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.


  •  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
Brad Neville, DDS


  • 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.


Jafarzadeh H, Sanatkhani M, Mohtasham N. Oral Pyogenic granuloma: a review. J Oral Sci. 2006; 48(4) 167-75.