Pyogenic granuloma: Case series

Pyogenic granuloma (PG) is a prevalent inflammatory hyperplasia of skin and oral mucosa which is often caused by constant low-grade local irritation, traumatic injury or hormonal factors. In many cases, gingival irritation and inflammation due to poor oral hygiene are precipitating factors. Oral PG occurs predominantly on the gingiva, but it is also encountered on the lips, tongue, buccal mucosa and rarely on the hard palate. Case report: 4 patients reported to the Department of Oral Surgery, Army College of Dental Sciences, Secunderabad complaining of a swelling of gums in front and back tooth region in upper and lower arch for past 6 months. The treatment plan included surgical excision of the lesion using diode laser as well as scalpel.Results: All the Four patients reported no pain after the surgery. They were discharged with a prescription of chlorhexidine mouthwash and necessary post-operative instructions. No recurrence or scarring was observed in 6-12 months follow-up. Conclusion: Although diode laser is a secure and efficient technique for the treatment of intraoral PG, in order to minimize its recurrence, the lesion should be excised with a wider margin down to the periosteum or to the causing agent. Also due to its high recurrence rate, long-term follow-up is recommended.