An innovative and less invasive management of recurrent pyogenic granuloma in the esthetic zone: A case report with 18-month follow-up
Autor: | Superna Tiwari, Sunil Sathyanarayana, Abhilash Neelakanti |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
recurrence Radiography Secondary infection Case Report pyogenic granuloma Malignancy Lesion 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine papilla preservation flap Oral mucosa business.industry Pyogenic granuloma 030206 dentistry Diode laser medicine.disease Surgery Major duodenal papilla medicine.anatomical_structure Diastema Periodontics medicine.symptom business |
Zdroj: | Journal of Indian Society of Periodontology |
ISSN: | 0975-1580 0972-124X |
Popis: | Pyogenic granuloma (PG) is a nonneoplastic, tumor-like growth commonly seen in the oral mucosa or skin. Although nonpathological, its existence might lead to complications such as secondary infections or diastema formation. Hence, surgical removal of the growth seems mandatory. Histopathologic and radiographic evaluation is essential for accurate diagnosis and to rule out malignancy. A 28-year-old systemically healthy female patient reported with a swelling which involved the interdental space of maxillary left central and lateral incisors. The lesion initially developed as a “pimple-like” swelling and gradually increased in size over 2 years. It was managed in a novel method by reflecting a papilla preservation flap, excising the lesion from inside the flap till healthy tissue was visible, and then exposing to diode laser to prevent recurrence. Subsequent histopathologic examination confirmed the diagnosis of PG. This novel, less invasive esthetic procedure employed a papilla preservation flap and laser irradiation technique. This simple modification not only helped in healing by primary intention and producing a good esthetic outcome but also showed no recurrence till date. |
Databáze: | OpenAIRE |
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