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Occurrence of a Pyogenic Granuloma in Relation to a Dental Implant

Published in Journal of Oral and Maxillofacial Surgery. 2010, vol. 68, no. 8, p. 1874-1876
Abstract Pyogenic granuloma is an inflammatory vascular hyperplasia often occurring in the oral cavity. It appears in response to various stimuli such as low-grade local irritation, trauma, or female steroid hormones. A 32-year-old man sought care for a tender and bleeding lesion of the left posterior maxillary gingiva. The intraoral examination showed an exophytic ulcerated nodule measuring 1.0 cm, related to a dental implant placed in the upper left second premolar position. Radiographic examination showed an oversized healing cap. A provisional diagnosis of reactive inflammatory hyperplasia was made, and the lesion was excised and submitted for histologic examination. On microscopy, the surgical specimen showed an ulcerated nodule consisting of a delicate connective tissue stroma containing numerous blood vessels with plump endothelial cells, intermingled with abundant polymorphonuclear lymphocytes. A diagnosis of pyogenic granuloma associated with a dental implant was made. In this case it was the result of an inappropriate choice of a healing cap, thus allowing an accumulation of dental plaque and sustained chronic inflammation of the peri-implant tissue. A conservative excision and replacement of the healing cap were sufficient for definitive treatment.
PMID: 20413199
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Research group Groupe Lombardi Tommaso (médecine dentaire) (313)
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DOJCINOVIC, Ivan, RICHTER, Michel Willy, LOMBARDI, Tommaso. Occurrence of a Pyogenic Granuloma in Relation to a Dental Implant. In: Journal of Oral and Maxillofacial Surgery, 2010, vol. 68, n° 8, p. 1874-1876. https://archive-ouverte.unige.ch/unige:90748

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Deposited on : 2016-12-22

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