Sarı A., Günenç M. A., Arpağ O. F.
FDI World Dental Congress, İstanbul, Türkiye, 12 - 15 Eylül 2024, ss.241-242, (Özet Bildiri)
Özet
INTRODUCTION
Pyogenic granuloma is a benign and reactive inflammatory tumor-like lesion of the skin and mucous membranes.
CASE DESCRIPTION
A 58-year-old male patient with edentulous maxilla and mandibula was referred to Mustafa Kemal University (MKU) Dentistry Faculty, Periodontology Department from the Prosthodontics Department. He complained that he had not been able to use his prosthesis for 1 year due to swelling in his mandibular area. In intraoral examination, there was localized sessile, hyperaemic, and partially necrotic gingival enlargement in the right anterior region and vestibule site of the mandibula. Radiographic examination revealed that the massive mass affected the alveolar bone. The surgical excision was performed, and the excised mass sizes were 20x20 mm. The bone tissue, under the mass, had a spongious structure, irregular surface, and a torus-like growth towards the buccal side. The bone mass excision, whose sizes were 10x5 mm, was made by piezosurgery. The excised biopsy masses were sent for pathological evaluation. Antibiotic (Amoxicillin, 1000 mg, 2x1, 7 days) Chlorhexidine mouthwash (Klorhex, 0,12%, 2x1, 14 days) was prescribed.
Pathological evaluation reported that the excised mass was pyogenic granuloma. The recovery process was uneventful. After 3 months of follow-up, the new prostheses of patients were placed.
DISCUSSION
Pyogenic granuloma can occur in the edentulous mouth. The mass grew to a large size and caused changes in the underlying bone, for reasons such as prosthesis irritation and trauma.
CONCLUSION/CLINICAL SIGNIFICANCE
Surgical excisions of the gingival enlargement and the underlying affected bone mass are successful techniques in the treatment of pyogenic granuloma.