Abstract

CEDENO, J.A; GARCIA, R; CUTANDA, M. M  and  GOMEZ, J. A. Manejo quirurgico de granuloma piogénico atípico: Presentación de caso. Acta odontol. venez [online]. 2008, vol.46, n.4, pp.495-497. ISSN 0001-6365.

The Pyogenic Granulome (P.G.) is a hyperplasic reaction of the granulation tissue originated on the buccal mucous as a consequence of diverse inflammatory agents that develops in the ulceration. Such lesion can be generated by repeated micro traumatisms. It is about a 20 years-old, female, African-American patient who came to the consulting room at the post-graduate school of buccal surgery because of a relapsing lesion on the back-right side of the upper maxillary. A tumor lesion was observed during the intrabuccal examination. It was located on the upper-right border between the 15 and the 18, of 3 mm. In diameter approximately, mobile, of sessile base, dark pink, with some erythomatosic and ulcerated regions. It was covered with a whitish membrane which was traumatized by the antagonistic molar. It presented plaque and local irritants. 15 and 16 were vestibularized with mobility grade I and II, and absence of 17 and 18. Osseous loss was observed in the imageneologic evaluation and no defined cortical of the maxillary sinus on the right hand side was observed. It was decided to perform an excisional biopsy; an endodoncy of 14, 15 16 and 18; and a rotation of the palatial flesh tissue in the direction of the osseous mucous defect. The case planning was performed taking into consideration each one of the variables as it was the elimination of the pathological process and, in addition to this, the solution of the surgical defects left on the patient thus allowing for better rehabilitation of the patient.

Keywords : Pyogenic Granulome; surgical treatment; excisional biopsy.