Oral Pyogenic Granuloma: Series of 3 Case Reports

Oral pyogenic granuloma is a common benign (non-cancerous) growth of blood vessels on the oral tissue. It usually appears as a fast growing red nodule and commonly bleeds. They are neither infective, purulent nor granulomatous as the name might suggest, rather they are reactive enlargement that is an inflammatory response to local irritation such as calculus,fractured tooth, minor trauma, rough dental restorations and foreign materials. Histologically, the surface epithelium may be intact, or may show foci of ulcerations or even exhibiting hyperkeratosis. It overlies a mass of dense connective tissue composed of significant amounts of mature collagen. Gingiva is the most common site affected followed by buccal mucosa, tongue and lips. Surgery is the most common conventional modality of treatment of this lesion, but with advancing time cryosurgery has evolved as a newer treatment which involves the use of either liquid nitrogen spray or a cryoprobe.Nd: YAG, CO2 and flash lamp pulsed dye lasers have also been used for the treatment of oral pyogenic granuloma.This article presents a series of 3 case reports of pyogenic granuloma managed by excision of lesion. (Mohapatra S, Binjoo N, Arora KS, Modgil R. Oral Pyogenic Granuloma: Series of 3 Case Reports. www.journalofdentofacialsciences.com, 2014; 3(3): 23-26.