Abstract

PYOGENIC GRANULOMA- A BENIGN REACTIVE HYPERPLASIA: A CASE REPORT

Shaji Diya*, Menezes B. Antonio*, Joseph Nisha, Rathan Sitara, Kini Raghavendra, Gonsalves M. Nitin and K. Rashmi

ABSTRACT

Pyogenic granuloma is a benign vascularised reactive hyperplasia of skin and oral mucosa which is painless, pedunculated, or sessile mass of gingiva. It is a tumour like neoplastic growth and an over-exuberant tissue reaction that occurs due to traumatic injury, local irritants, poor oral hygiene, hormonal factors, drugs or unknown stimuli. It is present more frequently in the gingiva surrounding the mandibular anterior teeth than maxillary anterior teeth. Histologically, the surface epithelium consisting of collagen is intact, the lesion is composed of hyperplastic granulation tissue which may be associated with ulcerations and hyperkeratosis. The most commonly practised treatment is surgical resection. Post surgical recurrence is reported when there is incomplete excision of the base of the lesion or the failure to eliminate the causal factors.

Keywords: pyogenic granuloma, reactive hyperplasia, granuloma pyogenicum, benign tumour, erupting hemangioma, granulation tissue type hemangioma, lobulated capillary hemangioma, pregnancy epulis, epulis gravidarum.