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- Title
Diagnosis and management of exuberant palatal pyogenic granuloma in a systemically compromised patient – Case report.
- Authors
Ventura, José Victor Lemos; Vogel, Jéssica de Oliveira; Cortezzi, Ellen Brilhante de Albuquerque; de Arruda, José Alcides Almeida; Cunha, John Lennon Silva; Andrade, Bruno Augusto Benevenuto de; Tenório, Jefferson R.
- Abstract
Aim: To discuss the diagnosis and treatment of an exuberant oral pyogenic granuloma (OPG) in the palatal region in a systemically compromised patient. Methods and Results: A 50‐year‐old woman presented with extensive and painless nodular mass that extended throughout the palatal region, with difficulty speaking, swallowing and spontaneous bleeding for 6 months. Her medical history showed poorly controlled type II diabetes mellitus and hypertension. The intraoral physical examination also revealed poor oral hygiene and periodontal disease. After clinical and radiographic evaluation, the presumptive diagnosis of OPG was made and complete excision of the lesion was performed. Local hemostatic measures were employed to control bleeding. Microscopic evaluation showed a lobulated lesion composed of many blood capillaries confirming the diagnostic hypothesis. Conclusions: In summary, individuals with severe periodontal disease and systemic disorders may present exacerbated clinical presentations of OPG.
- Subjects
GRANULOMA; DIAGNOSIS; TYPE 2 diabetes; SYMPTOMS; ORAL hygiene
- Publication
Special Care in Dentistry, 2024, Vol 44, Issue 3, p773
- ISSN
0275-1879
- Publication type
Case Study
- DOI
10.1111/scd.12945