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      Conservative Surgical Approach and Aesthetic Management of a Focal Gingival Hyperplastic Lesion

      case-report

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          Abstract

          Focal reactive hyperplastic lesions of the gingiva are quite common soft tissue enlargements of the oral cavity. Presence of local factors, tissue irritation and endocrinal discrepancies contribute to its etiology. The fact that these lesions are caused by diverse pathological conditions and its histo-pathological resemblances poses a great diagnostic challenge. Due to the site predilection of the these lesions to the maxillary anterior region, this article presents a case report of focal gingival hyperplastic lesion in the anterior maxillary region and its conservative management leading to pleasing results and soft tissue esthetics.

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          Reactive lesions of the gingiva. A clinicopathological study of 741 cases.

          Robin Hansen, Y Kfir, A Buchner (1980)
          A series of 741 consecutive cases of localized hyperplastic lesions of the gingiva were studied. The lesions were reclassified into four groups: pyogenic granuloma, peripheral giant cell granuloma, fibrous hyperplasia and peripheral fibroma with calcification. This study indicates that there are some differences between these groups in age and sex distribution as well as in location and size of the lesion. Fibrous hyperplasia was the most common type, followed in descending order by pyogenic granuloma, peripheral fibroma with calcification and peripheral giant cell granuloma. The peripheral giant cell granuloma showed no sex predilection while fibrous hyperplasia, pyogenic granuloma and peripheral fibroma with calcification were more common in females. Pyogenic granuloma and peripheral fibroma with calcification occur in younger patients more often than fibrous hyperplasia, and thus may represent a stage in the development of fibrous hyperplasia.
          Article 0 comments Cited 50 times – based on 0 reviews     Review now
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            Focal Reactive lesions of the Gingiva: An Analysis of 314 cases at a tertiary Health Institution in Nigeria

            O. Effiom, W Adeyemo, O. O Soyele (2011)
            Background: The aim of this study was to review the clinicopathologic features of focal reactive gingival lesions at the Lagos University Teaching Hospital, Nigeria. Methods: A retrospective review of cases of different focal reactive gingival lesions from the records of the Departments of the Oral Biology/Oral Pathology and Oral and Maxillofacial Surgery of the Lagos University Teaching Hospital between 1970 and 2008 was carried out. Available clinical data regarding age, gender, location, estimated duration of the lesion and treatment modality were obtained and analyzed. Results: Prevalence rate of focal reactive gingival lesions was 5.6%. Pyogenic granuloma (PG) was the most common lesions constituting 57% of the cases. Seventeen (9.5%) of the 179 cases of PG were pregnancy induced pyogenic granuloma. The female-to-male ratio was 1.7:1. All the 4 lesions occurred more in female patients than males. The mean age of patients at presentation was 30 ± 16.5 years. The lesions were commonly seen in the second and third decade of life and least commonly seen above the age of 60 years. The lesions were equally distributed on the maxillary and mandibular gingivae, and were mostly located on the buccal gingival of the jaws. Most (51.6%) of the lesions occurred in incisors/canine region. Recurrence of the lesions was seen in 9 cases (2.9%), all pyogenic granuloma. Conclusion: Focal reactive gingival lesions are relatively uncommon lesions of the oral cavity with a prevalence rate of 5.6%. The lesions occurred commonly in females, and in third decades of life. Pyogenic granuloma was the most common lesions constituting 57% of all cases.
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              Pyogenic granuloma of the gingiva: A misnomer? – A case report and review of literature

              Sheiba Gomes, Quaid Shakir, Prarthana V. Thaker … (2013)
              Pyogenic granuloma is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa. It is not associated with pus as its name suggests and histologically it resembles an angiomatous lesion rather than a granulomatous lesion. It is known by a variety of names such as Crocker and Hartzell's disease, granuloma pyogenicum, granuloma pediculatum benignum, benign vascular tumor and during pregnancy as granuloma gravidarum. This tumor like growth is considered to be non-neoplastic in nature and it presents itself in the oral cavity in various clinical and histological forms. Due to its frequent occurrence in the oral cavity, especially the gingiva, this article presents a case report of a large pyogenic granuloma of the gingiva and its management, reviews the literature and discusses why the term “pyogenic granuloma” is a misnomer.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Clin Pract
                Journal ID (iso-abbrev): Clin Pract
                Journal ID (publisher-id): CP
                Title: Clinics and Practice
                Publisher: PAGEPress Publications, Pavia, Italy
                ISSN (Print): 2039-7275
                ISSN (Electronic): 2039-7283
                Publication date (Electronic): 18 December 2014
                Publication date Collection: 30 October 2014
                Volume: 4
                Issue: 3
                Electronic Location Identifier: 679
                Affiliations
                SRM Dental College, SRM University , India
                Author notes
                A1, Shanthi Avenue 17, Lakeview road, West Mambalam, Chennai - 600033, India. +91.9790908533. anand.dec8@ 123456yahoo.com
                Article
                DOI: 10.4081/cp.2014.679
                PMC ID: 4274488
                SO-VID: 406af3a2-3f1b-4894-b59a-fdde22505cce
                Copyright © ©Copyright A. Mohan et al.
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 24 June 2014
                Date revision received : 13 August 2014
                Date accepted : 24 August 2014
                Page count
                Figures: 6, Tables: 0, Equations: 0, References: 10, Pages: 3
                Categories
                Subject: Case Report

                Keywords: focal gingival hyperplastic lesions,pyogenic granuloma,maxillary anterior region,conservative approach,surgical excision
                Data availability:
                Keywords: focal gingival hyperplastic lesions, pyogenic granuloma, maxillary anterior region, conservative approach, surgical excision

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