PYOGENIC GRANULOMA: A CASE REPORT

Purpose: The purpose of this study is to evaluate the treatment and pursuit process of the pyogenic granuloma which has seenon 12 years old girl patient.Case Presentation: Pyogenic granuloma is a lesion which classifiedin vascular tumors which constitute 30-60% of all the reactive lesionsof gingival tissue. Trauma, infections of capillary wall, hormonalfactors, foreign materials, hypertension and poor oral hygiene areaccused for development of pyogenic granuloma. It may occur at allage groups and in both sexs. In the oral cavity, pyogenic granulomalesions are most frequently encountered on the gingiva. Definitivediagnosis can only be made by histopathologic examination ofbiopsied tissue. The treatment of this lesion is surgical excision. Ifsurgical excision removal is incomplete, the lesion has got the risk ofthe recurrence.A twelve years old female child applied to our clinic withcomplaints like on anterior palatinal region gingival bleedingand swollen condition on the same region. As beginningtreatment oral hygiene education was given to the patient andplaque and calculus were removed. Under local anesthesia thelesion was taken with excisional biopsy for doing distinctivediagnosis from the other pathological lesions which can be seenin oral cavity. In addition frenectomy surgery in the maxilla andridge augmentation operation in the mandible is performed toprovide more comfortable oral hygiene. Three-month follow-upresults of the patients were found to occur again in the region ofthe palatal gingival enlargement. As a result, it was decided tore-operations performed gingivectomy. Patient after operationscarried out gingivectomy was called to the appointment checkedand encourage oral hygiene.Conclusion: After taking of the excisional biopsy, the diagnosewas made shaping “The Pyogenic Granuloma” to the masswhich was examined histopathologically under the lightmicroscope. In the control inspection, there was not anyrecurrence clinically © 2017. Cumhuriyet Dental Journal. All Rights Reserved.