Akademik Veri Yönetim Sistemi
INTERNATIONAL COMPILATION OF RESEARCH AND STUDIES IN DENTISTRY, DOÇ. DR. VOLKAN ARIKAN,DOÇ. DR. IDRIS KAVUT, Editör, INTERNATIONAL COMPILATION OF RESEARCH AND STUDIES IN DENTISTRY, Ankara, ss.45-56, 2025
Pyogenic granuloma (PG), also referred to as lobular capillary hemangioma, is a common reactive vascular lesion of the oral cavity that frequently presents as a rapidly growing, erythematous mass with a marked tendency to bleed. This case report describes a 53-year-old woman with a history of systemic hypertension who presented approximately two months postpartum with swelling and occasional bleeding of the gingiva around the mandibular right canine (tooth 43). Clinical examination revealed a pedunculated, reddish, elastic soft-tissue mass with a smooth, shiny surface measuring about 1.5 × 1.0 cm, with mild enlargement of adjacent gingival tissues and no associated pain. The clinical differential diagnosis included PG (postpartum/granuloma gravidarum variant), peripheral giant cell granuloma, and peripheral ossifying fibroma. Radiographic evaluation demonstrated localized alveolar bone loss in the region without evidence of root resorption. The lesion was completely excised under local anesthesia with clean margins and submitted for histopathologic analysis. Microscopically, ulcerated/parakeratinized stratified squamous epithelium overlay a connective tissue stroma showing prominent lobular capillary proliferation, edema, and mild lymphoplasmacytic inflammation, consistent with lobular capillary hemangioma–type PG. Postoperative healing was uneventful; oral hygiene measures and elimination of local irritants were advised, and no recurrence was observed at 3- and 6-month follow-up.