Oral pyogenic granuloma and its histological variants: A review of case series.

Abstract

Background: Gingival enlargement is quite common, and occurs as a result of response to varied stimuli and or interactions with the host and the environment. This lesion represents a reactive hyperplasia. Pyogenic granuloma is one of the commonest exophytic lesions found in the oral cavity. Its histological variants are lobular capillary hemangioma (LCH) and non-lobular capillary hemangioma (non-LCH). This growth usually responds well to adequate plaque control, elimination of causative irritants and management of tissue.

Case series: Highlights two cases of localized gingival enlargement, with histologic presentations and its management with emphasis on the importance on patient awareness and motivation.

Conclusion: Awareness of clinical presentations and histologic variants will aid clinicians in arriving at an appropriate diagnosis, as well as reduce the incidence of recurrence, thereby reducing the possibility of a misdiagnosis.

Recommendation: Clinicians should have a good knowledge of the common lesions that occur on the gingiva and be able to distinguish lesions by considering all possibilities before arriving at final diagnosis.

Keywords: Gingival enlargement, pyogenic granuloma, lobular capillary hemangioma, oral exophytic lesion