Pyogenic Granuloma in a Pediatric Patient: A Case Report

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Çege E. E., Çege M. A., Türk B. E., Bodur C. H.

FDI World Dental Congress 2024, İstanbul, Türkiye, 12 - 15 Eylül 2024, cilt.74, ss.264

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 74
  • Doi Numarası: 10.1016/j.identj.2024.07.182
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.264
  • Gazi Üniversitesi Adresli: Evet

Özet

INTRODUCTION

Pyogenic granuloma is a vascular tumor associated with trauma, poor oral hygiene, and pregnancy. It commonly affects the gingiva. It grows rapidly and recurrence is frequent. The treatment is surgical removal of the lesion and elimination of etiologic factors. In this case report, the treatment and 2-year follow-up period of pyogenic granuloma in a 7 year old boy.

CASE DESCRIPTION

A 7-year-old boy presented with a hemorrhagic soft tissue growth in the vestibule of the left mandibular molars, causing mobility in the adjacent teeth. Panoramic radiography revealed bone resorption. Surgical excision and subgingival curettage were performed, confirming the lesion as a pyogenic granuloma. Despite surgical treatment and good oral hygiene, recurrence occurred at 6 months, accompanied by decreased hemoglobin levels due to severe bleeding. Under general anesthesia, soft tissue was cauterized and mobile teeth 75 and 36 were extracted. Three months later, a tooth-supported space maintainer was placed. At the 2-year follow-up, no clinical or radiographic abnormalities were noted.

DISCUSSION

The treatment of pyogenic granuloma is complete surgical excision, but recurrence rates are high. In cases of aggressive recurrence with excessive bleeding, bone loss, and tooth mobility, treatment involves excising the lesion up to the periosteum or periodontal ligament and removing local irritants. Literature suggests that in treatment-resistant cases, extraction of affected teeth may be necessary. In this case, lesion excision and tooth extraction were performed due to treatment resistance.

CONCLUSION/CLINICAL SIGNIFICANCE

Effective treatment planning, elimination of etiological factors and good oral hygiene for pyogenic granulomas will help prevent recurrence of the lesion.