Lomelí Martínez SM, Bocanegra Morando D, Mercado González AE, Gómez Sandoval JR. Unusual clinical presentation of oral pyogenic granuloma with severe alveolar bone loss: A case report and review of literature. World J Clin Cases 2023; 11(16): 3907-3914 [PMID: 37383141 DOI: 10.12998/wjcc.v11.i16.3907]
Corresponding Author of This Article
Sarah Monserrat Lomelí Martínez, Doctor, Academic Research, Associate Research Scientist, Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Av. Universidad 1115, Col. Lindavista, Ocotlán 47810, Mexico. sarah.lomeli@academicos.udg.mx
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2023; 11(16): 3907-3914 Published online Jun 6, 2023. doi: 10.12998/wjcc.v11.i16.3907
Unusual clinical presentation of oral pyogenic granuloma with severe alveolar bone loss: A case report and review of literature
Sarah Monserrat Lomelí Martínez, Dennisse Bocanegra Morando, Ana Esther Mercado González, Juan Ramón Gómez Sandoval
Sarah Monserrat Lomelí Martínez, Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Ocotlán 47810, Mexico
Sarah Monserrat Lomelí Martínez, Master of Public Health, Department of Wellbeing and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico
Sarah Monserrat Lomelí Martínez, Dennisse Bocanegra Morando, Periodontics Program, Department of Integrated Dentistry Clinics, Centro Universitario de Ciencias de la Salud, Guadalajara 44340, Mexico
Ana Esther Mercado González, Antiguo Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Mexico
Juan Ramón Gómez Sandoval, Research Institute of Dentistry, Department of Integrated Dentistry Clinics, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico
Author contributions: Bocanegra Morando D and Lomelí Martínez SM contributed to diagnosis, surgical treatment and manage of patients; Mercado González AE and Gómez Sandoval JR contributed to acquisition and analysis of data; Lomelí Martínez SM and Gómez Sandoval JR drafted manuscript and critically revised manuscript; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sarah Monserrat Lomelí Martínez, Doctor, Academic Research, Associate Research Scientist, Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Av. Universidad 1115, Col. Lindavista, Ocotlán 47810, Mexico. sarah.lomeli@academicos.udg.mx
Received: March 16, 2023 Peer-review started: March 16, 2023 First decision: April 11, 2023 Revised: April 18, 2023 Accepted: May 4, 2023 Article in press: May 4, 2023 Published online: June 6, 2023
Abstract
BACKGROUND
Pyogenic granuloma (PG) is a localized, reddish and vascularized hyperplastic lesion of the connective tissue which occurs in the oral cavity. In most cases, the presence of this lesion does not show alveolar bone resorption. The pathology is diagnosed clinically with some caution. However, the diagnosis and treatment are usually corroborated with histopathological evidence.
CASE SUMMARY
Three clinical cases of PG associated with bone loss were described in this study. The three patients presented tumor-like growth which bled on touch, and were associated with local irritant factors. Radiographs showed bone loss. All cases were treated with conservative surgical excision. The scarring was satisfactory, and there was no case of recurrence. The diagnoses were based on clinical findings, and were confirmed histopathologically.
CONCLUSION
The occurrence of oral PG with bone loss is unusual. Therefore, clinical and radiographic evaluations are important for the diagnosis.
Core Tip: Pyogenic granuloma is a soft tissue tumor of the oral cavity which frequently does not present alveolar bone resorption. However, these three clinical cases of pyogenic granuloma were associated with bone loss, an unusual feature of this pathology. The patients were treated with conservative surgical excision. The diagnoses were based on the clinical findings which were confirmed with histopathology. These cases underline the importance of clinical and radiographic evaluation as guides for accurate diagnosis so as to enhance the development of an appropriate treatment plan in unusual cases.
