case Series ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Low Grade ◽  
Treatment Protocols ◽  
Carbon Dioxide Co2 ◽  
Almost All ◽  
Excisional Surgery

Pyogenic granuloma is a misnomer, as in reality it arises in response to various irritating factors such as low-grade local irritation or hormonal factors, traumatic injury as well as presented as inflammatory hyperplasia that is not related to infection. Oral pyogenic granuloma is a lobulated or smooth exophytic lesion with pedunculated or sometimes sessile base, haemorrhagic in tendency. Although excisional surgery is the treatment of choice for it, some other treatment protocols such as laser therapy, sclerotherapy with 3% polidocanol, cryotherapy and steroid therapy have also been proposed. Here, Authors present a case series of gingival as well as extra gingival pyogenic granulomas which were diagnosed and treated by various therapies i.e., surgical excision, Carbon Dioxide (CO2) laser therapy and sclerotherapy. Regression period of lesion with different therapies was evaluated in detail. Maximum patients were female in the age group of 26-50 years in present case series. Almost all cases of pyogenic granuloma had typical clinical characteristic without bony alteration. Amongst all therapies sclerotherapy had the biggest advantage of less regression period for any case of pyogenic granuloma i.e., 7-8 days only.

scholarly journals Gingival Tumor in Young Female Patient: A Case Report

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Rithul P ◽  
◽  
Rao PK ◽  
Kini R ◽  
Gonsalvis N ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Female Patient ◽  
Traumatic Injury ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Young Female ◽  
Low Grade ◽  
Hormonal Factors ◽  
Local Irritation

Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low-grade local irritation, traumatic injury or hormonal factors. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple, depending on the age of the lesion Conservative surgical excision is usually curative but recurrence is not unusual. Lasers and cryotherapy may also be employed.

scholarly journals Pyogenic granuloma-a 19 months follow up case report

2015 ◽  
Vol 5 (1) ◽  
pp. 26-29
Author(s):  
Md Ashif Iqbal ◽  
Jesmin Mohol ◽  
Md Saifur Rahman ◽  
Fayeza Afrin
Keyword(s):  
Oral Cavity ◽  
High Frequency ◽  
Traumatic Injury ◽  
Complete Information ◽  
Pyogenic Granuloma ◽  
Low Grade ◽  
Periodontal Health ◽  
Hormonal Factors ◽  
Proper Diagnosis

Pyogenic granuloma is one of the inflammatory hyperplasia seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low- grade local irritation, traumatic injury or hormonal factors. Clinically, oral pyogenic granuloma is a smooth or lobulated exophytic lesion manifesting as small, red erythematous papules on a pedunculated or sometimes sessile base, which is usually hemorrhagic. The surface ranges from pink to red to purple, depending on the age of the lesion. Because of the high frequency of pyogenic granuloma in the oral cavity, especially during pregnancy, and necessity for proper diagnosis and treatment, a complete information and investigations about this lesion, in addition its treatment is presented. The study emphasizes the clinical follow-up after the treatment of patients that present pyogenic granuloma. Follow-up over 19 months of surgical procedures demonstrated the maintenance of a periodontal health decreases the chances of recurrence.Update Dent. Coll. j: 2015; 5 (1): 26-29

scholarly journals Gingival Pyogenic Granuloma -Clinical Case Report

2021 ◽  
Vol 04 (11) ◽  
Author(s):  
Dr. Priyanka Aggarwal ◽  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Vascular Tumor ◽  
Giant Cell Granuloma ◽  
Hormonal Factors ◽  
Neoplastic Lesion ◽  
Histopathological Evaluation ◽  
Granuloma Pyogenicum

Pyogenic granuloma is a vascularized non neoplastic lesion, in the oral cavity, caused by trauma, local irritants or hormonal factors, with a higher prevalence in women, present more frequently in the mandible than in the maxilla. It is not associated with pus as its name suggests and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. It is known by a variety of names such as Crocker and Hartzell’s disease, granuloma pyogenicum, granuloma pediculatum benignum, benign vascular tumor and during pregnancy as granuloma gravidarum Treatment consists of removal of local irritant, if any followed by excisional biopsy. This clinical case report presents the clinical and histopathological characteristics of the large pyogenic granuloma in a 36-year-old female, who reported to the Department of Santosh Dental College, Ghaziabad. Intraoral examination revealed a lesion mainly non tender, sessile, soft in consistency and measuring approximately 16by 9 mm in diameter in the posterior side of maxillary first quadrant. Keeping in view the characteristics of the lesion, anamnesis and the literature, the pyogenic granuloma and giant cell granuloma were defined as diagnostic hypotheses. Excisional biopsy was done and specimen was sent for histopathological evaluation.

Pyogenic Granuloma – Red Mass Lesion: A Case Report

2014 ◽  
Vol 8 (3) ◽  
pp. 169-171
Author(s):  
A Agarwal ◽  
HS Bhattacharya ◽  
Manjunath RG Shiva ◽  
ST Gokhle
Keyword(s):  
Case Report ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Pyogenic Granuloma ◽  
Surface Epithelium ◽  
Low Grade ◽  
Common Site ◽  
Hormonal Factors ◽  
Anterior Teeth ◽  
Causative Factors

ABSTRACT Pyogenic granuloma is a reactive lesion. It usually arises in response to various stimuli such as low-grade local irritation, traumatic injury, hormonal factors, or certain kinds of drugs hyperplasia of connective tissue in response to local irritants. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. It is a tumourlike growth of the oral cavity, frequently located surrounding the anterior teeth Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. Pyogenic granuloma should be excised along with the base and its causative factors. This paper presents a case of a pyogenic granuloma managed by surgical intervention.

scholarly journals Successful Excision of Oral Irritational Fibroma Using 940 nm Diode Laser: Case Series

2020 ◽  
Vol 2 (2) ◽  
pp. 1-6
Author(s):  
Lubna M Al-Otaibi ◽  
◽  
Maha A Al-Mohaya ◽  
Keyword(s):  
Diode Laser ◽  
Histopathological Examination ◽  
Case Series ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Oral Lesion ◽  
Conventional Surgery ◽  
Post Operative Pain ◽  
Operative Complications ◽  
Registration Number

Background: Irritational fibroma is a frequently observed benign exophytic and reactive oral lesion that develops as a result of trauma. The usual sites of irritational fibroma are buccal mucosa, tongue, and lower labial mucosa. These lesions are excised using conventional surgery, electrosurgery, or more recently by laser. Methods: A total of 36 patients underwent surgical excision of superficial proliferative lesions under local anesthesia using a 940 nm diode laser. Bleeding was stopped using laser dry bandage setting, and no suturing was needed. All specimens were sent for histopathological examination. Patients were examined for intra-operative and post-operative complications. Results: The procedure was simple to perform with minimum bleeding and excellent precision. It was well accepted by the patients, who also reported mild post-operative pain. Optimum healing was achieved with no residual ulceration or scarring. The excised specimens were adequate for histopathological examination and all diagnosed as oral fibromas. Conclusion: The 940 nm diode laser can be utilized in excisional biopsy of irritational fibromas with minimum bleeding, discomfort, scarring, and postoperative pain and should be considered as a practical alternative to the traditional surgical technique. PSMMC REC clinical study registration number: 1203, series of 2019

scholarly journals Management of recurrent peripheral giant cell granuloma -a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 138
Author(s):  
Santha Kumari Prathypaty ◽  
Santhi Priya Potharaju ◽  
Ravi Kanth Chintala ◽  
Satheesh Kumar Guvvala ◽  
Jai Krishna Srikanth Kolliboyana
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Chronic Infection ◽  
Tooth Extraction ◽  
Benign Tumor ◽  
Surgical Excision ◽  
Giant Cell Granuloma ◽  
Complete Excision ◽  
Periodontal Membrane ◽  
Peripheral Giant Cell Granuloma

Peripheral giant cell granuloma (PGCG) which is also called as Giant cell Epulis is one of the most common reactive hyperplastic lesions of the oral cavity. There are various etiologies relating PGCG which include local irritation, trauma, tooth extraction, irregular restorations, plaque, calculus, chronic infection & impacted food. One important other etiology of this benign tumor is its origin from periosteum or periodontal membrane. Excision of the lesion completely along with extraction of involved tooth is the option of treatment to prevent recurrence of the lesion in some cases. This case report describes the recurrence of the Peripheral giant cell granuloma even after complete excision in 3 months.Management of recurrent Peripheral giant cell granuloma by surgical excision of the lesion was carried out along with extraction of the associated tooth and curettage of the bone walls. Profuse bleeding after tooth extraction was managed by gel-spun. Periodic recalls doesn’t show any recurrence until one month.

scholarly journals Reactive Hyperplastic Lesions of the Gingiva: A Retrospective Study of 260 Cases

2012 ◽  
Vol 3 (2) ◽  
pp. 126-130 ◽  
Author(s):  
Sangeetha Ramu ◽  
Charlotte Rodrigues
Keyword(s):  
Retrospective Study ◽  
Giant Cell ◽  
Pyogenic Granuloma ◽  
Ossifying Fibroma ◽  
Giant Cell Granuloma ◽  
Multicenter Studies ◽  
Age And Gender ◽  
Peripheral Giant Cell Granuloma ◽  
The Mean ◽  
And Gender

ABSTRACT Objectives The purpose of the study was to analyze the frequency and distribution of gingival lesions in MR Ambedkar Dental College, Bengaluru. Materials and methods The material included the biopsies of all localized reactive hyperplastic lesions (LRHL) of the gingiva stored in the department's database (1995-2011). The lesions were analyzed according to their location and the patient's age and gender. The findings were compared with other published studies on reactive lesions. Results A total of 260 reactive lesion biopsies were accessed. focal fibrous hyperplasia (FFH) was the most common (38.5%), followed by pyogenic granuloma (PG) (34.6%), peripheral ossifying fibroma (POF) (17.7%) and peripheral giant cell granuloma (PGCG) (9.2%). The mean age of the patients was 33 years, with a range varying from 9 to 80 years. The LRHL occurred more commonly in females except focal fibrous hyperplasia, which showed male predilection. PG and POF were more common in the maxilla and FFH as well as PGCG were more common in the mandible. Conclusion This study indicates some differences in age and gender distribution as well as in location between the different lesions. The results of this study differ from those of other studies and the data presented here can be used as a guide for further multicenter studies. How to cite this article Ramu S, Rodrigues C. Reactive Hyperplastic Lesions of the Gingiva: A Retrospective Study of 260 Cases. World J Dent 2012;3(2):126-130.

scholarly journals Surgical excision of a large gingival pyogenic granuloma using diode laser: A case report

2020 ◽  
pp. 164-167
Keyword(s):  
Carbon Dioxide ◽  
Case Report ◽  
Diode Laser ◽  
Yttrium Aluminum Garnet ◽  
Surgical Excision ◽  
Pyogenic Granuloma ◽  
Oral Lesions ◽  
Radiographic Findings ◽  
Erbium Doped ◽  
Yttrium Aluminum

Pyogenic granuloma (PG) is a common tumor-like growth observed in response to local irritation, trauma, or hormonal disturbances. It is among the frequently encountered oral lesions occurring at the gingiva. Surgical excision and removal of the underlying cause is the preferred method of treatment. Scalpel, cryosurgery, and laser are used in order to remove this lesion. Currently, different lasers are used for the surgery of PG, which include Carbon dioxide; Neodymium-doped yttrium aluminum garnet; Diode; Erbium-doped yttrium aluminum garnet; and Erbium, chromium-doped yttrium, scandium, gallium and garnet. This case report aims to briefly review clinical and radiographic findings of PG along with a detailed discussion on its management through a 980-nm diode laser.

scholarly journals Head and neck inflammatory pseudotumor: Case series and review of the literature

2016 ◽  
Vol 29 (6) ◽  
pp. 440-446 ◽  
Author(s):  
Sagar Kansara ◽  
Diana Bell ◽  
Jason Johnson ◽  
Mark Zafereo
Keyword(s):  
Head And Neck ◽  
Inflammatory Pseudotumor ◽  
Case Series ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Disease Recurrence ◽  
Neck Mass ◽  
Level Ii ◽  
Oral Corticosteroids ◽  
Inflammatory Pseudotumors

Inflammatory pseudotumor (IP) is an uncommon idiopathic lesion that often imitates malignancy clinically and radiologically. Inflammatory pseudotumors have been found to occur in various sites but rarely in the head and neck. The histopathology, imaging, and treatment of three unique cases of head and neck inflammatory pseudotumors are described in this case series. Patients in Cases 1 and 2 presented with right level II neck mass and left parotid tail mass, respectively. The patient in Case 3 presented with otalgia, jaw pain and trismus, and a left parapharyngeal space mass. The tumors in Cases 1 and 3 significantly decreased in size with tapered courses of oral corticosteroids. The tumor in Case 2 was surgically excised without disease recurrence. Malignancy must be ruled out with incisional or excisional biopsy. Treatment includes surgical excision, oral corticosteroids, or both. The literature shows that radiotherapy and small-molecule inhibitors may be promising alternatives.

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