Pyogenic Granuloma in the Aesthetic Region after Installation of Implant Supported Denture: Report of two Cases and Literature Review

Emerson Filipe de Carvalho Nogueira, Luciano Barreto Silva, Bruno José Carvalho Macêdo Neres, Thiago Nunes de Siqueira Pedrosa, Gerhilde Callou Sampaio, José Ricardo de Holanda Vasconcellos

Abstract


The purpose of this paper is to present two clinical cases of pyogenic granuloma in the buccal cavity that developed in the aesthetic region after the installation implant supported denture, as well as perform a critical review on granulomas in dental implants. The first case presented an exophytic, reddish, asymptomatic lesion in the cervical region, 21 days after extraction of the fractured element 11 and implant with immediate prosthesis installation. In the second case, the fractured element 12 was extracted, the implant was installed and the prosthesis was placed after 5 months. This element developed lesion with similar characteristics to the first case, but with 2 months of rehabilitation. The cause of lesion development in both cases was related to local trauma due to mobility and instability of the provisional prostheses. Both cases were treated with prosthesis removal, cleaning and sanitizing of the region with a solution of chlorhexidine 0.2%, repositioning and stabilization of the prostheses, which resulted in complete regression of the lesions, achieved in around 30 days without the need of any surgical intervention. Correct diagnosis, knowledge of possible etiologies and its location are important factors in the planning of patients with pyogenic granuloma. Patients rehabilitated with dental implants are subject to development of this lesion, and the lack of knowledge of the characteristics of the reactive lesions may lead to unnecessary biopsies and development of important aesthetic defects.


Keywords


Dental Implants; Gingival Diseases; Pyogenic Granuloma; Prostheses and Implants.

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References


Dojcinovic I, Richter M, Lombardi T. Occurrence of a pyogenic granuloma in relation to a dental implant. J Oral Maxillofac Surg. 2010;68:1874–6.

Olmedo DG, Paparella ML, Brandizzi D, Cabrini RL. Reactive lesions of peri-implant mucosa associated with titanium dental implants: a report of 2 cases. Int J Oral Maxillofac Surg. 2010;39;503–7.

Etöz O, Soylu E, Kiliç K, et al. A Reactive Lesion (Pyogenic Granuloma) Associated With Dental Implant: A Case Report. J Oral Implantol 2013;39:733–6.

Kaya A, Ugurlu F, Basel B, Sener CB. Oral Pyogenic Granuloma Associated With a Dental Implant Treated With an Er:YAG Laser: A Case Report. J. Oral Implantol 2015;41:720–3.

Kang YH, Byun JH, Choi MJ, et al. Co-development of pyogenic granuloma and capillary hemangioma on the alveolar ridge associated with a dental implant: a case report. J. Med. Case Rep. 2014;8:192.

Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral pyogenic granuloma: a review. J Oral Sci. 2006;48:167–75.

Al-Khateeb T, Ababneh K. Oral Pyogenic Granuloma in Jordanians: A Retrospective Analysis of 108 Cases. J Oral Maxillofac Surg. 2003;61:1285–8.

Epivatianos A, Antoniades D, Zaraboukas T, et al. Pyogenic granuloma of the oral cavity: Comparative study of its clinicopathological and immunohistochemical features. Pathol Int. 2005;55:391–7.

Gordón-Núñez MA, de Vasconcelos Carvalho M, Benevenuto TG, et al. Oral pyogenic granuloma: A retrospective analysis of 293 cases in a Brazilian population. J Oral Maxillofac Surg. 2010;68:2185–8.

Saravana GHL. Oral pyogenic granuloma: A review of 137 cases. Br J Oral Maxillofac Surg. 2009;47:318–9.

González S, Vibhagool C, Falo LD Jr, et al. Treatment of pyogenic granulomas with the 585 nm pulsed dye laser. J Am Acad Dermatol. 1996;35:428–31.

Etöz OA, Soylu E, Kiliç K, et al. A Reactive Lesion (Pyogenic Granuloma) Associated With Dental Implant: A Case Report. J Oral Implantol. 2013:39:733–6.

Anitua E, Pinas L. Pyogenic granuloma in relation to dental implants: Clinical and histopathological findings. J Clin Exp Dent. 2015;7:447–50.

Truschnegg A, Acham S, Kqiku L, Beham A, Jakse N. CO2 Laser Excision of a Pyogenic Granuloma Associated with Dental Implants: A Case Report and Review of the Literature. Photomed. Laser Surg. 2016;34:4089.

Gefrerer L, Popowski W, Perek JN, Wojtowicz A. Recurrent Pyogenic Granuloma Around Dental Implants: A Rare Case Report. Int J Periodontics Restorative Dent. 2016;36:573–81.

Kerr DA. Granuloma pyogenicum. Oral Surg. Oral Med. Oral Pathol. 1951;4:158–76.


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