SCALPEL'S PRECISION: RESOLVING PYOGENIC GRANULOMA IN A YOUNG PATIENT

Authors

  • Jane Carolyn MAANSINGH Department of Periodontics & Implant Dentistry, CSI College of Dental Sciences and Research, India
  • V. R. BALAJI Department of Periodontics & Implant Dentistry, CSI College of Dental Sciences and Research, India
  • D. MANIKANDAN Department of Periodontics & Implant Dentistry, CSI College of Dental Sciences and Research, India

Keywords:

Pyogenic Granuloma, Oral Lesions, Surgical Excision, Pediatric Dentistry, Gingival Architecture

Abstract

Pyogenic granuloma (PG) is a common benign vascular lesion of the oral cavity, characterized by rapid growth and bleeding. This case report describes the successful surgical management of an extensive PG in a 12-year-old female patient affecting the lower left incisor region. The lesion presented as a painless swelling, causing discomfort and aesthetic concerns. Diagnosis was confirmed by histopathological examination after conventional surgical excision using a scalpel and thorough mechanical debridement. The procedure aimed for complete removal and restoration of the gingival architecture. Post-operative care included antibiotics, meticulous oral hygiene instruction, and regular follow-up visits. The patient demonstrated excellent compliance and healing, with no signs of recurrence observed during the 6-month follow-up period. Surgical excision proved to be an effective treatment, providing complete resolution and restoring normal gingival contours. This case highlights the importance of surgical intervention combined with diligent post-operative care for managing extensive pyogenic granulomas in pediatric patients, ensuring long-term success and preventing recurrence.

Downloads

Download data is not yet available.

References

Ahmad, N., Jindal, M., Khan, S., Atif, M. & Azam, I. (2024). Surgical Removal of Recurred Pyogenic Granuloma Using Diode Laser in a Pediatric Patient: A Case Report. Saudi Journal of Oral and Dental Research, 9(4), 63-68.

Al-Mohaya, M., & Al-Malik, A. (2016). Excision of oral pyogenic granuloma in a diabetic patient with 940nm diode laser. Saudi Medical Journal, 37(12), 1395-1400.

Aoun, G. (2023). Pyogenic Granuloma of the Oral Cavity: Clinical and Histopathological Features, Etiopathogenesis, and Management. Journal of Health Science Research, 8(1), 26-28.

Cheng, J., Yuan, H., Fu, R., Jin, P., Huang, M., Wu, Z., … & Zou, Y. (2025). Comparison of the efficacy and adverse effects of long pulsed 1064 nm Nd: YAG laser and sclerotherapy in the treatment of pyogenic granuloma in children: a retrospective study. Scientific Reports, 15(1), 2843.

Dhanuthai, K., Boonkhanasan, S., Kasarat, P., Nateetaweewat, P., & Sappayatosok, K. (2024). Prevalence and Clinico-pathologic Profile of Biopsied Gingival Lesions from 2 Thai Dental Schools. Journal of Clinical and Experimental Dentistry, 16(9), e1046-e1052.

Gomes, S., Shakir, Q., Thaker, P., & Tavadia, J. (2013). Pyogenic granuloma of the gingiva: A misnomer? - A case report and review of literature. Journal of Indian Society of Periodontology, 17(4), 514-519.

Kamal, R., Dahiya, P., & Puri, A. (2012). Oral pyogenic granuloma: Various concepts of etiopathogenesis. Journal of oral and maxillofacial pathology, 16(1), 79-82.

Mahanani, E., & Rahmanida, A. (2024). Pyogenic Granuloma of the Gingiva. Improve Quality in Dentistry. 1(1), 61-66.

Martinez, S., Contreras, N., Sandoval, J., Nuño, J., Mireles, J., Hernández, J., … & Gutiérrez-Maldonado, A. (2023). Oral pyogenic granuloma: a narrative review. International Journal of Molecular Sciences, 24(23), 16885.

Meshram, M., Durge, K., & Shirbhate, U. (2023). An Overview of Oral Pyogenic Granuloma and Its Management: A Case Report. Cureus Journals, 15(11), e48305.

Parthasarathy, K., & Vigneshwaran, N. (2024). Recurrent Pyogenic Granuloma: Surgical Management. Journal of the California Dental Association, 52(1), 2432049.

Shirbhate, U., Bajaj, P., Pakhale, A., Durge, K., Oza, R., & Thakre, S. (2024). Electrocautery-Assisted Management of Unilateral Pyogenic Granuloma: A Case Report. Cureus, 16(4), e57794.

Sonar, P., & Panchbhai, A. (2024). Pyogenic granuloma in the mandibular anterior gingiva: A case study. Cureus Journals, 16(1), e52273.

Verma, P., Srivastava, R., Baranwal, H., Chaturvedi, T., Gautam, A., & Singh, A. (2012). Pyogenic granuloma - Hyperplastic lesion of the gingiva: case reports. The Open Dentistry Journal, 6, 153-156.

Widiatmoko, A., Trisadi, S., Retnani, D., & Rahmadiani, N. (2024). Timolol maleate 0.5% therapy in pyogenic granuloma. Journal of Dermatology, Venereology and Aesthetic, 5(1), 1-11.

Downloads

Published

2025-06-26

How to Cite

MAANSINGH, J. C., BALAJI, V., & MANIKANDAN, D. (2025). SCALPEL’S PRECISION: RESOLVING PYOGENIC GRANULOMA IN A YOUNG PATIENT. Thai Science, Technology and Health Review, 1(1), Article 2. retrieved from https://he05.tci-thaijo.org/index.php/TSTHR/article/view/4333