Diode laser assisted excision of a gingival pyogenic granuloma: A case report

  • Dimitrios Andreadis Department of Oral Medicine/Pathology, School of Dentistry, Aristotle University of Thessaloniki, Greece.
  • Ioanna Lazaridi Department of Oral Medicine/Pathology, School of Dentistry, Aristotle University of Thessaloniki, Greece.
  • Eleftherios Anagnostou Department of Oral Medicine/Pathology, School of Dentistry, Aristotle University of Thessaloniki, Greece.
  • Athanasios Poulopoulos Department of Oral Medicine/Pathology, School of Dentistry, Aristotle University of Thessaloniki, Greece.
  • Prashanth Panta | maithreya.prashanth@gmail.com Department of Oral Medicine and Radiology, MNR Dental College and Hospital, Sangareddy, Telangana, India.
  • Shankargouda Patil Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

Abstract

exuberant, reactive lesion seen in response to local irritation or trauma caused by dental calculus, bacterial plaque, caries and restorations, with a strong predilection for the gingiva. It is among the frequently encountered oral lesions, occurring at a challenging oral site, the gingiva. Herein, we report a 71-year-old medically compromised Caucasian female who presented with a relatively large lobulated pyogenic granuloma on the buccal gingiva of the maxillary molar-premolar region. Total surgical excision was performed with an 840nm diode laser followed by the placement of hyaluronate gel and relevant periodontal dressing. Two weeks after surgical excision, complete healing was observed, but patient denied replacement of dental restoration. After 4 months of follow-up, an overall reduction of associated teeth mobility was also observed, with a minor recurrence in gingival inflammation. The objective of this report is to briefly review clinical, radiographic and histological findings of pyogenic granuloma along with a detailed discussion on its management through a diode laser.

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Published
2019-08-27
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Issue
Section
Case Reports
Keywords:
Pyogenic granuloma, Gingiva, Laser surgery, Diode laser
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How to Cite
Andreadis, D., Lazaridi, I., Anagnostou, E., Poulopoulos, A., Panta, P., & Patil, S. (2019). Diode laser assisted excision of a gingival pyogenic granuloma: A case report. Clinics and Practice, 9(3). https://doi.org/10.4081/cp.2019.1179

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