Oral Pyogenic Granuloma Treatment & Management

Updated: Jun 10, 2016
  • Author: John A Svirsky, DDS, MEd; Chief Editor: William D James, MD  more...
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Treatment

Surgical Care

The treatment of choice is conservative surgical excision. For gingival lesions, excising the lesion down to the periosteum and scaling adjacent teeth to remove any calculus and plaque that may be a source of continuing irritation is recommended.

Pyogenic granuloma occasionally recurs, and a reexcision is necessary. The recurrence rate is higher for pyogenic granulomas removed during pregnancy.

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Consultations

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

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Prevention

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

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Long-Term Monitoring

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

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