Al-Noaman Ahmed Salah
Department of Oral Surgery, College of Dentistry, University of Babylon, Babylon, Iraq.
J Indian Soc Periodontol. 2020 May-Jun;24(3):233-236. doi: 10.4103/jisp.jisp_132_19. Epub 2020 May 4.
Oral pyogenic granuloma is a soft-tissue lesion of the oral mucosa. This lesion has a tendency to reoccur after surgical excision.
A total of 28 patients underwent surgical excision of pyogenic granuloma in the period from September 2014 to May 2016. Two surgical techniques were used to remove pyogenic granuloma: simple excision with root planing and modified excision with deep curettage.
Females (54%) were slightly more predominant than males (46%). The upper and lower jaws were almost equally affected by the lesion with more predilection toward the posterior region. The size of the lesion ranged from 0.5 to 3 cm in diameter with slow-growing rate. Rural residents were more affected (57%) than urban people. The lesion appears clinically as a small red mass with sessile base, and these clinical features were similar in pregnant and nonpregnant women. The recurrence rate was 14.8% and seen only in patients treated by simple excision. Histopathological feature was consistent with inflammatory hyperplastic lesion, and there was no radiographic evidence of bone resorption associated with the lesion.
Modified excision with deep curettage prevents the recurrence of the lesion after 1-year follow-up.
口腔化脓性肉芽肿是口腔黏膜的一种软组织病变。该病变在手术切除后有复发倾向。
2014年9月至2016年5月期间，共有28例患者接受了化脓性肉芽肿的手术切除。采用两种手术技术切除化脓性肉芽肿：单纯切除加根面平整术和改良切除加深部刮治术。
女性（54%）略多于男性（46%）。上下颌受病变影响程度几乎相同，更倾向于后部区域。病变大小直径为0.5至3厘米，生长速度缓慢。农村居民（57%）比城市居民受影响更大。病变在临床上表现为带蒂基底的小红块，这些临床特征在孕妇和非孕妇中相似。复发率为14.8%，仅见于接受单纯切除术的患者。组织病理学特征与炎性增生性病变一致，且无与病变相关的骨吸收影像学证据。
改良切除加深部刮治术在1年随访后可防止病变复发。
