Pyogenic Granuloma
Pyogenic granuloma is a rapidly growing, tumor-like lesion that develops as a response to local irritation (e.g., poor hygiene or overhanging restorations) or trauma. Altered hormonal levels in pregnancy increase the incidence and severity of this condition.
Symptoms
-  An erythematous, nonpainful, smooth, or lobulated mass that often bleeds when touched
- Usually develops on the gingiva, but less common locations include the lip, tongue, or buccal mucosa
- May be a few millimeters to several centimeters in diameter
Large Pyogenic Granuloma Indicated by Arrow
Brad Neville, DDS
Treatment
- Observation and conservative surgical excision are both options
- Recurrence is uncommon unless the lesion is incompletely removed or the source of irritation remains.
- Lesions excised during pregnancy recur more frequently.
References
Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral Pyogenic granuloma: a review. J Oral Sci. 2006; 48(4) 167-75.