The Modified Latero-Coronally-Positioned Flap After Excision Of Peripheral Giant Cell Granuloma

The peripheral giant cell granuloma (PGCG) is a reactive lesion caused by trauma or irritation. The lesions can vary in size from a few millimeters to several centimeters. Surgical excision is the treatment to be carried out for PGCG. This case report describes the clinical and histopathological findings of PGCG diagnosed in the maxilla of a 24-year-old female, and the treatment of a gingival defect, which occurred following the excision of the lesion, by means of a modified latero-coronally positioned flap. In the reevaluation 6 weeks postoperatively, a stable keratinized cervical margin could be seen in the transplantation site with 1 mm recession. The donor site showed no recession. The modified latero-coronally-positioned flap technique has been suggested as a surgical solution after removal of PGCG to minimize patient discomfort and the loss of precious tissues.