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Case Reports
. 2011 Jul;2(3):240-4.
doi: 10.4103/0976-237X.86478.

Pyogenic granuloma associated with periodontal abscess and bone loss - A rare case report

Bhrugesh J Panseriya  1 , Shital Hungund
Affiliations
Case Reports

Pyogenic granuloma associated with periodontal abscess and bone loss - A rare case report

Bhrugesh J Panseriya et al. Contemp Clin Dent. 2011 Jul.

Abstract

A diverse group of the pathologic process can produce the enlargement of soft tissues in the oral cavity and often present a diagnostic challenge. This soft tissue enlargement may represent a variation of the normal anatomic structure, inflammatory reaction, cyst, neoplasm, and developmental anomalies. A group of reactive hyperplasias, which develop in response to chronic recurring tissue injury that stimulates an excessive tissue repair response. The pyogenic granuloma (PG) is a reactive enlargement that is an inflammatory response to local irritation such as calculus, a fractured tooth, rough dental restoration, and foreign materials or hormonal (pregnancy tumor) and rarely associated with bone loss. This paper presents a rare case of PG associated with periodontal abscess and bone loss in a 30-year-old male.

Keywords: Bone loss; periodontal abscess; pyogenic granuloma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Pre-operative lesion
Figure 2
Figure 2
Abscess drainage with help of a periodontal probe
Figure 3
Figure 3
Intraoral periapical radiograph showing interdental bone loss and change in the trabecular pattern in between first and second molars
Figure 4
Figure 4
Exposing the underlying bone after excision of growth
Figure 5
Figure 5
Defect filled with G-BONE® bone alloplast
Figure 6
Figure 6
Complete healing after 3 months of operation
Figure 7
Figure 7
Radiograph also shows sign of bone fill after 3 months
Figure 8
Figure 8
Photomicrograph shows hyperplastic parakeratinized stratified squamous epithelium exhibiting areas of pseudoepitheliomatous hyperplasia
Figure 9
Figure 9
Photomicrograph showing endothelium lined channels, mixed inflammatory cell infiltrate consisting predominantly of neutrophils and lymphocytes
See this image and copyright information in PMC

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