eMedicine Specialties > Dermatology > Diseases of the Oral Mucosa

Oral Pyogenic Granuloma: Follow-up

Author: John Svirsky, DDS, Director of Dental Diagnostic Services, Professor, Department of Oral Pathology, Virginia Commonwealth University School of Dentistry
Contributor Information and Disclosures

Updated: Oct 28, 2008

Follow-up

Further Outpatient Care

  • The only outpatient care is observation of the surgical healing 1 week after removal.

Deterrence/Prevention

  • Prevention consists of routine dental cleanings and home care, especially during pregnancy.

Complications

  • No complications are anticipated with removal of this lesion other than the chance of a cosmetic gingival defect.

Prognosis

  • The prognosis is excellent, and the lesion usually does not recur unless inadequately removed.
  • Lesions removed during pregnancy may have a higher recurrence rate.

Patient Education

  • Focus patient education on better oral hygiene, and consider recommending pulsating mechanical toothbrushes with timers. These toothbrushes encourage better hygiene.

Miscellaneous

Medicolegal Pitfalls

  • No medical/legal concerns exist with this lesion because it always is benign and does not undergo malignant change; however, the lesion must be biopsied to prove the diagnosis and to exclude more serious conditions. A related eMedicine article is Cancers of the Oral Mucosa.
 


More on Oral Pyogenic Granuloma

Overview: Oral Pyogenic Granuloma
Differential Diagnoses & Workup: Oral Pyogenic Granuloma
Treatment & Medication: Oral Pyogenic Granuloma
Follow-up: Oral Pyogenic Granuloma
Multimedia: Oral Pyogenic Granuloma
References
[ CLOSE WINDOW ]

References

  1. Sills ES, Zegarelli DJ, Hoschander MM, Strider WE. Clinical diagnosis and management of hormonally responsive oral pregnancy tumor (pyogenic granuloma). J Reprod Med. Jul 1996;41(7):467-70. [Medline].

  2. Vilmann A, Vilmann P, Vilmann H. Pyogenic granuloma: evaluation of oral conditions. Br J Oral Maxillofac Surg. Oct 1986;24(5):376-82. [Medline].

  3. Bhaskar SN, Jacoway JR. Pyogenic granuloma--clinical features, incidence, histology, and result of treatment: report of 242 cases. J Oral Surg. Sep 1966;24(5):391-8. [Medline].

  4. Eisen D, Lynch DP. The Mouth: Diagnosis and Treatment. St. Louis, Mo: Mosby; 1998:58-60.

  5. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral & Maxillofacial Pathology. Philadelphia, Pa: WB Saunders; 2002:447-9.

  6. Neville BW, Damm DD, White DK. Color Atlas of Clinical Oral Pathology. Baltimore, Md: Lippincott Williams & Wilkins; 1999:284-5.

  7. Sapp JP, Eversole LR, Wysocki GP. Contemporary Oral and Maxillofacial Pathology. 2nd ed. St. Louis, Mo: Mosby; 2003.

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

pyogenic granuloma, peripheral ossifying fibroma, peripheral giant cell granuloma, pregnancy tumor

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

John Svirsky, DDS, Director of Dental Diagnostic Services, Professor, Department of Oral Pathology, Virginia Commonwealth University School of Dentistry
John Svirsky, DDS is a member of the following medical societies: American Academy of Oral Medicine and American Dental Association
Disclosure: Nothing to disclose.

Medical Editor

Kelly M Cordoro, MD, Fellow and Clinical Instructor, Department of Pediatric Dermatology, University of California at San Francisco; Assistant Professor (On Educational Leave), Assistant Program Director for Resident Medical Education, Department of Dermatology, University of Virginia School of Medicine
Kelly M Cordoro, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Association of Professors of Dermatology, Dermatology Foundation, Medical Society of Virginia, National Psoriasis Foundation, Society for Pediatric Dermatology, and Women's Dermatologic Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Michael J Wells, MD, Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center
Michael J Wells, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Managing Editor

Drore Eisen, MD, DDS, Consulting Staff, Department of Dermatology, Dermatology Research Associates of Cincinnati
Drore Eisen, MD, DDS is a member of the following medical societies: American Academy of Dermatology, American Academy of Oral Medicine, and American Dental Association
Disclosure: Nothing to disclose.

CME Editor

Glen H Crawford, MD, Assistant Clinical Professor, Department of Dermatology, University of Pennsylvania School of Medicine; Chief, Division of Dermatology, The Pennsylvania Hospital
Glen H Crawford, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Phi Beta Kappa, and Society of USAF Flight Surgeons
Disclosure: Nothing to disclose.

Chief Editor

William D James, MD, Paul R Gross Professor of Dermatology, University of Pennsylvania School of Medicine; Vice-Chair, Program Director, Department of Dermatology, University of Pennsylvania Health System
William D James, MD is a member of the following medical societies: American Academy of Dermatology and Society for Investigative Dermatology
Disclosure: elsevier Royalty Other; american college of physicians Honoraria Other

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.